The Importance of Panoramic Radiography in Comprehensive Dental Evaluation: A Case Report of Mandibular Angle Fracture

Authors

Dr. Aparnaa Upadhyaya

UTHSC College of Dentistry (America (USA))

Mary Grace Hilario

UTHSC College of Dentistry (America (USA))

Article Information

DOI: 10.51244/IJRSI.2026.1305000052

Subject Category: Radiology

Volume/Issue: 13/5 | Page No: 559-561

Publication Timeline

Submitted: 2026-05-04

Accepted: 2026-05-09

Published: 2026-05-26

Abstract

Panoramic radiography plays a critical role in comprehensive dental diagnosis by providing a broad overview of the maxillofacial skeleton. In contrast, intraoral radiography, while essential for the diagnosis of dental caries and periapical pathology, offers a limited field of view and may fail to detect extra‑alveolar or skeletal abnormalities [1–3]. This case report describes a 35‑year‑old male who presented with left mandibular pain and swelling. Panoramic imaging revealed a non‑displaced mandibular angle fracture adjacent to tooth #17 that would not have been identified using intraoral radiography alone. Early recognition facilitated appropriate referral and surgical management, underscoring the importance of panoramic radiographs in improving patient safety and clinical outcomes [4–6].

Keywords

panoramic radiography; mandibular fracture; dental trauma

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References

1. White SC, Pharoah MJ. Oral Radiology: Principles and Interpretation. 8th ed. St. Louis: Elsevier; 2019. [Google Scholar] [Crossref]

2. Langland OE, Langlais RP, McDavid WD. Panoramic Radiology. 2nd ed. Philadelphia: Lea & Febiger; 1989. [Google Scholar] [Crossref]

3. Scarfe WC, Farman AG. What is cone‑beam CT and how does it work? Dental Clinics of North America. 2008;52(4):707–730. [Google Scholar] [Crossref]

4. Fonseca RJ, Walker RV, Barber HD, Powers MP, Frost DE. Oral and Maxillofacial Trauma. 4th ed. St. Louis: Elsevier; 2013. [Google Scholar] [Crossref]

5. Peterson LJ, Ellis E, Hupp JR, Tucker MR. Contemporary Oral and Maxillofacial Surgery. 7th ed. St. Louis: Elsevier; 2019. [Google Scholar] [Crossref]

6. Lurie AG. Role of panoramic radiography in the diagnosis of mandibular fractures. Oral Surgery, Oral Medicine, Oral Pathology. 1984;57(2):176–182. [Google Scholar] [Crossref]

7. Shah N, Bansal N, Logani A. Recent advances in imaging technologies in dentistry. World Journal of Radiology. 2014;6(10):794–807. [Google Scholar] [Crossref]

8. Hagberg C, Artime C. Airway management in the patient with limited mouth opening. Anesthesiology Clinics. 2015;33(2):285–297. [Google Scholar] [Crossref]

9. Ellis E. Outcomes of mandibular fracture management. Journal of Oral and Maxillofacial Surgery. 1999;57(5):567–573. [Google Scholar] [Crossref]

10. Adeyemo WL, Ladeinde AL, Ogunlewe MO. Clinical evaluation of mandibular fracture patterns. Nigerian Journal of Clinical Practice. 2008;11(1):14–19. [Google Scholar] [Crossref]

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