Post on 27-Sep-2020
transcript
1
Digital Dental Digital Dental Photography: Photography: Seeing is BelievingSeeing is Believing
Daniel H Ward DDSDaniel H Ward DDS
2020thth Century Public Perception Century Public Perception of Dentistryof Dentistry
•• Disease Oriented TreatmentDisease Oriented Treatment
2020thth Century Public Perception Century Public Perception of Dentistryof Dentistry
•• Disease Oriented TreatmentDisease Oriented Treatment
Diagnostic ToolsDiagnostic Tools
•• Tooth Centered TreatmentTooth Centered Treatment
Diagnostic ToolsDiagnostic Tools
•• Tooth Centered TreatmentTooth Centered Treatment
The Public Perception of The Public Perception of Dentistry is Dentistry is ChangingChanging
•• Smile Oriented TreatmentSmile Oriented Treatment
2
The Public Perception of The Public Perception of Dentistry is Dentistry is ChangingChanging
•• Smile Oriented TreatmentSmile Oriented Treatment
Diagnostic ToolsDiagnostic Tools
•• Smile Centered TreatmentSmile Centered Treatment
Diagnostic ToolsDiagnostic Tools
•• Smile Centered TreatmentSmile Centered Treatment
Dental PhotographyDental Photography
An essential tool for todayAn essential tool for today’’s dentists dentist
Dental PhotographyDental Photography
Film basedFilm based Digital basedDigital based
Digital PhotographyDigital Photography--AdvantagesAdvantages
••Instant ImageInstant Image
••Multiple pictures at no additional costMultiple pictures at no additional cost
••Ability to manipulate imagesAbility to manipulate images
••Ease of displaying, storing, sending and Ease of displaying, storing, sending and transporting imagestransporting images
••HighHigh--tech image to patientstech image to patients
••Use in PowerPoint presentationsUse in PowerPoint presentations
3
SLR CamerasSLR Cameras
A Day at the OfficeA Day at the Office
DiagnosticDiagnostic Patient CommunicationPatient Communication Laboratory CommunicationLaboratory Communication Communication w/ SpecialistsCommunication w/ Specialists Communication w/ Insurance CoCommunication w/ Insurance Co Medical/LegalMedical/Legal SelfSelf--EvaluationEvaluation Lectures, Publications, AccreditationLectures, Publications, Accreditation
Uses of Dental PhotographyUses of Dental Photography
Uses of Dental Photography Uses of Dental Photography DiagnosticDiagnostic
Measurement of tooth dimensionsMeasurement of tooth dimensions
GoldenGolden ProportionProportion
78% width/height ratio78% width/height ratio1:16 House Rule1:16 House Rule
REDRED ProportionProportion
Uses of Dental Photography Uses of Dental Photography DiagnosticDiagnostic
PrePre--Planning Desired ResultsPlanning Desired Results
Allows them to see what you seeAllows them to see what you see
Uses of Dental Photography Uses of Dental Photography Patient CommunicationPatient Communication
Chairside Patient InvolvementChairside Patient Involvement
Uses of Dental Photography Uses of Dental Photography Patient CommunicationPatient Communication
4
Educates with factsEducates with facts
Uses of Dental Photography Uses of Dental Photography Patient CommunicationPatient Communication
““Hey, I like your piercingHey, I like your piercing””
Uses of Dental Photography Uses of Dental Photography Patient CommunicationPatient Communication
Uses of Dental Photography Uses of Dental Photography Patient CommunicationPatient Communication
Imaged Full Face SmilesImaged Full Face Smiles Your Your Treatment CapabilitiesTreatment Capabilities
Uses of Dental Photography Uses of Dental Photography Patient CommunicationPatient Communication
Uses of Dental Photography Uses of Dental Photography Laboratory CommunicationLaboratory Communication
Adjacent teeth and tooth structureAdjacent teeth and tooth structure Periodontists, Orthodontists, Endodontists, Periodontists, Orthodontists, Endodontists, Oral Surgeons, PathologistsOral Surgeons, Pathologists
Uses of Dental Photography Uses of Dental Photography Communication w/ SpecialistsCommunication w/ Specialists
5
Uses of Dental Photography Uses of Dental Photography Communication w/ SpecialistsCommunication w/ Specialists
E Mail w/ SpecialistsE Mail w/ Specialists
Uses of Dental Photography Uses of Dental Photography Communication w/ SpecialistsCommunication w/ Specialists
E Mail w/ SpecialistsE Mail w/ Specialists
Uses of Dental Photography Uses of Dental Photography Communication w/ SpecialistsCommunication w/ Specialists
What is this?What is this?
