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Original Research

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Panorametric study in a paediatric population in Madrid

  • Esther Pérez de Mora1,†
  • Antonia M. Caleya-Zambrano1,*,
  • Andrea Martin-Vacas11,2
  • Ainara Ginés-Pérez1
  • Joaquín de Nova-Garcia1
  • Nuría E. Gallardo-López1,†

1Paediatric Dentistry, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain

2Faculty of Dentistry, Alfonso X El Sabio University, 28691 Villanueva de la Cañada, Spain

DOI: 10.22514/jocpd.2023.059 Vol.47,Issue 5,September 2023 pp.103-115

Submitted: 01 February 2023 Accepted: 30 March 2023

Published: 03 September 2023

*Corresponding Author(s): Antonia M. Caleya-Zambrano E-mail:

† These authors contributed equally.


The aim of the study was to establish the normality ranges of the linear and angular measurements that can be carried out in orthopantomographies (OPGs) of a paediatric sample from Madrid, according to sex and dentition. OPGs performed in the Radiology Service of the Faculty of Dentistry of the Complutense University of Madrid (UCM) from caucasic children between 4–14 years old were selected. A total of 44 measurements were made in the OPGs, and the sex and type of dentition of each child were recorded. Panoramic Mandibular Index and Antegonial Index were also calculated. Statistical tests were performed with a confidence level of 95% (p < 0.05) and bilateral significance to analyse the differences between sex and type of dentition, and the correlation between the measurements of the right and left sides. A total sample of 160 OPGs (50% boys, 50% girls) were analysed. 16.25% of the sample was in primary dentition, 50% in first phase mixed dentition, 17.5% in second phase mixed dentition and 16.25% in permanent dentition. Statistically significant differences were found with respect to the sex of the subjects in 11 of the measurements; and 44 in relation to the dentition stages of the subjects. A strong correlation is found between the measurements on the right and left sides. The application of panoramic measurements as indicators of normality can help in the detection of craniofacial alterations in growth and development of the lower facial third.


Pantomography; Orthopantomography; Panoramic radiography; Anatomy; Growth; Development

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Esther Pérez de Mora,Antonia M. Caleya-Zambrano,Andrea Martin-Vacas1,Ainara Ginés-Pérez,Joaquín de Nova-Garcia,Nuría E. Gallardo-López. Panorametric study in a paediatric population in Madrid. Journal of Clinical Pediatric Dentistry. 2023. 47(5);103-115.


[1] Rivero Lesmes JC. Body and craniofacial anthropometric study in a population of 6 to 7 years of age [Doctoral Thesis]. Madrid: Complutense University. 1986.

[2] Centers for Disease Control and Prevention. National health and nutrition examination survey III: body measurements (anthropometry). 1988. Available at: (Accessed: 25 February 2022).

[3] Ten Cate AR. Oral histology: development, structure and function. 4th edn. Editorial Médica Panamericana: Buenos Aires, Argentina. 1994.

[4] Abramovich A. Embryology of the maxillofacial region. 3rd edn. Editorial Médica Panamericana: Buenos Aires, Argentina. 1997.

[5] Alonso García Y. Analysis of the characteristics of primary teeth and arches in a normocclusive population [Doctoral Thesis]. Madrid: Complutense University. 2005.

[6] Haring JI, Jansen L. Dental radiology: principles and techniques. 2nd edn. McGraw-Hill Interamericana Editores: México. 2002.

[7] Sotelo y Soto G, Acosta E. Oral and maxillofacial radiology. 1st edn. McGraw-Hill Interamerican Publishers: Mexico. 2005.

[8] Puricelli E. Panorametry: suggestion of a method for mandibular measurements on panoramic radiographs. Head & Face Medicine. 2009; 5: 19.

[9] Frascino AV, Costa C, de Andrade Salgado DMR, Coracin FL, Fava M, Odone-Filho V. Mandibular radiomorphometric assessment of bone mineral density in survivors of pediatric hematopoietic stem-cell transplantation. Clinics. 2019; 74: e929.

