Disclosed herein is a combined panoramic and computed tomography photographing apparatus. The apparatus includes, an X-ray source part, an X-ray sensor part having a panoramic sensor and/or a CT sensor, a rotary arm for arranging the X-ray source part and the X-ray sensor part thereon in such a way as to be opposed to each other, a rotary arm supporting member, and rotary arm driving means, wherein the panoramic sensor and the CT sensor are dedicated sensors respectively for panoramic photographing and CT photographing. The apparatus can obtain a CT image and a panoramic image by one photographing apparatus, and allow a user to previously set the optimum enlargement ratio according to panoramic photographing or CT photographing.