Uses of Dental Photography Uses of Dental Photography Communication w/Insurance CoCommunication w/Insurance Co
Fractured Porcelain invisible to radiographic Fractured Porcelain invisible to radiographic inspectioninspection
Uses of Dental Photography Uses of Dental Photography Communication w/Insurance CoCommunication w/Insurance Co
Filing accident reportsFiling accident reports DocumentationDocumentation
Uses of Dental Photography Uses of Dental Photography Medical/LegalMedical/Legal
6
Uses of Dental Photography Uses of Dental Photography FullFull--face Photographsface Photographs
(Outside legal advice should be sought)
Obtaining releasesObtaining releases
••Standard HIPPA releaseStandard HIPPA release
••Teaching releaseTeaching release
••Complete releaseComplete release
Denture Denture TryinsTryins
Uses of Dental Photography Uses of Dental Photography SelfSelf--EvaluationEvaluation
Learning from every caseLearning from every case
Uses of Dental Photography Uses of Dental Photography SelfSelf--EvaluationEvaluation
Study Clubs, Conferences, UniversitiesStudy Clubs, Conferences, Universities
Uses of Dental Photography Uses of Dental Photography Lectures, Publications, AccreditationLectures, Publications, Accreditation
Dentistry TodayDentistry Today--May 2007May 2007
Uses of Dental Photography Uses of Dental Photography Lectures, Publications, AccreditationLectures, Publications, Accreditation
Uses of Dental Photography Uses of Dental Photography Lectures, Publications, AccreditationLectures, Publications, Accreditation
Aesthetic OrganizationsAesthetic Organizations
••ASDAASDA
••AACDAACD
••AAEDAAED
7
Digital Photographic PrinciplesDigital Photographic Principles
LensLensExposureExposureApertureApertureFlashFlashStandardized MagnificationStandardized Magnification
Digital Photographic PrinciplesDigital Photographic PrinciplesLensLens
2424--35mm35mm––wide angle wide angle --““fish eyefish eye””
50mm50mm--standard viewstandard view 8585--300300--telephoto telephoto
viewview--““flat imageflat image““ Dental lens is 85Dental lens is 85--
105mm telephoto 105mm telephoto macromacro
Digital Photographic PrinciplesDigital Photographic PrinciplesLensLens
35mm View35mm View 105mm View105mm View
Digital Photographic PrinciplesDigital Photographic PrinciplesLensLens
35mm View35mm View 105mm View105mm View
Digital Photographic PrinciplesDigital Photographic PrinciplesExposureExposure
Quantity of light that Quantity of light that reaches the sensorreaches the sensor
Digital Photographic PrinciplesDigital Photographic PrinciplesControlling ExposureControlling Exposure
Size of the lens Size of the lens openingopening
Length of time lens Length of time lens open or length of open or length of time flash illuminatedtime flash illuminated
8
f f 3232f f 1616f f 88f f 44f f 22
Aperture is size of the opening of a lensAperture is size of the opening of a lens Referred to as Referred to as f stopf stop
Digital Photographic PrinciplesDigital Photographic PrinciplesApertureAperture
Digital Photographic PrinciplesDigital Photographic PrinciplesApertureAperture
Smaller the diameter Smaller the diameter of the opening the of the opening the larger is the numberlarger is the number
f/32f/32
Digital Photographic PrinciplesDigital Photographic PrinciplesApertureAperture
Larger the diameter Larger the diameter of the opening the of the opening the smaller is the numbersmaller is the number
f/2.5f/2.5
Smaller number f/stop (larger opening) Smaller number f/stop (larger opening) makes it easier for focusingmakes it easier for focusing
f/2.5f/2.5
Digital Photographic PrinciplesDigital Photographic PrinciplesApertureAperture
Digital Photographic PrinciplesDigital Photographic PrinciplesApertureAperture
Larger number f/stop (smaller opening)Larger number f/stop (smaller opening)gives greater depth of fieldgives greater depth of field
f/32f/32
Digital Photographic PrinciplesDigital Photographic PrinciplesFlashFlash
Shutter in flash Shutter in flash photography is set to photography is set to be entirely open long be entirely open long enough to allow all of enough to allow all of flash to reach sensor flash to reach sensor
9
Digital Photographic PrinciplesDigital Photographic PrinciplesFlashFlash
