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Prior to initiating any dental treatment, dental professionals are expected to take a detailed medical and dental history and perform a comprehensive clinical examination of the hard and soft tissues of the craniofacial complex. Additional diagnostic tools may include extraoral radiographic examination, which classically includes panoramic radiographic imaging. Imaging techniques play a major role in the diagnosis and management of many patients.(panoramic radiography can be used as a tool to detect calcifications in case of tonsilliths. Digital panoramic radiographs can serve as economic diagnostic tools for initial diagnosis of soft tissue calcification like carotid artery calcifications,tonsiloliths and sialoliths.