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Imaging Sci Dent. 2015 Jun;45(2):117-22. doi: 10.5624/isd.2015.45.2.117. Epub 2015 Jun 19.

A new bite block for panoramic radiographs of anterior edentulous patients: A technical report.

Imaging science in dentistry

Jong-Woong Park, Khanthaly Symkhampha, Kyung-Hoe Huh, Won-Jin Yi, Min-Suk Heo, Sam-Sun Lee, Soon-Chul Choi

Affiliations

  1. Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
  2. Division of Oral and Maxillofacial Radiology, Department of Basic Science, Faculty of Dentistry, University of Health Sciences, Vientiane, Laos.

PMID: 26125007 PMCID: PMC4483618 DOI: 10.5624/isd.2015.45.2.117

Abstract

PURPOSE: Panoramic radiographs taken using conventional chin-support devices have often presented problems with positioning accuracy and reproducibility. The aim of this report was to propose a new bite block for panoramic radiographs of anterior edentulous patients that better addresses these two issues.

MATERIALS AND METHODS: A new panoramic radiography bite block similar to the bite block for dentulous patients was developed to enable proper positioning stability for edentulous patients. The new bite block was designed and implemented in light of previous studies. The height of the new bite block was 18 mm and to compensate for the horizontal edentulous space, its horizontal width was 7 mm. The panoramic radiographs using the new bite block were compared with those using the conventional chin-support device.

RESULTS: Panoramic radiographs taken with the new bite block showed better stability and bilateral symmetry than those taken with the conventional chin-support device. Patients also showed less movement and more stable positioning during panoramic radiography with the new bite block.

CONCLUSION: Conventional errors in panoramic radiographs of edentulous patients could be caused by unreliability of the chin-support device. The newly proposed bite block for panoramic radiographs of edentulous patients showed better reliability. Further study is required to evaluate the image quality and reproducibility of images with the new bite block.

Keywords: Bite Block; Panoramic, Radiography; Reproducibility of Results

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