In flash photography In flash photography length of exposure is length of exposure is determined by the determined by the amount of time the amount of time the flash is illuminatedflash is illuminated
Digital Photographic PrinciplesDigital Photographic PrinciplesFlashFlash
Digital TTL metering Digital TTL metering uses a preuses a pre--flash to flash to prepre--determine determine appropriate time for appropriate time for flashflash
Digital Photographic PrinciplesDigital Photographic PrinciplesFlashFlash
Proper Tooth ExposureProper Tooth Exposure Camera attempts to Camera attempts to
balance light for all balance light for all picturespictures
May need to May need to overexpose +1overexpose +1--1.5 1.5 f f stops to compensate stops to compensate for white teethfor white teeth
Digital Photographic PrinciplesDigital Photographic PrinciplesFlashFlash
Ring flash gives more even distribution of lightRing flash gives more even distribution of light--used for intraused for intra--oral viewsoral views
Point flash away from lens eliminates red eye Point flash away from lens eliminates red eye and is more 3 dimensionaland is more 3 dimensional--used for full face used for full face viewsviews
Digital Photographic PrinciplesDigital Photographic PrinciplesFlashFlash
DualDual--point flash best for facial view of anterior point flash best for facial view of anterior teethteeth
Digital Photographic PrinciplesDigital Photographic PrinciplesStandardized MagnificationStandardized Magnification
Magnification refers to the ratio of image Magnification refers to the ratio of image size to object size size to object size
1:2 means object size is double the size of 1:2 means object size is double the size of the imagethe image
1:1 means image on film is same as image1:1 means image on film is same as image
10
Digital Photographic PrinciplesDigital Photographic PrinciplesStandardized MagnificationStandardized Magnification
Most currently available sensors are Most currently available sensors are smaller than 35mm film and magnify smaller than 35mm film and magnify image by approximately 1.5image by approximately 1.5
Standard 35mm film is 24mm x 36mmStandard 35mm film is 24mm x 36mm
Digital Photographic PrinciplesDigital Photographic PrinciplesStandardized MagnificationStandardized Magnification
Digital sensors are smaller than film sizeDigital sensors are smaller than film size
Digital Photographic PrinciplesDigital Photographic PrinciplesStandardized MagnificationStandardized Magnification
Digital Photographic PrinciplesDigital Photographic PrinciplesStandardized MagnificationStandardized Magnification
Resulting image is magnified 1.5 XResulting image is magnified 1.5 X
Standard 35mm film ViewfinderStandard 35mm film Viewfinder
Digital Photographic PrinciplesDigital Photographic PrinciplesStandardized MagnificationStandardized Magnification
1:2 magnification1:2 magnification
Standard Digital SLR ViewfinderStandard Digital SLR Viewfinder
Digital Photographic PrinciplesDigital Photographic PrinciplesStandardized MagnificationStandardized Magnification
1:2 magnification1:2 magnification
11
Standard Digital SLR ViewfinderStandard Digital SLR Viewfinder
Digital Photographic PrinciplesDigital Photographic PrinciplesStandardized MagnificationStandardized Magnification
1:3 magnification1:3 magnification1:3 magnification1:3 magnification
(0.5m away)(0.5m away)
1:2 magnification1:2 magnification
(0.4 m away)(0.4 m away)
Digital SLR ViewfinderDigital SLR Viewfinder Film SLR ViewfinderFilm SLR Viewfinder
Digital Photographic PrinciplesDigital Photographic PrinciplesStandardized MagnificationStandardized Magnification
Digital Photographic PrinciplesDigital Photographic PrinciplesStandardized MagnificationStandardized Magnification
1:10 (1:15 digital) 1:2 (1:3 digital)
Full Face Horizontal Full Smile View
1:1 (1:1.5 digital)
Frontal Closeup View
Multiply magnification X 1.5 Multiply magnification X 1.5
Digital Dental CamerasDigital Dental Cameras
Modified Consumer Fixed LensModified Consumer Fixed LensDental Designed Fixed LensDental Designed Fixed LensSingle Lens Reflex (SLR)Single Lens Reflex (SLR)LensLensFlashFlashAccessoriesAccessoriesSourcesSources
Modified ConsumerModified Consumer--fixed lensfixed lens
CHEAP!CHEAP!
