Post on 22-Oct-2014
Pembimbing:dr. Yanto Budiman, Sp. Rad, M.Kes
Presentan:Handy Putra 2010.061.006Melissa Nathania Theda 2010.061.007Stefanus Harris 2010.061.014
Definisi Panoramik = Orthopantomografi
Pemeriksaan radiologis dari gigi +rahangnya yang berbentuk melengkung terlihat gambaran lurus dari film dengan menggunakan prinsip tomografi
Referensi: Langland, Olaf E. 1989. Panoramic Radiology, Second Edition. Philadelphia : Lea and Febiger. Whaites, Eric. 1997. Essentials of Dental Radiography and Radiology, Reprinted Second Edition. New
York : Churchill Livingstone
Tujuan Skrining orthodontic dan periodontal
Diagnosis dini gangguan perkembangan gigi (umur 10 tahun,15 tahun,20tahun)
Deteksi kista atau tumor odontogenik
Evaluasi etilogi gigi tanggal
Evaluasi gangguan pada temporomandibular joint
Evaluasi fraktur maxillofacial
Evaluasi pre dan post operasi
Komponen pesawat panoramik
A. Tube head sinar-XB. Penyangga dan fiksasi kepalaC. Tempat kasetD. Kontrol panel.
Kaset tipis fleksibel / kaset kaku dengan dilengkapi screen, ukuran kaset 5 x 12 inchi atau 6 x 12 inchi
Referensi: Langland, Olaf E. 1989. Panoramic Radiology, Second Edition. Philadelphia : Lea and Febiger
Prinsip kerja
Referensi: Langland, Olaf E. 1989. Panoramic Radiology, Second Edition. Philadelphia : Lea and Febiger Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology. Thieme
Regio diagnostikDentoalveolar region
Maxillary region
Mandibullary region
Temporomandibular joint region
Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology. Thieme
Dentoalveolar region
Posteroanterior
Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology.. Thieme
CariesBite wing radiograph
Maxillary region
Water’s Projection
Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology. Thieme
Mandibullary regionReverse Towne Radiograph
Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology. Thieme
Temporomandibular joint region
Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology. Thieme
Kriteria foto baikStruktur anatomi yang harus tampak pada
radiografi panoramik: gigi geligi, mandibula, temporomandibular joints (TMJs), nasal fossae, sinus maksila, arkus zygomatikum, maksila, dan bagian vertebra servikal
Ramus dan gigi belakang magnifikasinya sama
Gigi depan dan belakang tampak secara tajam dengan magnifikasi yang sama
Simpisis mandibula terproyeksi secara lurus di bawah mandibular angles, mandibula berbentuk lengkung
Gigi atas dan bawah terletak rapi dan terpisah tanpa superposisi
Densitas mandibula dan gigi geligi sama dalam gambaran
Tidak ada artefak yang bertumpukan pada gambaran
Referensi: Bontrager, Kenneth L. 2001. Textbook of Radiographic Positioning and Related Anatomy . Fifth Edition. Saint
Louis : Mosby
A. Septum nasalB. Tengah dan bawah turninatesC. Garis orbitaD. Hard palateE / F. Permukaan antrumG. MAEH. Prosesus styloidI. HyoidJ. Plastik kepala pendukung
Bayangan jaringan keras (hard tissue)Gigi geligi, mandibula, maksila, hard palate,
prosesus styloid, tulang hyoid, septum nasal dan konka, lingkaran orbita, dan dasar kepala
Bayangan jaringan lunakLobus telinga, kartilago nasal, soft palate,
punggung lidah, bibir, pipi, dan lipatan nasolabial.
Bayangan artefakVertebra servikal, body, angle dan ramus sisi
samping mandibula, serta palateReferensi: Bontrager, Kenneth L. 2001. Textbook of Radiographic Positioning and Related Anatomy. Fifth
Edition. Saint Louis : Mosby
Intra Oral
Fig. 1.7 Annotated panoramic radiograph. 1 Nasal septum, 2 anterior nasal spine, 3 inferior turbinate, 4 middle turbinate, 5 superior turbinate, 6 soft tissue shadow of the nose, 7 airspace between soft tissue shadow of upper border of tongue and hard palate, 8 lateral wall of nasal passage, 9 maxillary sinus (antrum), 10 nasolacrimal canal orifice, 11 orbit, 12 infraorbital canal, 13 zygomatic process of the maxilla, 14 pterygomaxillary fissure, 15 maxillary tuberosity with developing third permanent molar tooth, 16 zygoma, 17 zygomatico-temporal structure, 18 articular eminence of temporal bone, 19 mandibular condyle, 20 external auditory meatus, 21 first cervical vertebra (atlas), 22 second cervical vertebra (axis), 23 third cervical vertebra, 24 fourth cervical vertebra, 25 mandibular foramen and lingula, 26 mandibular canal, 27 mental foramen, 28 inferior border of mandible, 29 hyoid, 30 pharyngeal airspace, 31 epiglottis, 32 coronoid process of mandible, 33 inferior orbital rim, 34 mastoid process, 35 middle cranial fossa, 36 bite-block for patient positioning during panoramic radiography, 37 chin holder, 38 shadow of cervical spine, 39 ethmoid sinus, 40 angle of mandible, 41 crypt of developing mandibular third permanent molar tooth, 42 developing mandibular second premolartooth, 43 primary second molar tooth showing physiological root resorption, 44 maxillary permanent central incisor tooth, 45 maxillary permanent lateral incisor tooth, 46 maxillary permanent canine tooth, 47 maxillary first premolar tooth, 48 maxillarypermanent first molar tooth, 49 ramus of mandible, 50 pterygoid plates
Daftar PustakaLangland, Olaf E. 1989. Panoramic Radiology,
Second Edition. Philadelphia : Lea and Febiger.Whaites, Eric. 1997. Essentials of Dental
Radiography and Radiology, Reprinted Second Edition. New York : Churchill Livingstone.
Bontrager, Kenneth L. 2001. Textbook of Radiographic Positioning and Related Anatomy. Fifth Edition. Saint Louis : Mosby.
Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology. Thieme
Carver, Elizabeth dan Barry Carver. 2006. Medical Imaging, Techniques, Reflection and Evaluation. New York : Churchill Livingstone.