Assessment of Common Errors and Subjective Quality of Digital Panoramic Radiographs in Dental Institution, Riyadh

Aim: The study aims to determine the frequency of positioning errors, record the number of diagnostically inappropriate images, and assess the quality of panoramic radiographs. Materials and Methods: In this study, a total of 2629 patients for whom orthopantomogram were selected out of 3900 new patients between August 2020 and June 2021. The positioning errors of the radiographs were evaluated and categorized into ten groups. The quality of the radiographs is further assessed as “Excellent,” “Diagnostically Acceptable,” and “Diagnostically Unacceptable.” Results: Out of the total radiographs, 32.8% had no errors, and 77.2% of the radiographs had one or more positioning errors. The radiographs were analyzed in detail, and the errors found in the panoramic radiographs were recorded. The most common positioning error observed in the radiograph was error 8, failure to place the tongue close to the palate. Conclusion: The results and evaluation inferred that attention to patient positioning and focusing on reducing diagnostically indecent images could improve the quality of panoramic radiographs. Proper instructions to the patient, patient preparation, appropriate positioning of the patient, and the technician's skill plays a vital role in reducing diagnostic errors in Panoramic Radiography.