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Clinical photography
This document discusses photography in orthodontics, including intraoral and extraoral photography. It outlines the importance of photography for treatment planning, case discussions, aiding treatment, and marketing. Recent developments in digital cameras have made photography more convenient due to ease of use, ability to edit photos, and cost effectiveness. The document provides guidelines for various intraoral and extraoral photo techniques, including the use of retractors, mirrors, and flashes. It recommends a Dental Eye III camera system and describes proper patient positioning and angles for different standard orthodontic photos.
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Clinical photography
- 1. DR. SABA BASIT MCPSRESIDENT ORTHODONTICS
- 2. Why weneed Photography? Requirements for Photography Recent Developments Intra-oral Photography Extra-oral Photography 12/17/2016 2
- 3. 1. Treatment Planning 2.Case Discussions 3. As an Aid duringTreatment 4. Patient Reminder 5. Practice Builder and MarketingTool 6. As a DefenseTool in Medico-LegalConflicts 12/17/2016 3
- 4. Orthodontic Retractors Orthodontic Mirrors FLASH LIGHTING Digital Cameras 12/17/2016 4
- 5. Ease ofuse of such cameras Ability to repeat/delete photographs on spot No need for film development Cost effective Generous memory Ability to enhance and post process images 12/17/2016 5
- 6. It isessential to have two sizes of double- ended cheek retractors. For the front intraoral view the large end of the larger retractor is appropriate in 95% of cases. It is extremely important to instruct the person doing the retraction to pull the retractors not only laterally but also forward, away from the patient to allow them to close up comfortably 12/17/2016 6
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- 8. Intraoral mouthmirrors are essential for occlusal views of the maxillary and mandibular arches. The mirror recommended is the long-handled mirror 12/17/2016 8
- 9. Ring flash Point flash 12/17/2016 9
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- 11. Recommended photographic system Dental Eye III Camera is smaller and substantially lighter than its predecessors Few adjustments are required during use Improved ease of focusing 12/17/2016 11
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- 13. 12/17/2016 13 • NaturalHead Position • Teeth and jaws relaxed • Shot is to be taken perpendicular to midline • Ensure leveled interpupillary line • Encompassing area – crown to collar bone
- 14. 12/17/2016 14 • Sameguidelines as for face frontal except for • Teeth visible. • Pt. should smile in a natural way.
- 15. 12/17/2016 15 • Canthusto superior attachment of ear. • Encompassing area crown to collar bone. • Frankfort horizontal line to be sure that the head is leveled
- 16. 12/17/2016 16 • Givesvisible information about smile esthetics • Teeth should be visible.
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- 20. 12/17/2016 20 • Pt.in dental chair is raised to clinician elbow level. • Assistant stands behind the patient. • Retracting pt. lips sideways • 90 degree to facial midline using upper frenum as a guide • Full extension of sulci are needed. • High f value required for maximum depth of field.
- 21. 12/17/2016 21 • Flipthe retractor to narrower side • Patient is asked to turn there head towards left. • Last erupted molar to be visualized • 90 degree to canine-premolar area
- 22. 12/17/2016 22 • Similarto that of right buccal • Switch to larger retractor to patients right and narrower retractor to pt. left • 90 degree to canine premolar area
- 23. 12/17/2016 23 • Retractorsare inserted in “V” shape to retract upper lip • Mirror with wider end inside the mouth • Pt. Is instructed to lower the head slightly • Shot to be taken 90 degree to the plane of mirror • Mid palatal raphe as a guide for orientation • There should be minimum retractor show • No fingers should be seen
- 24. 12/17/2016 24 • Retractorsin reverse ‘V” shape • Clinician should hold mirror upwards to visualize lower arch • Patient is asked to lift the chin up • And also asked to hold back the tongue.
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- 26. British Journalof Orthodontics/Vol. 26/1999/269–272 Sandler PJ, Murray AM. Clinical photographs—The gold standard. J Ortho 2002;29:158–67. Sandler PJ, Sira S, Murray AM. A photographic Kesling Setup. J Ortho 2005; 32:85–8. Halazonetis DJ. Guidelines for preparing and submitting images for publication.Am J Orthod DentofacialOrtho 2001; 20:445–7. A Short ClinicalGuide to Digital Photography 12/17/2016 26
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Editor's Notes
- #4 1.will assist you in recalling both intra- and extraoral features which will have an infuence upon different possible treatment plans. 2.Photographs aid in explaining to the patient adverse tooth positions and gingival conditions, as well as relevant features of the patient’s smile and profle. 3.Many times during treatment it is helpful for you to recall the original malocclusion 4.Photographs are also a tremendous aid to remind patients what their teeth looked like before treatment. Patients and parents have notoriously short memories; they routinely forget what their teeth were like before treatment. Showing the patient and parent during treatment, what they originally looked like and explaining just how far they have progressed in a comparatively short time encourages enthusiasm for treatment and enhances cooperation and is an excellent motivator. 5.At the end of treatment, showing them the original photographs boosts their feeling of satisfaction and appreciation for what you have done for them. This should lead to further referrals in the future . 6.Claims by patients or their parents that certain conditions, such as enamel fractures, chipped incisal edges or demineralization were caused by treatment, can in many cases be refuted by showing the patient that this particular condition was actually present at the start of treatment.
- #10 A ring fash provides good even lighting to almost any area of the mouth; however, it does eliminate shadows. Certain intraoral views lose their sense of depth and appear fat. By contrast, with a point fash intraoral views have a feeling of depth where the three-dimensional perspective of the teeth and surrounding tissues can be visually appreciated. If a point fash is used for the buccal shots, it is essential to avoid the fash throwing a shadow of the cheek over the buccal teeth. To avoid this problem, the fash should be positioned on the left of the camera (photographer’s left) for the patient’s left buccal view and on the right of the cameras for the patient’s right buccal view. If the fash is fxed on one side, then the camera can be inverted (turned upside down) for the contralateral view.