Digital Dental CamerasDigital Dental Cameras Digital Dental CamerasDigital Dental Cameras
ModifiedModified--Consumer fixed lensConsumer fixed lens
Canon GCanon G--1616
12
Easy!Easy!
Digital Dental CamerasDigital Dental Cameras
Dental designed fixed lensDental designed fixed lens
Digital Dental CamerasDigital Dental Cameras
Dental designed fixed lensDental designed fixed lens
ShofuShofu Eye Special CEye Special C--II II
••12 megapixel12 megapixel--SDSD
••LightweightLightweight
••Auto focus & zoomAuto focus & zoom
••DualDual--point flashpoint flash
Digital Dental CamerasDigital Dental Cameras
Dental designed fixed lensDental designed fixed lens
ShofuShofu Eye Special CEye Special C--II II
••OnOn--Screen displayScreen display
••Touch panel Touch panel interfaceinterface
••Programmed modesProgrammed modes
••Only takes photo Only takes photo when in proper rangewhen in proper range
Digital Dental CamerasDigital Dental Cameras
Dental designed fixed lensDental designed fixed lens
ShofuShofu Eye Special CEye Special C--II II
Digital Dental CamerasDigital Dental Cameras
Dental designed fixed lensDental designed fixed lens
ShofuShofu Eye Special CEye Special C--II II
Quality!Quality!
Digital Dental CamerasDigital Dental Cameras
Single Lens Reflex (SLR)Single Lens Reflex (SLR)
13
Digital Dental CamerasDigital Dental Cameras
Single Lens Reflex (SLR)Single Lens Reflex (SLR)
Viewfinder to focus and alignViewfinder to focus and alignView screen after exposureView screen after exposureDo Not Recommend Live ViewDo Not Recommend Live View
Digital Dental CamerasDigital Dental Cameras
Single Lens Reflex (SLR)Single Lens Reflex (SLR)
Nikon DNikon D--7100 7100 $2700$2700--33003300
••24 megapixel24 megapixel
••1080P HD Video1080P HD Video
Digital Dental CamerasDigital Dental Cameras
Single Lens Reflex (SLR)Single Lens Reflex (SLR)
Canon T5 Canon T5 $1900$1900--25002500
••18 megapixel18 megapixel
••1080P HD Video1080P HD Video
••Easiest to setupEasiest to setup
••Best valueBest value
Digital Dental CamerasDigital Dental Cameras
LensLens
SigmaSigma Brand nameBrand name
Digital Dental CamerasDigital Dental Cameras
LensLens
SigmaSigma--ModifiedModified CanonCanonSigmaSigma
Digital Dental CamerasDigital Dental Cameras
Ring FlashRing Flash--Must be TTLMust be TTL
Sigma EM 140 Sigma EM 140 DGDG--Dual PointDual Point
Canon MR 14Canon MR 14--EXEXProprietaryProprietary
14
Digital Dental CamerasDigital Dental Cameras
Wireless Ring FlashWireless Ring Flash
Metz MSMetz MS--11
Digital Dental CamerasDigital Dental Cameras
FlashFlash--Dual PointDual Point
Canon MTCanon MT--24 EX24 EX Nikon R1 WirelessNikon R1 Wireless
Digital Dental CamerasDigital Dental Cameras
AccessoriesAccessories
MirrorsMirrors
Digital Dental CamerasDigital Dental Cameras
AccessoriesAccessories
Occlusal Mirror Occlusal Mirror Buccal MirrorBuccal Mirror
Combination Combination MirrorMirror
Digital Dental CamerasDigital Dental Cameras
AccessoriesAccessories
Full and Split Cheek RetractorsFull and Split Cheek Retractors
Digital Dental CamerasDigital Dental Cameras
AccessoriesAccessories
OneOne--piece Cheek Retractorspiece Cheek Retractors
15
LocalLocal Mail order/InternetMail order/Internet Specialized dental camera companiesSpecialized dental camera companies
SourcesSources
Digital Dental CamerasDigital Dental Cameras Digital Dental CamerasDigital Dental Cameras
SourcesSources
LocalLocal--National Camera ChainsNational Camera Chains
Digital Dental CamerasDigital Dental Cameras
SourcesSources
Mail OrderMail Order--BHPhotoVideo.comBHPhotoVideo.com
Avoid Gray MarketAvoid Gray Market
Digital Dental CamerasDigital Dental Cameras
SourcesSources
Dental:ClinipixDental:Clinipix, Lester Dine, Photo, Lester Dine, Photo--MedMed
Digital Dental CamerasDigital Dental Cameras
SourcesSources
Technical SupportTechnical Support
Digital Dental CamerasDigital Dental Cameras
SourcesSources
Technical SupportTechnical Support
16
Digital Dental CamerasDigital Dental Cameras
IF you want to call yourself a IF you want to call yourself a ““cosmeticcosmetic”” dentistdentist
IF you want to effectively IF you want to effectively communicate with your patients communicate with your patients and laboratoryand laboratory
IF you want to treat Maxillary IF you want to treat Maxillary Anterior Teeth with Indirect Anterior Teeth with Indirect RestorationsRestorations
IF you want to be able to IF you want to be able to defend yourself in a Court of defend yourself in a Court of LawLaw
Digital Dental CamerasDigital Dental Cameras
Then BUY, BUY, BUY a Then BUY, BUY, BUY a professional digital dental professional digital dental camera tomorrow!camera tomorrow!
