Abstract: An instrument and system precisely positions a selected cranial implant site for X-ray tomography. The system and method involve first positioning the patient accurately in a straight-ahead reference position using a cephalostat, with the ears positioned in the vertical plane containing all X-ray axes and at a particular reference level which may be the level of horizontal X-ray projection. The apparatus includes a pointer system which pivots on the cephalostat vertical center of rotation to measure the angle to a site of interest on the mandible or maxilla, with an adjustable pointer for measuring the height and radial distance of the site from reference positions. The pointer may be extended to directly contact the site of interest on the patient. The information thus obtained gives polar coordinates of the site.