[10] Sghaireen MG, Alam MK, Patil SR, Rahman SA, Alhabib S, Lynch CD, et al. Morphometric analysis of panoramic mandibular index, mental index, and antegonial index. Journal of International Medical Research. 2020; 48: 0300060520912138.

[11] Lopatienė K, Trumpytė K. Relationship between unilateral posterior crossbite and mandibular asymmetry during late adolescence. Stomatologija. 2018; 20: 90–95.

[12] Sabbagh-Haddad A, Haddad DS, Michel-Crosato E, Arita ES. Fragile X syndrome: panoramic radiographic evaluation of dental anomalies, dental mineralization stage, and mandibular angle. Journal of Applied Oral Science. 2016; 24: 518–523.

[13] Tassoker M, Akin D, Aydin Kabakci AD, Sener S. Comparison of cone-beam computed tomography and panoramic radiography for mandibular morphometry. Folia Morphologica. 2019; 78: 862–870.

[14] Ladeira DB, Cruz AD, Almeida SM, Bóscolo FN. Influence of the intergonial distance on image distortion in panoramic radiographs. Dentomaxillofacial Radiology. 2012; 41: 417–421.

[15] Dagistan S, Bilge OM. Comparison of antegonial index, mental index, panoramic mandibular index and mandibular cortical index values in the panoramic radiographs of normal males and male patients with osteoporosis. Dentomaxillofacial Radiology. 2010; 39: 290–294.

[16] Cicchetti DV. Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment. 1994; 6: 284–290.

[17] Gupta B, Acharya A, Singh S, Brazzoli S, Ghorab M, Malik S, et al. Evaluation of jawbone morphology and bone density indices in panoramic radiographs of selective serotonin reuptake inhibitor users: a preliminary study. Dentomaxillofacial Radiology. 2019; 48: 20170360.

[18] Niño-Sandoval TC, Morantes Ariza CF, Infante-Contreras C, Vasconce-los BC. Evaluation of natural mandibular shape asymmetry: an approach by using elliptical Fourier analysis. Dentomaxillofacial Radiology. 2018; 47: 20170345.

[19] Allen B, Migliorati C, Rowland C, An Q, Shintaku W, Donaldson M, et al. Comparison of mandibular cortical thickness and QCT-derived bone mineral density (BMD) in survivors of childhood acute lymphoblastic leukemia: a retrospective study. International Journal of Paediatric Dentistry. 2016; 26: 330–335.

[20] Lasemi E, Motamedi MHK, Talaeipour AR, Shafaeifard S, Fard MJK, Navi F, et al. Panoramic radiographic relationship of the mandibular foramen to the anterior border of the ramus and occlusal plane as an aid in inferior alveolar nerve block. Anesthesia Progress. 2019; 66: 20–23.

[21] Satir S. Determination of mandibular morphology in a TURKISH population with down syndrome using panoramic radiography. BMC Oral Health. 2019; 19: 36.

[22] Shah P, Venkatesh R, More C, Vaishnavee V. Age- and sex-related mandibular dimensional changes: a radiomorphometric analysis on panoramic radiographs. Indian Journal of Dental Research. 2020; 31: 113–117.

[23] Srinivas N, Ramdurg P, Puranik SR, Sali K, Ingaleshwar P. The position of the mental foramen in the north and south Indian populations. Acta Medica Academica. 2017; 46: 44–49.

[24] Göller Bulut D, Bayrak S, Uyeturk U, Ankarali H. Mandibular indexes and fractal properties on the panoramic radiographs of the patients using aromatase inhibitors. The British Journal of Radiology. 2018; 91: 20180442.

[25] Geraets W, Jonasson G, Hakeberg M. Predicting fractures using trabecular patterns on panoramic radiographs. Clinical Oral Investigations. 2018; 22: 377–384.

[26] Calciolari E, Donos N, Park JC, Petrie A, Mardas N. Panoramic measures for oral bone mass in detecting osteoporosis: a systematic review and meta-analysis. Journal of Dental Research. 2015; 94: 17S–27S.

