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DIGITAL P
HOTOGR HY
AP
www.indiandentalacademy.com
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

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R
ECENT ADVANCES
IN DIAGNOSTIC AIDS

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Dental photography
• Patient education
• Legal record for facial features before and after
dental treatment
• Excellent tool for teaching
• Excellent tool for communication

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Digital photography
•
•
•
•
•
•

Basics of digital photography
Classification of digital cameras
Features to consider in digital cameras
Conventional versus digital photography
Common errors in clinical photography
Gold standard in clinical photography

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B
asics of digital photography
• First used in 1981

• Commercially available since 1991(marketed
by auto trader).

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Digital images

• Pixels – picture elements
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green
red

blue

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• Pixelation evident

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• Resolution – no of pixels in the image.
• Increase in pixels – increases the detail of the
image.

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Non f ilm cameras
IMAGE SENSORS
- CCD ( CHARGED COUPLED DEVICE)

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Non f ilm cameras
- CMOS (complementary metal oxide
semiconductors)

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HOW THEY WOR
K

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K
NOW YOUR DIGITAL CAMER
A

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Lens
Telephoto lens

Macro lens

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Lens
• Rotatable

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Shutter speed
• Shutter speed – the length of time the shutter
is open and light strikes the image sensor
• Bright lens and high shutter speed – ideal
• Higher shutter speed – grater the image quality
• Cameras should have a range of high and low
shutter speeds.

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B
urst
• Sequential shooting
• Overcome shutter lag

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White balance
• Used to keep color as natural as possible.
• Level of one color is more camera adjusts
automatically.

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Exposure
• Amount of light required to take a photo.
• Too much light
• Less light.

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Exposure compensation

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Flash
• Adjustment for convenience
• Ring flash

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Flash
Ring flash

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Zoom
• Must in any digital camera
• Closer to the subject without moving
physically closer.

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Focal length
• The distance between the rear nodal point of the lens and
the focal plane when focus is set at infinity.
• Nodal point – where the rays of light appear to have come
after passing through the lens.

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• HOW MUCH THE CAMERA SEES ( ANGLE OF
VIEW OF THE LENS).

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ZOOM
• OPTICAL ZOOM
• DIGITAL ZOOM

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Optical zoom
• Zoom lens is lens determined so that its focal length
can be varied over a predetermined range.
• The image is optically modified so that it can show a
smaller o larger field of view.
• This allows to replace a no of single focal length
lenses.

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• Does not change the resolution of the image or
the image size, the no of pixels used to
describe the image are same.

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Digital zoom
• Digital cameras with a single focal length lens.
Offers possibility of mimicking a zoomed
image.

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• No of pixels used to capture a image are the
same as original non zoomed image.

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Dif f erence between optical and
digital zoom
• Optical zoom – bring object closer ( like a
telescope)
• Digital zoom is merely a cropping tool.

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Conf usion
• for eg- 10 x optical zoom becomes 60 x if 6x
digital zoom is tacked on the focal length of
the lens.

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• Smart zoom

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Aperture settings
• AMOUNT OF LIGHT ENTERING THE CAMERA
AND HITTING THE SENSOR.

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Depth of the f ield
• THE AREA AHEAD OF AND BEHIND THE AREA
IN FOCUS.

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Digital cameras
CLASSIFICATION
• CONSUMER
• PROSUMER
• PROFESSIONAL

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•
•
•
•
•

Inexpensive
Entry level
Mid range
High end
Professional.

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P
rosumer
• Lies between consumer and professional
cameras.

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• Features – macro lens

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• Features – High quality image

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• Features –Lcd with preview facility

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Drawbacks

• FLASH – POINT FLASH.
- RING FLASH

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Drawbacks
VIEW FINDERS – GALLILEAN TELESCOPE VIEW FINDER
- LCD

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Drawbacks
FOCUSING SYSTEM – LACK OF IMAGE SHARPNESS

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P essional cameras
rof
•
•
•
•

Expensive
High end features.
Ideal for intra oral photography.
Fuji fine pix f1 pro – perfect for orthodontic
purposes.

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Features to be considered

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• LCD

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MAINS ADAPTOR

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AUTO FOCUS AND P ECISION
R

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• CCD RESOLUTION AND QUALITY
• CUR ( clinically useful resolution)

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• FLASH CAPABILITY

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Exposure parameters
• Lens opening

• Shutter speed( lens opening in fraction of a
second)

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• SOFTWARE

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• RESOLUTION

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P
ractical considerations
• DOWNLOADING OF IMAGES

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• REPRODUCTION
• STORAGE AND FILLING

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• BATTERIES

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ACCESSOR
IES
• MEMORY CARDS

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•
•
•
•

BAGS AND STRAPS
TRIPODS
CLEANING KIT
CARD READER

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CONVENTIONAL VER
SUS
DIGITAL P
HOTOGR HY
AP

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NON FILM CAMER
A

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IMAGE STOR
AGE

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NO R
ECUR ING COSTS
R

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R
OOM FOR EXP IMENTATION
ER

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FUNCTIONALITY IN A SMALL
P
ACK
AGE

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LCD ELIMINATES GUESS WOR
K

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DUR ILITY
AB

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SCALAB
ILITY

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SHAR
ING

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DR
AWB
ACK
S
• HIGH INITIAL COST

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• BATTERY LIFE

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• NON STANDARDIZATION
• LEARNING CURVE
(Technophoia).

