Assessment of Panoramic Radiograph Errors: An Evaluation of Patient Preparation and Positioning Quality at Soelastri Dental and Oral Hospital

Abstract

Background: Dental radiography is an important component of comprehensive patient care. One of the most frequently used extraoral radiographic techniques is panoramic radiography. Panoramic radiographs lose value when the quality of the diagnostic radiographs is poor. In their application, there are still many errors that occur in panoramic radiographs. Objective: This study aimed to determine the quality and frequency of panoramic radiograph errors due to patient preparation and positioning errors at the Soelastri Dental and Oral Hospital, Universitas Muhammadiyah Surakarta (RSGM Soelastri UMS), Indonesia. Methods: This type of research is descriptive, quantitative, observational, and takes a retrospective approach. A total of 312 panoramic radiographs of patients at RSGM Soelastri UMS from January to December 2021 who met the inclusion and exclusion criteria were taken at random stages and evaluated. Radiographs were compared with ideal quality, given a National Radiological Protection Board (NRPB) rating, and the frequency of errors that occurred was evaluated. Results: The most common rating obtained on panoramic radiographs in this study was 2 of 173 (55.45%). The frequency of preparation errors was 1.22%, while the frequency of patient position errors was 98.78%. The highest patient position error was not placing the tongue on the palate, which was 49.68%. Conclusion: The quality of panoramic radiographs at RSGM Soelastri UMS in the period from January–December 2021 generally has a rating of 2, according to the NRPB, and there are still errors in patient preparation and positioning.