The development of specialized panoramic radiograph machine software has spawned the
introduction of an innovative and promising dental radiographic examination type:
extraoral bite-wings. But does this unconventional type of imaging belong in the bite-wing
family? Is there any relationship at all to the conventional bite-wing radiograph?
The purpose of this article is not to make a case for the diagnostic effectiveness
of one system over the other; this is best left to further clinical evaluation. Instead,
the authors intend to provide an outline of a few key and distinguishing elements
of the intraoral bite-wing radiographic examination followed by those of the extraoral
panoramic substitute and draw attention to the importance of reimagining the increasingly
universal naming convention of this novel radiographic examination, the paradoxical
“extraoral bite-wing radiograph”, based on the fundamental principles of each of these
The accuracy of clinical and technical terminology in oral radiography is of paramount
importance to both the profession and patients, especially when considering emerging
POP (Proxi-optimized Pan)
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Mr. Johnson is an assistant professor, Division of Diagnostic Sciences, Oral and Maxillofacial Radiology Program, and the director of predoctoral radiology clinics, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC.
Dr. Mol is a professor and the lead radiologist, Division of Diagnostic Sciences, Oral and Maxillofacial Radiology Program, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC.
Dr. Tyndall is a professor, Division of Diagnostic Sciences, Oral and Maxillofacial Radiology Program, and the head of predoctoral education for oral and maxillofacial radiology, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC.
Disclosures. None of the authors reported any disclosures.
© 2021 American Dental Association. All rights reserved.
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