OPG The orthopantomogram (also known as an orthopantomograph, panotomogram or an OPG) is a panoramic single image radiograph of the mandible, maxilla and teeth. It is often OPG encountered in dental practice and occasionally in the emergency department; providing a convenient, inexpensive and rapid way to evaluate the gross anatomy of the jaws and related pathology. Patient position During an OPG the patient remains in a stationary position (seated or standing) while both the x-ray source and film rotate in combination around the patient. The x-ray source rotates from one side of the jaw, around the front of the patient, and then to the other side of the jaw. The film rotates opposite to the x-ray source behind the patient. It takes a few seconds during which the patient must remain completely still. Technical factors panoramic projection paused respiration (departmentally dependent) centering point Frankfort's horizontal line is perpendicular to ...