[27] Limeira FIR, Rebouças PRM, Diniz DN, Melo DPD, Bento PM. Decrease in mandibular cortical in patients with type 1 diabetes mellitus combined with poor glycemic control. Brazilian Dental Journal. 2017; 28: 552–558.

[28] Apolinário AC, Sindeaux R, de Souza Figueiredo PT, Guimarães ATB, Acevedo AC, Castro LC, et al. Dental panoramic indices and fractal dimension measurements in osteogenesis imperfecta children under pamidronate treatment. Dentomaxillofacial Radiology. 2016; 45: 20150400.

[29] Schmidt APG, Rossi AC, Freire AR, Groppo FC, Prado FB. Association between facial type and mandibular canal morphology—analysis in digital panoramic radiographs. Brazilian Dental Journal. 2016; 27: 609–612.

[30] Kubilius M, Kubilius R, Varinauskas V, Žalinkevičius R, Tözüm TF, Juodžbalys G. Descriptive study of mandibular canal visibility: morphometric and densitometric analysis for digital panoramic radiographs. Dentomaxillofacial Radiology. 2016; 45: 20160079.

[31] Nuzzolese E, Randolph-Quinney P, Randolph-Quinney J, Di Vella G. Geometric morphometric analysis of sexual dimorphism in the mandible from panoramic X-ray images. The Journal of Forensic Odonto-Stomatology. 2019; 37: 35–44.

[32] Loth SR, Henneberg M. Sexually dimorphic mandibular morphology in the first few years of life. American Journal of Physical Anthropology. 2001; 115: 179–186.

[33] Remy F, Godio‐Raboutet Y, Captier G, Burgart P, Bonnaure P, Thollon L, et al. Morphometric characterization of the very young child mandibular growth pattern: what happen before and after the deciduous dentition development? American Journal of Physical Anthropology. 2019; 170: 496–506.

[34] Ferrández A, Carrascosa A, Audí L, Baguer L, Rueda C, Bosch-Castañé J, et al. Longitudinal pubertal growth according to age at pubertal growth spurt onset: data from a Spanish study including 458 children (223 boys and 235 girls). Journal of Pediatric Endocrinology and Metabolism. 2009; 22: 715–726.

[35] White SC, Pharoah MJ. Oral radiology: principles and interpretation. 4th edn. Harcout Editions: Madrid, Spain. 2001.

[36] Quintero JC, Trosien A, Hatcher D, Kapila S. Craniofacial imaging in orthodontics: historical perspective, current status, and future developments. The Angle Orthodontist. 1999; 69: 491–506.

[37] Laster WS, Ludlow JB, Bailey LJ, Hershey HG. Accuracy of measurements of mandibular anatomy and prediction of asymmetry in panoramic radiographic images. Dentomaxillofacial Radiology. 2005; 34: 343–349.

[38] González-Salazar F, Márquez-Preciado R, Nava-Zá Rate N, Torre-Martínez HH. Comparison of triple image area using panoramic radiography of child and adult dry skull. European Journal of Paediatric Dentistry. 2008; 9: 59–64.

[39] Kim YK, Park JY, Kim SG, Kim JS, Kim JD. Magnification rate of digital panoramic radiographs and its effectiveness for pre-operative assessment of dental implants. Dentomaxillofacial Radiology. 2011; 40: 76–83.

[40] Gher ME, Richardson AC. The accuracy of dental radiographic techniques used for evaluation of implant fixture placement. International Journal of Periodontics & Restorative Dentistry. 1995; 15: 268–283.

[41] Schmeling A, Olze A, Reisinger W, Geserick G. Age estimation of living people undergoing criminal proceedings. The Lancet. 2001; 358: 89–90.

[42] Nohadani N, Ruf S. Assessment of vertical facial and dentoalveolar changes using panoramic radiography. European Journal of Orthodontics. 2008; 30: 262–268.

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