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DIGITAL P
HOTOGR HY
AP
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COMMON ER OR IN
R S
CLINICAL P
HOTOGR HY
AP

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Two groups
• Inappropriate choice of equipment.
• Errors in recording medium and inappropriate
positioning of subjects

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Camera
• Macro facility ( 1:1 images)

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Camera
• Ring flash

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Camera
• Orientation of camera
– Extra-oral ( portrait)
– Intra oral ( landscape)

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Camera
• Lens setting

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R
etractors
• Two set of double ended retractors

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INTR OR SHOTS
A
AL

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B
UCCAL SHOTS

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OCCLUSSAL SHOTS

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MIR OR
R S
• LONG HANDLED AND FRONT SILVERD GLASS
- IDEAL

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R
EAR SILVER
ED VER
SUS
FR
ONT SILVER
ED GLASS

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MIR OR
R S

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AP TUR COMP
ER
E
ENSATION

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TECHNICAL P OB
R LEMS
• DEPTH OF FIELD

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• PROSUMER CAMERAS – APERTURE TO BE
REDUCED TO F 11.

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• APPROX 1/3 IN FRONT AND 2/3 BEHIND THE
FOCAL POINT

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P essional cameras
rof

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Auto f ocus problems
• Auto focus versus manual focus

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Intra oral

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• FOCUSSING USING TTL FACILITY.
• 20 CM IS A GOOD DISTANCE.

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Extra oral photography

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SHADOW
• POINT FLASH

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EXTR OR
A
AL

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Extra- oral

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Alternatives
• Rotating camera through 1800
• Illuminated backdrop screen
• Dark non reflective background preferably
velvet

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INTR OR
A
AL

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Overcoming shadows – 1800
turning

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OCCLUSSAL

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Solution- f ocus away f rom
patient

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SYMMETR
ICAL IMAGES
• GRID LINES

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CAR P OB
D R LEMS

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CCD R LEMS
OB

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DIGITAL IMAGE
• FIT FOR PURPOSE

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P
OSITIONING ER OR
R S

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Extra oral photographs
• Portrait

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Extra oral photographs
• Portrait

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Extra oral photographs
• Background

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Extra oral photographs
• Background

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Extra oral photographs
• Background

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P OFILE AND THR QUAR
R
EE
TER
VIEWS

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P
OSITIONING ER OR
R S

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P
OSITIONING ER OR
R S

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P
OSITIONING ER OR
R S

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P
OSITIONING ER OR
R S

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P
OSITIONING ER OR
R S

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P
OSITIONING ER OR
R S

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INTR OR P
A
AL HOTOGR HS
AP
• LANDSCAPE VIEW

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• Change in cant of occlusal plane

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• Inappropriate selection of cheek retractors.
• Saliva not aspirated

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B
UCCAL VIEWS

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MIR OR VIEWS
R
• OCCLUSSAL SHOTS

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MIR OR VIEWS
R
• OCCLUSSAL SHOTS

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Just one more photograph

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LCD

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Standardizing dental photography
• Natural head position.
• Frontal views.
• The line from the outer canthus of eye to
superior attachment of ear from should be
parallel to Frankfort horizontal plane.
• The inter pupilary line should be parallel to
horizontal plane
• The distance from outer canthus of eye to the
hair line should be equal on both side

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CAMER LENS AND P
A
OSITION
• Focal length of the lens should be the same
(100 or 105mm)

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CAMER LENS AND P
A
OSITION
• Have consistent subject – camera distances
(use of tripod)

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CAMER LENS AND P
A
OSITION
• Camera position is one in which a line from
middle of lens to eye is parallel to horizontal
plane

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GOLD STANDAR IN
D
P
HOTOGR HY
AP

• Journal of orthodontics june 2002
- j sandler and a murray

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• Survey carried out in angle society.
• Seventy questionnaires were used
• Following questions were asked.
– which intraoral and extraoral photographs they currently take?
– when during the treatment the photographs are taken?
– which staff member takes the photographs?
– what medium is used to record the images?

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R
outine use of photography
96% take pre and post treatment photographs.

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Extra oral photographs

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Intra oral photographs

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mid treatment photographs

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Who takes the photographs?

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P
hotographic medium

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Gold standard
• Nine pretreatment and nine post treatment
photographs are a must.
• mid treatment photographs at change of every
arch wire .
• Up to 36 photographs are considered a
reasonable number for full photographic
documentation of the case.

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Need f or photographs
• Extra oral
full face view ( lips at rest )

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Need f or photographs
• Extra oral
– full face view ( smiling)

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Need f or photographs
• Extra oral
– three quarter view

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Need f or photographs
• Extra oral
– profile view

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Need f or photographs
• Intra oral
front intra oral view.
buccal intra oral shots.
upper and lower buccal shots.
overjet view ( optional ).

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Orthodontics current principles
and techniques - GRABER AND VANARSDALL

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Orthodontics current principles
and techniques - GRABER AND VANARSDALL

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Conclusion

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R
ECENT ADVANCES
IN DIAGNOSTIC AIDS

www.indiandentalacademy.com
www.indiandentalacademy.com
Leader in continuing dental education

www.indiandentalacademy.com

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