A member asked:

Does parnoramic x-ray show all fine fractures or nerve injuries in the upper plate or neck as the result of bad oral surgery?

8 doctors weighed in across 4 answers

No: The panorex xray shows fractures of the jaws and large cavities of the teeth. It does not show clearly the fractures of the neck. Xrays of the neck or a ct scan will show fractures of the neck better.

Answered 4/20/2013

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Unlikely: If what you mean by "upper plate" as the upper jaw, maybe. A panoramic x-ray is not a very high resolution type as is the case in cat scans or MRI projections. So, not likely to show all "fine fractures". What makes you think nerve injuries are as the result of "bad oral surgery"?

Answered 6/10/2014

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Dr. John Scuba answered

Specializes in Oral and Maxillofacial Surgery

Panoramic: A panoramic film is an excellent screening tool for many fractures. It is not for neck injuries and does not show "nerve injuries"--unless there is an obvious disruption of the lower "nerve canals" on this film. Saw you asked about a #1, so you must mean "upper palate" not "plate". And reference to oral surgery likely means that something is amiss after an extraction. See an oral surgeon.

Answered 12/9/2013

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No : A panorex will give a 2 dimensional picture of a 3 dimensional object. It is good in detecting certain pathologic conditions but not all.

Answered 9/28/2013

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