Panoramic X-Ray (Panorex) Frequency Guidelines for Children and Adults

Recommended Intervals (ADA/FDA Guidelines)

• Children <5 years, no clinical indications: No more than every 3 years.
• Patients ≥5 years, routine monitoring: No more than every 5 years.

Indications for More Frequent Imaging

• Active orthodontic treatment (progress monitoring)
• Dental pain, trauma, or suspected pathology
• Periodontal disease assessment
• Third molar (wisdom tooth) evaluation
• Implant planning or TMJ assessment
• Developmental anomalies (cleft palate, supernumerary teeth)

ALARA Principle

As Low As Reasonably Achievable—radiation exposure must be justified. Clinical need, not routine schedule, should drive frequency.