Direct InputDirect Input Memory cardsMemory cards Dental Imaging ProgramsDental Imaging Programs
Downloading & Manipulating ImagesDownloading & Manipulating ImagesDownloading & Manipulating Images Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
Direct InputDirect Input
Memory Card ReaderMemory Card Reader PCMCIA portPCMCIA port
Direct card driverDirect card driver
Memory CardsMemory Cards
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
Eye Eye FiFi WirelessWireless
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
Memory CardsMemory Cards
17
Eye Eye FiFi WirelessWireless
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
SD Card in cameraSD Card in camera InIn--Office WirelessOffice Wireless
Memory CardsMemory Cards
Eye Eye FiFi WirelessWireless
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
Desktop ShortcutDesktop Shortcut Target FolderTarget Folder
Memory CardsMemory Cards
Eye Eye FiFi WirelessWireless
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
Double click for PreviewDouble click for Preview
Memory CardsMemory Cards
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
File FormatsFile Formats•• RAWRAW--ability to fully manipulate exposureability to fully manipulate exposure
•• TIFFTIFF--better detailbetter detail
•• JPEGJPEG--generally most widely usedgenerally most widely used
•• CompressionCompression--OK if limitedOK if limited
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
Memory CardsMemory Cards•• Image stored on memory cardImage stored on memory card
SD Compact Flash
Photoshop ElementsPhotoshop Elements Paint Shop ProPaint Shop Pro Microsoft Digital Image SuiteMicrosoft Digital Image Suite PhotoshopPhotoshop
Imaging ProgramsImaging Programs
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
18
Photoshop Elements
Before
After
Quick Fix Mode/Smart Fix
Viper SoftViper Soft SciCanSciCan Image FXImage FX DigidentDigident Digital DentistDigital Dentist
Dental Imaging ProgramsDental Imaging Programs
Imaging ProgramsImaging Programs
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
Dental Imaging LibrariesDental Imaging Libraries
Imaging ProgramsImaging Programs
Is this possible?Is this possible?
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
ProportionProportion--based Imagingbased Imaging
Imaging ProgramsImaging Programs
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
Imaging ProgramsImaging Programs
This is possible!This is possible!
ProportionProportion--based Imagingbased Imaging
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
19
Smile VisionSmile Vision Laboratory performedLaboratory performed
••PrePre--op Photoop Photo
••Template*Template*
••Imaged Photo*Imaged Photo*
Outsourced ImagingOutsourced Imaging
Imaging ProgramsImaging Programs
Downloading & Printing ImagesDownloading & Printing ImagesDownloading & Printing Images
*Valley Dental Arts*Valley Dental Arts
Camera SetupCamera Setup StepStep--Exposure preparationExposure preparation Image standardizationImage standardization Standard viewsStandard views Proper positioningProper positioning
Taking a Taking a ““Photographic Full SeriesPhotographic Full Series””
Turn on cameraTurn on camera Select modeSelect mode Move to proper rangeMove to proper range Frame ImageFrame Image Shoot!Shoot!
