TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
29 Normal Anatomy: Panoramic Images
CHAPTER LESSON PLANS & OBJECTIVES
Lesson 29.1: Normal Anatomy and Bony Landmarks of the Maxilla on Panoramic Images
1. Define the key terms associated with normal anatomy on panoramic images.
Lesson 29.2: Bony Landmarks of the Mandible and Spaces on Panoramic Images
3. Identify and describe the bony landmarks of the mandible and surrounding structures as viewed on
CHAPTER TEACHING FOCUS
• Students will have the opportunity to review the normal anatomy of the maxilla and mandible as viewed
Chapter 29: Normal Anatomy: Panoramic Images 2
TEACH Lesson Plan
CHAPTER PRETEST
Have the students answer these questions prior to covering this chapter to understand where they stand
in relation to the content.
1) The ______ forms the floor of the orbit of the eyes, the sides and floor of the nasal cavity, and the
hard palate.
a) maxillary sinus
b) incisive foramen c) maxilla
d) infraorbital foramen
2) Which of the following allow the dental professional to view the largest area of the mandible and
maxilla on a single image?
a) 21-image periapical series
b) Four bite-wing images c) Panoramic images
d) 18-film periapical series
3) On a panoramic image the ear is viewed superimposed over the:
a) anterior teeth.
b) styloid process. c) incisive foramen.
d) mandibular canal.
4) On a panoramic image the zygomatic process of the maxilla appears as a _____-shaped radiopacity.
a) J
b) Y c) U
d) J and U
5) The nasal _____ is a vertical bony wall or partition that divides the nasal cavity into the right and left
nasal fossae.
a) spine
b) cavity c) septum
d) hard palate
8) The glenoid fossa is a ________ area.
a) convex, raised
b) convex, depressed c) concave, raised
d) concave, depressed
9) Which of the following structures may be seen on periapical images?
a) Maxillary tuberosity
b) Mastoid process c) External auditory meatus
d) Styloid process
10) The mastoid process is a marked prominence of bone located _____ to the temporomandibular joint
(TMJ).
a) posterior and inferior
b) posterior and superior c) anterior and superior
d) anterior and inferior
Chapter 29: Normal Anatomy: Panoramic Images 3
TEACH Lesson Plan
CHAPTER PRETEST ANSWERS
1) c
The maxilla forms the floor of the orbit of the eyes, the sides and floor of the nasal cavity, and the
hard palate.
p. 277
6) c
The nasal cavity (also known as the nasal fossa) is a pear-shaped compartment of bone located
superior to the maxilla.
p. 353
Chapter 29: Normal Anatomy: Panoramic Images 4
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
Classroom Preparation
Lesson 29.1: Normal Anatomy and Bony Landmarks of the
Maxilla on Panoramic Images
INSTRUCTOR PREPARATION
Textbook Objectives Covered
1. Define the key terms associated with normal anatomy on panoramic images.
2. Identify and describe the bony landmarks of the maxilla and surrounding structures as viewed on the
panoramic image.
National Standards Covered
ABHES DAI (Dental Assisting I – Basic)
• Section A: Curriculum, Competencies, Externship and/or Internal Clinical Experience:
• Dental Sciences:
• Anatomy and Physiology of the Oral Cavity (17.a)
instruction. (17.c)
ABHES DAII (Dental Assisting II – Advanced)
• Section A: Curriculum, Competencies, Externship and/or Internal Clinical Experience:
• Dental Sciences:
CODA Standards for Dental Assisting Programs
• Standard 2: Educational Program:
• The curriculum must include content at the in-depth level in dental radiology. Students must
CODA Standards for Dental Hygiene Programs
• Standard 2: Educational Program:
• Curriculum content: Dental sciences content must include tooth morphology, head, neck and oral
Chapter 29: Normal Anatomy: Panoramic Images 5
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
Lesson Preparation Checklist
• Prepare lecture from TEACH lecture slides available on Evolve.
Materials and Supplies
Chapter 29: Normal Anatomy: Panoramic Images 6
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
Classroom Preparation
Lesson 29.1: Normal Anatomy and Bony Landmarks of the
Maxilla on Panoramic Images
STUDENT PREPARATION (4 hrs)
1
READ – Textbook (pp. 351-358)
2
READ – Textbook (pp. 351-353)
ANSWER – Workbook Module 6: Film Mounting, Normal Anatomy, and Interpretation
Basics
Chapter 29: Normal Anatomy: Panoramic Images 7
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
50–Minute Lesson Plan
Lesson 29.1: Normal Anatomy and Bony Landmarks of the
Maxilla on Panoramic Images
LECTURE OUTLINE (25 min)
1
KEY TERMS: SLIDES 3-4 (pp. 351-358)
• Discuss the key terms associated with normal anatomy on panoramic images.
