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Updated: Jul 14, 2026

A Standardized Approach to Extra-Oral and Intra-Oral Digital Photography
Published on: July 22, 2022
An aiming device for an extraoral radiographic technique
Chia-Hui Chen1, Shui-Hui Lin, Hui-Lin Chiu
1Department of Oral Pathology, School of Dentistry, Kaohsiung Medical University, Kaohsiung Medical University Hospital, Kaosiung, Taiwan.
A new aiming device simplifies extraoral radiography for endodontic therapy, aiding patients who cannot tolerate intraoral sensors. This device successfully produced clear periapical radiographs, improving dental imaging accessibility.
Area of Science:
- Dentistry
- Radiology
- Medical Devices
Background:
- Intraoral radiography can be challenging for patients undergoing endodontic therapy.
- Extraoral film placement offers an alternative technique for dental imaging.
- A need exists for improved methods to guide film/sensor and X-ray beam alignment in extraoral radiography.
Purpose of the Study:
- To devise and evaluate a novel aiming device for periapical radiography using the extraoral technique.
- To assess the efficacy of the device in obtaining diagnostic-quality images for endodontic assessment.
Main Methods:
- An aiming device was assembled using locator rings, indicator rods, a bite block, and a rubber tube.
- The device was used to capture periapical radiographs on 12 adult volunteers utilizing the extraoral technique.
- Specific X-ray cone angulations relative to the horizontal plane were employed for upper and lower molars.
Main Results:
- The newly devised aiming device facilitated the successful acquisition of appropriate periapical radiographs.
- Diagnostic-quality images of the upper and lower molar regions were obtained in all 12 participants.
- The technique proved effective for both left upper and right lower molar areas.
Conclusions:
- The developed aiming device is effective for performing extraoral periapical radiography.
- This innovation provides a practical solution for obtaining dental radiographs in patients intolerant to intraoral sensors.
- The device simplifies the process, ensuring appropriate image acquisition in endodontic procedures.
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