ShofuShofu Camera SetupCamera Setup ISO 200 Flash Sync speed 1/200 second Aperture Priority (Av setting) Over exposure override +0.5-1.5 f stops Full face (1:10 but 1:15 digital) at f 8 or
11 Full smile (1:2 but 1:3 digital) at f 22
or 32 Closeup (1:1 but 1:1.5 digital) at f 32 Manual focus
SLR Camera SetupSLR Camera Setup
Most have 30 second Most have 30 second automatic shutoffautomatic shutoff
Set mode to Aperture Set mode to Aperture Priority (Av)Priority (Av)
Set ISOSet ISO--200(or 400)200(or 400)
Step 1aStep 1a
Exposure PreparationExposure PreparationTurn the Camera OnTurn the Camera On
Set to TTLSet to TTL Set Exposure to +1Set Exposure to +1
Exposure PreparationExposure PreparationTurn the Flash OnTurn the Flash On
Step 1bStep 1b
20
f 8 or 11 for full facef 8 or 11 for full face f 22 for all othersf 22 for all others
Exposure PreparationExposure PreparationSet the ApertureSet the Aperture
Step 2Step 2
Manual focusManual focus PrePre--set magnificationset magnification
Exposure PreparationExposure PreparationSet the MagnificationSet the Magnification
Step 3Step 3
Place pt in front of Place pt in front of backdropbackdrop
Lean patient in chairLean patient in chair Stand over patientStand over patient
Step 4Step 4
Exposure PreparationExposure PreparationPosition the PatientPosition the Patient
Move camera to focusMove camera to focus SHOOT!SHOOT!
Step 5Step 5
Exposure PreparationExposure PreparationFocus and Shoot Focus and Shoot
••Camera on, flash onCamera on, flash on
••Set f stopSet f stop
••Set magnificationSet magnification
••Position patientPosition patient
••Move to Focus and SHOOTMove to Focus and SHOOT
Exposure PreparationExposure PreparationReview of Steps Review of Steps
Image StandardizationImage Standardization
*AACD Required Views*AACD Required Views
MandMand Mirrored OcclusalMirrored Occlusal1:21:2
Max Mirrored OcclusalMax Mirrored Occlusal1:21:2
L Lateral L Lateral CloseupCloseup1:11:1
R Lateral R Lateral CloseupCloseup1:11:1
R Full Smile LateralR Full Smile Lateral1:21:2
L Full Smile LateralL Full Smile Lateral1:21:2
R Lateral RetractedR Lateral Retracted1:21:2
L Lateral RetractedL Lateral Retracted1:21:2
Full FaceFull Face1:101:10
Full SmileFull Smile1:21:2
Frontal RetractedFrontal Retracted1:21:2
Max Ant FrontalMax Ant Frontal1:11:1
21
*Full Face View 1:10*Full Face View 1:10 (1:15 digital)(1:15 digital)
f/8 or f11f/8 or f11
ChairChair
OrientationOrientation
Full Face ViewFull Face View
••Standing or Standing or seated uprightseated upright
••Same height or Same height or slightly higherslightly higher
••BackdropBackdrop ••Parallel to and Parallel to and centered with centered with InterpupillaryInterpupillary lineline
Mirror, retractors, otherMirror, retractors, other
••Inferior border Inferior border just below chinjust below chin
••Centered with Centered with vertical midlinevertical midline
Full Face ViewFull Face View
Use BackgroundUse Background Patient forward 6Patient forward 6”” Parallel Parallel Move carefully to focusMove carefully to focus Autofocus with floor Autofocus with floor
referencereference--alternativealternative Several exposuresSeveral exposures
Frontal Portrait View 1:10Frontal Portrait View 1:10 (1:15 digital)(1:15 digital)
f/8 or f11f/8 or f11
ChairChair
OrientationOrientation
Frontal Portrait ViewFrontal Portrait View
••BackdropBackdrop
••Camera rotated Camera rotated 909000 clockwiseclockwise
••Parallel to Parallel to InterpupillaryInterpupillary lineline
••Inferior border Inferior border at clavicleat clavicle
Mirror, retractors, otherMirror, retractors, other
••Centered with Centered with vertical midlinevertical midline
••Standing or Standing or seated uprightseated upright
••Same height or Same height or slightly higherslightly higher
Frontal Portrait ViewFrontal Portrait View
Patient forward 6Patient forward 6”” of of backgroundbackground
Sit or standSit or stand Camera rotated 90 Camera rotated 90
