A patient positioning apparatus for an extra-oral imaging system that includes a support base adjustable in at least one dimension and a cephalometric module coupled to the support base and configured to position a cephalometric imaging sensor about an imaging area formed with an x-ray source, where x-rays from the x-ray source impinge the cephalometric sensor after radiating the imaging area. A patient positioning unit is positioned operatively near the imaging area, and a retractable Frankfort plane positioning indicator and methods for using the same are provided.
