Various X-ray images and panoramic X-ray are used for several purposes: localization of nodules, identification of decayed teeth, evaluation of bone volume and so on. Since these devices work with low radiation, the amount of radiation needed for image acquisition does not exceed the degree of radiation from the atmosphere; thus, it is completely safe. 

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When do we perform digital panoramic X-Ray scans?

In most cases, you will undergo a panoramic scanning during your first visit. This is essential for establishing a precise diagnosis and thus making a precise treatment plan. Thereby we will gain a comprehensive picture on the status of your oral cavity.

Our imaging equipment is suitable for TMI (total medical imaging) and reproducing an accurate image of your maxillary sinuses. At our clinic we use the most advanced diagnostic equipment that is currently available, which naturally works with a reduced radiation dose.

 
Digital panoramic X-ray

In most cases, you will undergo a panoramic X-Ray scanning during your first visit. This is essential for establishing a precise diagnosis and thus making a precise treatment plan. Thereby we will gain a comprehensive picture on the status of your oral cavity. Our imaging equipment is suitable for TMI (total medical imaging), and reproducing an accurate image of your maxillary sinuses. At our clinic we use the most advanced diagnostic equipment that is currently available, which naturally works with a reduced radiation dose.
 

CBCT (Cone Beam Computed Tomography)

Image distortion must be considered during the evaluation of panoramic X-ray images. Anatomic structures are projected on a single picture, therefore certain details cannot be seen and contours may be blurry.

A CBCT device creates a series of axial slices, which on the whole contain a total spatial imaging of the patient. From these data, a software creates the images used for diagnostics. Compared to traditional CT scanning, in this case the patient is exposed to a significantly lower radiation dose.

With CBCT certain structures can be visualised separately, without overlapping, from multiple directions.  Tomographic images can be created from different views; and 3D reconstruction can be performed, gaining information not only on the amount, but also the quality of bones.

This type of diagnostic is mainly used before oral surgery interventions, such as:

• planning the correct position of implants
• nervous structures
• anatomical structures (e.g. maxillary sinus)
• bone replacement procedures  
• identifying the position of a wisdom tooth
• before orthodontic or surgical interventions
• parodontology
• endodontics

 
Digital intraoral X-ray  

This type of image acquisition is used when only one or two teeth need to be evaluated. 
 

Tele X-ray 

Evaluation of teleradiography images is one of the basic elements of planning an orthodontic treatment (correction of malpositioned teeth).
It is a standard and reproducible method for investigation of cranial and facial structures. 
 

Lateral teleradiography image 

• It is acquired during orthodontic treatment for diagnostic purposes
• It is suitable for diagnosing craniofacial deformities
• It helps establish which part of the craniofacial complex is responsible for the abnormality
• It can be determined whether the malformation is of skeletal or dento-alveolar origin, and which jawbone is responsible for the abnormality
• It is suitable for the evaluation of sagittal and vertical skull dimensions
• Growth and development of the skull can be evaluated
• Monitoring treatment outcomes and evaluating changes occurring as a result of the treatment. 

 
Posteroanterior (PA) teleradiography

• This study is also performed with a teleradiography device, but with a rotated head rest. Thus the sensor passes by in front of the patient’s head, while the X-Ray generator travels parallelly with it behind the head. During the investigation, the patient should keep their jawbones relaxed.
• This image is essential for localising and evaluating the degree of skeletal asymmetry, and also for skeletal narrowing involving the upper jawbone (maxilla), when during treatment planning, palate splitting (with a hyrax-screwed rapid expander) is considered. In such cases PA evaluation may confirm the preliminary diagnosis, and it is also suitable for monitoring the intervention process.

It helps evaluate:

• vertical and transverse configuration of the facial skeleton
• skeletal and dental midline shifts
• intermolar distances
• intercanine distances
• asymmetries of jawbones relative to each other
• asymmetries of jawbones relative to the skull base
• Possible fractures, tumours
• Configuration of the facial skeleton Identification of skeletal and dental asymmetry
• Presence of skeletal and dental midline shifts
• Comparing the width of jawbones to each other
• Morphology of soft tissues
• Treatment possibilities and limitations