Panoramic X-rays

Panoramic X-rays

Panoramic X-rays (also known as Panorex® or orthopantomograms) are wraparound photographs of the face and teeth. They offer a view that would otherwise be invisible to the naked eye. X-rays in general, expose hidden structures, such as wisdom teeth, reveal preliminary signs of cavities, and also show fractures and bone loss.
Panoramic X-rays are extraoral and simple to perform. Usually, dental X-rays involve the film being placed inside the mouth, but panoramic film is hidden inside a mechanism that rotates around the outside of the head.
Unlike bitewing X-rays that need to be taken every few years, panoramic X-rays are generally only taken on an as-needed basis. A panoramic x-ray is not conducted to give a detailed view of each tooth, but rather to provide a better view of the sinus areas, nasal areas and mandibular nerve. Panoramic X-rays are preferable to bitewing X-rays when a patient is in extreme pain, and when a sinus problem is suspected to have caused dental problems.
Panoramic X-rays are extremely versatile in dentistry, and are used to:
  • Assess patients with an extreme gag reflex.
  • Evaluate the progression of TMJ.
  • Expose cysts and abnormalities.
  • Expose impacted teeth.
  • Expose jawbone fractures.
  • Plan treatment (full and partial dentures, braces and implants).
  • Reveal gum disease and cavities.

How are panoramic X-rays taken?

The panoramic X-ray provides the dentist with an ear-to-ear two-dimensional view of both the upper and lower jaw. The most common uses for panoramic X-rays are to reveal the positioning of wisdom teeth and to check whether dental implants will affect the mandibular nerve (the nerve extending toward the lower lip).
The Panorex equipment consists of a rotating arm that holds the X-ray generator, and a moving film attachment that holds the pictures. The head is positioned between these two devices. The X-ray generator moves around the head taking pictures as orthogonally as possible. The positioning of the head and body is what determines how sharp, clear and useful the X-rays will be to the dentist. The pictures are magnified by as much as 30% to ensure that even the minutest detail will be noted.
Panoramic X-rays are an important diagnostic tool and are also valuable for planning future treatment. They are safer than other types of X-ray because less radiation enters the body.
If you have questions or concerns about panoramic X-rays, please ask your dentist.

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Testimonials

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Great experience Dr. Saint Germain has great knowledge from implants,root canals, fillings to extractions. I would recommend him for all your dental work. Prices are comparable to other dentists.
—Moe O.
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I was traveling in the area from out of state and developed a toothache in route. A local colleague referred me to Dr St Germain for treatment. Dr St Germain determined I needed a root canal and although his appointment schedule was fully booked kindly moved other patients around to treat me. He and his staff were the most professional I have experienced anywhere including my dentist at home. I would highly recommend his office for their services and wish I live locally so I could use this practice regularly. Thanks again!!
—Michael S.
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These guys were great and prompt and very efficient, place was great. Friendly and knowledgeable staff, clean office and great service. Prices were comparable to other spots, so it wasn't too expensive. Awesome! I recommend this dentist office here in Nashua, NH.
—Mark G.
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I loved everything about my visit... and let's be honest, that's huge when talking about the dentist! The office was warm and inviting, the staff was super kind, even taking the time to introduce themselves and shake my hand. Such a change from my previous dentist. Highly recommend!
—Jeffa L.
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Dr. St. Germain is very nice and explains things to his patients so they understand what is going on. He connects with them on a personal level which eases the "fear/anxiety" that one can have going to the dentist. MaryEllen is also great to talk to; whether you are on the phone or in the office, she will do anything she can to help you! I would defintiley reccomend Dr. St. Germain as your next dentist!!!
—Niki P.
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Dr. St. Germain & his staff are totally wonderful. Up on the latest technology but easy going & very accommodating. They know what they're doing & do it well.
—Michele M.
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I have known Dr. St. Germain since 2007. I would recommend Dr. St. Germain and his practice to everyone I know. He is a caring, competent, professional. He offers a wide range of dental services all in one place which my family and I really love. He is tops with my kids too! Your children don't need to be afraid of the dentist! I can attest to this! My sons' love the rides he gave them in his dental chair when they were younger and he always explains everything to them. They always leave his office with a smile, holding their new toothbrush or toy like a badge of honor. : ) Dr St. Germain always keeps up to date on all the latest dental techniques and studies which I love. He treats dental health with a "whole body" approach . He listens and really cares If you have dental anxiety now you won't after visiting Dr. St. Germain! His service and staff are top notch, and friendly too. Dr. St. Germain has helped me immensely, I had a few old filling which always gave me trouble, Dr St. Germain fixed them for me and I have never felt pain in those teeth ever again! My family and I Thank You Dr. St.
—Melanie P.
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I greatly appreciate the care I receive from Dr. St. Germaine and his staff. I very much appreciate the attention staff pays to ensuring how much my insurance will cover, and work to make it work for me. I am a fairly new recipient of their care, but like how I am treated and care for.
—Nancy K.
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Both my mother and I have attended Merrimack Valley Dental for the past 8 years and always have a quick and pain free experience. All of the hygienists remember me and act like one big family, while Doctor St. Germain makes every cleaning and procedure feel like a simple procedure while telling a story to distract you. They make a dentists appointment something you don't dread ahead of time!
—Juliano S.
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I have enjoyed being a patient at Merrimack Valley Dental Care. The staff are consistently friendly and helpful. They truly care about my health and that of my family. My two young children are patients as well. They have their teeth cleaned and have even had teeth "pulled"/removed; all of which have been positive experiences for them and myself. Most recently, I took my children for their six month cleaning. I had messed up the times of their appointments. The staff at Merrimack Valley Dental Care accommodated us by staying later than they were scheduled to! I was extremely grateful for their flexibility.
—Amy Y.
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The staff here is amazing! My family has always been treated with respect, care and professionalism. I have always had positive experiences there despite the fearful nature of dentistry in general. Would recommend them and do recommend them whenever I get a chance
—Stephen O.
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I saw some negative reviews on this place and was shocked. I have been a customer who came from an AWFUL dentist that really really made it hard for me to go to the dentist. I needed a lot of work. We developed a plan and are executing! Fair prices, great people- I would and have recommended St. Germain and practice to friends and family. Went today for a cleaning and the experience hasn't changed from the first day I went.
—Jesse G.
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I'm deeply afraid by dentists! I recently had a tooth extracted by DDS Albert St. Germain. He actually took the time to bring me in a calm state of mind. His gentail Staff of dental hygienist and office administration - I found my new dentistry!
Thank You Dr. St. Germain!
—John D.
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I hadn't been to the dentist in many, many years, and I was very nervous about the kind of work I might need when I first came to Dr. St. Germain and his staff. Right away, they were comforting and courteous. I had a cleaning within two weeks of my first visit, and a cavity filling several weeks later. Both procedures were done with skill and patience. There were no insurance hassles at all; the cleaning was 100% covered and the cavity filling had a reasonable co-pay. I would absolutely recommend "Dr. Saint" and his staff to anyone. They're extremely friendly and professional. I'll never enjoy a visit to the dentist, but at least I know I'm getting the best experience possible when I go to Merrimack Valley Dental Care.
—Roger T.
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