Panoramic X-Ray Training
This module teaches you how to prepare the panoramic X-ray machine, prepare and position the patient, take the image, and properly hand the patient off to the clinical team.
CALL THE PATIENT SECOND.
Panoramic X-Ray Terminology
Know the names of the basic equipment and controls before performing the procedure independently.
Select the Patient in Open Dental
Go to the Appointment Module in Open Dental.
Find the correct patient and click once on the patient's name / appointment.
Always make sure the correct patient is selected before opening the imaging software.
Click SENSOR/PANO (HDX)
After selecting the correct patient, click SENSOR/PANO (HDX).
This opens the HDX imaging software for the selected patient.
Click PANO
The HDX imaging window will open.
Click PANO to open the panoramic capture screen.
Select the Patient Mode
Choose the appropriate mode:
This selects the appropriate programmed exposure settings.
Turn On the Positioning Lamp
Click LAMP.
The positioning lamp helps you properly align the patient.
Click APPLY
After selecting the patient mode and turning on the lamp, click APPLY.
Next, prepare the bite block.
Prepare the Bite Block
Only now should you call the patient.
Call and Escort the Patient
Call the patient by name and personally walk them to the panoramic X-ray area.
Walk with the patient.
Remove Jewelry and Removable Teeth
Ask the patient to remove anything that may interfere with the image.
Fixed crowns and fixed bridges do not need to be removed.
Ask About Pregnancy
Before taking the X-ray, ask:
Do not proceed. Ask the dentist.
Place the X-Ray Shield
Place the approved panoramic lead apron / X-ray shield on the patient according to Smile Center protocol.
Make sure it is positioned properly and comfortably.
Position the Patient
Do not rush this step.
Offer the Hand Rails
Once positioned, offer the handles for stability.
Ask the patient to remain still.
Jewelry removed • removable appliances removed • pregnancy question completed • shield placed • chin positioned • bite correct • patient stable.
Click READY
Once the patient is correctly positioned, click READY.
Exit the Panoramic Room
After clicking READY, leave the panoramic room and go to the exposure control.
The patient should remain still.
Press and Hold the Exposure Button
Press the exposure button and continue holding it throughout the exposure.
Hold the button until the music / exposure cycle stops.
Release the Patient
Return to the patient after the exposure is complete.
Help the patient safely step away from the machine.
Mark the Routing Slip
The routing slip must stay with the patient workflow.
Mark the panoramic X-ray as completed.
Never depend only on memory or verbal communication.
Determine Where the Patient Goes Next
Check the patient's current status in Open Dental.
ARRIVED
The front desk still has administrative or financial items to complete.
READY TO GO BACK
The necessary front-desk requirements have been completed.
Complete the Patient Handoff
Your responsibility does not end when the panoramic X-ray is complete.
The Smile Center Standard
To the patient, the panoramic X-ray process should feel simple, organized, professional, and effortless.
MOVE WITH PURPOSE.
KEEP THE PATIENT INFORMED.
COMPLETE THE HANDOFF.
The goal is for every patient to feel that Smile Center was ready for them.