Dental radiographic imaging systems and/or methods for using the same can provide panoramic 2D dental radiographic images. Providing improved panoramic 2D image quality can depend on imaging a desired/selected focal trough, which is itself based on a correct positioning of the patients head inside the panoramic dental imaging system. Exemplary dental radiographic imaging systems and/or methods for using the same can provide a patient positioning device (e.g., bite stick embodiments) that can position or urge patients to get the right positioning (such as head tilt) to increase probabilities of the improved/best panoramic image reconstruction. Further, certain exemplary bite stick embodiments can repeatedly, consistently and/or correctly position patient after patient for panoramic imaging.