Background: The aim of this study was to measure and determine diagnostic reference levels (DRLs) of programs used at intraoral and dent panoramic examinations in Kosovo. Materials and Methods: To determine DRL, were performed measurements for dose area product (DAP) at intraoral and dental panoramic radiology systems. This study has covered over 47% of X-ray units, which are in use for intraoral and panoramic imaging examinations on the country.  Results: From results, we conclude that, the mean of DAP (mGy cm²) for single intraoral examination is 26.8, 29.6 and 39.7 for incisor, premolar and molar, respectively. Therefore the mean of DAP (mGy cm²) value for panoramic dental radiology is 62.7, 74.1 and 90.3 for child, adult and large adult, respectively. For each modality mention above are proposed specific DRLs. Conclusion: Recommended DRLs value for intraoral radiography for incisor, premolar and molar programs are: 28.5, 36.5 and 50.3 mGy cm², respectively. Also, DRLs for dental panoramic radiography for child, adult and large adult programs are: 73.0, 81.0 and 93.0 mGy cm², respectively.
A better quality assurance (QA) and quality control (QC) should be enforcement. For strengthening of QA and QC engagement of radiographers and Medical Physicist is mandatory.