A patient positioning system for a panoramic dental radiation imaging system, including an upright support, and a patient positioning arm with chin rest mounted thereto. Wands are each rotatably connected to the patient positioning arm and connected together so as to move at identical angles of rotation, but in the opposite direction. Lasers, including a mid-sagittal, a Frankfort Plane, two cuspid, and one toe laser, each providing a line of visible laser light directed at a respective area of a patient's face, or at the floor, assist a technician in properly positioning the patient. A mirror is mounted to the upright support by a mechanism that permits the mirror to be pivoted outward from the support, in either of two directions, so as to enable the technician to see the lasers on the patient's face from the technician's position on either side of the positioning arm.