LEARNING ACTIVITIES (choose one or more to equal 25 min)
1
DISCUSS (15 min)
• As a class, discuss each of the key terms, focusing on the definition, pronunciation, and
spelling of each term.
• Appropriate Settings: Traditional classroom, flipped classroom
offer critical feedback to at least two other students.
• Appropriate Setting: Online
CRITICAL THINKING QUESTION
Why is the recognition of normal anatomic landmarks important on a panoramic image?
Discussion Guidelines: Panoramic images allow the dental professional to view a large area of the
Chapter 29: Normal Anatomy: Panoramic Images 8
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
Classroom Preparation
Lesson 29.2: Bony Landmarks of the Mandible and Spaces
on Panoramic Images
INSTRUCTOR PREPARATION
Textbook Objectives Covered
3. Identify and describe the bony landmarks of the mandible and surrounding structures as viewed on
5. Identify soft tissues as viewed on the panoramic image.
National Standards Covered
ABHES DAI (Dental Assisting I – Basic)
• Section A: Curriculum, Competencies, Externship and/or Internal Clinical Experience:
• Dental Sciences:
• Anatomy and Physiology of the Oral Cavity (17.a)
ABHES DAII (Dental Assisting II – Advanced)
• Section A: Curriculum, Competencies, Externship and/or Internal Clinical Experience:
• Dental Sciences:
• Anatomy and Physiology of the Oral Cavity (19.a)
CODA Standards for Dental Assisting Programs
• Standard 2: Educational Program:
CODA Standards for Dental Hygiene Programs
• Standard 2: Educational Program:
Chapter 29: Normal Anatomy: Panoramic Images 9
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
Lesson Preparation Checklist
• Prepare lecture from TEACH lecture slides available on Evolve.
Materials and Supplies
• computer
Chapter 29: Normal Anatomy: Panoramic Images 10
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
Classroom Preparation
Lesson 29.2: Bony Landmarks of the Mandible and Spaces
on Panoramic Images
STUDENT PREPARATION (5 hrs)
3
READ – Textbook (pp. 353-356)
ANSWER – Textbook
• Quiz Questions: Identification, question 1 (p. 360)
5
READ – Textbook (pp. 357-360)
ANSWER – Textbook
• Quiz Questions: Identification, question 2 (p. 360)
ANSWER – Workbook Module 6: Film Mounting, Normal Anatomy, and Interpretation
Chapter 29: Normal Anatomy: Panoramic Images 11
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
50-Minute Lesson Plan
Lesson 29.2: Bony Landmarks of the Mandible and Spaces
on Panoramic Images
LECTURE OUTLINE (25 min)
3
LANDMARKS OF THE MANDIBLE: SLIDES 29–48 (pp. 353-356)
• Describe the bony landmarks of the mandible and surrounding structures as viewed on the
panoramic image.
LEARNING ACTIVITIES (choose one or more to equal 25 min)
3
REVIEW (15 min)
• Divide the class into small groups, and have each group identify all of the normal anatomic
landmarks of the mandible on a panoramic radiograph. Provide feedback as necessary.
• Appropriate Settings: Traditional classroom, flipped classroom
CRITICAL THINKING QUESTION
A 17-year-old comes into the office with mouth pain. She complained about a lot of discomfort in
both ears, and about feeling pressure in the back of the mouth. The patient also said it was hard
to bite and chew food on both sides of the mouth. What procedures could be performed to help
diagnose the problem?
Discussion Guidelines: The patient is experiencing discomfort associated with her maxillary and
mandibular third molars. Most people do not have enough room in the dental arches for their wisdom
Chapter 29: Normal Anatomy: Panoramic Images 12
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
Assessments
Chapter 29: Normal Anatomy: Panoramic Images
ASSESSMENTS BY OBJECTIVE
1
Evolve Instructor Resources
• Test Bank: Multiple Choice, question 1
2
• Identification: Fig. 29-9, questions 1-21 (p. 250)
• Short Answer: Fig. 29-11, questions 1, 3 (p. 252)
• Identification: Fig. 29-10, questions 1-16 (p. 251)
• Short Answer: Fig. 29-11, questions 2, 4-6 (p. 252)
Evolve Instructor Resource
• Test Bank: Multiple Choice, questions 2-8, 10-22, 31, 33, 36, 38, 39
4
Evolve Instructor Resources
• Test Bank: Multiple Choice, question 28
Workbook Module 6: Film Mounting, Normal Anatomy, and Interpretation Basics
• Identification: Fig. 29-2, question 1 (p. 243)
• Identification: Fig. 29-7, questions 1-3 (p. 248)
• Panoramic Image Interpretation Exercises: Fig. 29-17 (pp. 264-265)