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A panoramic X-ray, sometimes called a full mouth X-ray or OPG, is a single wide-format image that captures all of your upper and lower teeth, both jawbones, your temporomandibular joints, and the surrounding bone structures in one sweep. At Elevated Smiles Dentistry in Bel Air, MD, panoramic imaging gives Dr. Joshua Englander a comprehensive baseline view that standard bitewing X-rays alone cannot provide.

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A panoramic X-ray is taken by a machine that rotates around the outside of the head over the course of about 10 to 15 seconds, capturing a single flat image that represents a curved structure. The image shows all erupted and unerupted teeth, including wisdom teeth, the full length of both jaw bones, the maxillary sinuses, the nasal floor, the temporomandibular joints on both sides, and any bone pathology in the area. It gives a broad overview that helps identify problems not visible on smaller, more focused X-rays taken inside the mouth.
Bitewing X-rays are small films placed inside the mouth that show the crowns of the upper and lower teeth in a specific area, primarily used for detecting cavities between teeth. A panoramic X-ray is taken from outside the mouth and shows the entire dental arch and jaw at a lower magnification. The two types of imaging are complementary, not interchangeable. Bitewings provide detail for diagnosing decay. Panoramic imaging provides the broader view needed for evaluating jaw development, locating impacted teeth, planning implants, and screening for pathology across the full arch.
A panoramic X-ray is typically recommended at a new patient exam to establish a baseline record of your jaw and teeth, when wisdom teeth need to be evaluated for position and removal planning, when multiple dental implants are being considered, when a significant bite change or jaw pain is being investigated, when orthodontic planning requires a full arch view, and when any bone pathology or lesion needs to be assessed for size and location. It is not taken at every visit but is an essential tool when a comprehensive structural overview is needed.
Yes. Panoramic X-rays expose patients to a very small dose of radiation, roughly comparable to a few hours of normal background radiation from the environment. They are significantly lower in radiation than medical imaging like CT scans. Dr. Englander follows standard radiation protection guidelines and orders panoramic X-rays only when the diagnostic information they provide justifies the minimal exposure. Lead aprons and thyroid collars are used as appropriate.
No. A panoramic X-ray is typically taken once every few years or when specific clinical needs arise. Routine checkups rely on standard bitewing and periapical X-rays for cavity and bone level monitoring.
Elective dental X-rays are generally postponed until after pregnancy unless there is an urgent clinical need. If a panoramic X-ray is medically necessary, appropriate shielding is used and the exposure is minimal. Discuss your pregnancy with Dr. Englander before any X-rays are taken.
The actual exposure takes about 10 to 15 seconds. You stand still while the machine rotates around your head. Total time in the office for the X-ray is usually under five minutes.
Most dental insurance plans cover panoramic X-rays periodically, often once every three to five years as a diagnostic benefit. Our team will confirm your coverage before taking the image.

We Welcome You to Elevated Smiles Dentistry of Bel Air Maryland.
Schedule an AppointmentVisit us at our modern office in downtown Bel Air. We’re ready to help you achieve your best smile.
Monday: 8am – 4pm
Tuesday: 8am – 4pm
Wednesday: 7am – 3pm
Thursday: 7am – 3pm
Friday: By Appointment Only
Saturday: Closed
Sunday: Closed
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