degreesdegrees Parallel Parallel Focus carefully or Focus carefully or
autofocus referenceautofocus reference
22
*Full Smile View 1:2*Full Smile View 1:2 (1:3 digital)(1:3 digital)
f/22f/22
ChairChair
OrientationOrientation
Full Smile ViewFull Smile View
••Seated, chair Seated, chair reclined 45reclined 4500
••Directly over pt Directly over pt or turn ptor turn pt
••NoneNone ••Parallel to Parallel to incisal planeincisal plane
••Centered with Centered with incisal planeincisal plane
••Centered Centered between central between central incisorsincisors
Mirror, retractors, otherMirror, retractors, other
Full Smile ViewFull Smile View
Seat patient in chairSeat patient in chair Tilt back 45 degreesTilt back 45 degrees Stand over patientStand over patient Line up parallelLine up parallel Move to focusMove to focus
*Full Smile Lateral Views 1:2*Full Smile Lateral Views 1:2 (1:3 digital)(1:3 digital)
f/22f/22
ChairChair
OrientationOrientation
Full Smile Lateral ViewsFull Smile Lateral Views
••Seated, chair Seated, chair reclined 45reclined 4500
••NoneNone ••45450 0 from frontal from frontal planeplane
••Parallel to Parallel to incisal planeincisal plane
••Centered with Centered with incisal planeincisal plane
••Centered with Centered with lateral incisorlateral incisor
Mirror, retractors, otherMirror, retractors, other
Full Smile Lateral ViewsFull Smile Lateral Views
Parallel to incisal planeParallel to incisal plane Center at lateral incisorCenter at lateral incisor
23
*Frontal Retracted View 1:2*Frontal Retracted View 1:2 (1:3 digital)(1:3 digital)
f/22f/22
ChairChair
Mirror, retractors, otherMirror, retractors, other OrientationOrientation
Frontal Retracted ViewFrontal Retracted View
••Seated, chair Seated, chair reclined 45reclined 4500
••2 full retractors2 full retractors
••Teeth slightly Teeth slightly separatedseparated
••Parallel to and Parallel to and centered with centered with space between space between incisal planesincisal planes
••Centered Centered between central between central incisorsincisors
Frontal Retracted ViewFrontal Retracted View
Parallel to incisal planeParallel to incisal plane Teeth together or Teeth together or
slightly separatedslightly separated
*Max Ant Frontal View 1:1*Max Ant Frontal View 1:1 (1:1.5 digital)(1:1.5 digital)
f/22f/22
ChairChair
Mirror, retractors, otherMirror, retractors, other OrientationOrientation
Maxillary Anterior Frontal ViewMaxillary Anterior Frontal View
••Seated, chair Seated, chair reclined 45reclined 4500
2 full retractors2 full retractors--pushing upwardpushing upward
••Teeth separatedTeeth separated
••ContrasterContraster optionaloptional
••Parallel to Parallel to incisal planeincisal plane
••Centered with Centered with contact pointcontact point
••Centered Centered between central between central incisorsincisors
Maxillary Anterior Frontal ViewMaxillary Anterior Frontal View
Open mouthOpen mouth Bring retractors upBring retractors up
24
*Max Ant Lateral Views 1:1*Max Ant Lateral Views 1:1 (1:1.5 digital)(1:1.5 digital)
f/22f/22
ChairChair FlashFlash
••ContrasterContraster(Optional)(Optional)
OrientationOrientation
Max Ant Lateral ViewsMax Ant Lateral Views
••Seated, chair Seated, chair reclined 45reclined 4500
••RingRing
••2 full retractors2 full retractors--1 1 firm 1 loosefirm 1 loose--pulling pulling upwardupward
••Teeth separatedTeeth separated
••Parallel to facial Parallel to facial plane of lateralplane of lateral
••Centered with Centered with incisal planeincisal plane
••Centered with Centered with lateral incisorlateral incisor
Maxillary Anterior Lateral ViewsMaxillary Anterior Lateral Views
Open mouthOpen mouth Bring retractors upBring retractors up Center at lateralCenter at lateral
*Maxillary occlusal view 1:2 *Maxillary occlusal view 1:2 (1:3) digital(1:3) digital
f/22f/22
ChairChair
Mirror, retractors, otherMirror, retractors, other OrientationOrientation
Maxillary Occlusal ViewMaxillary Occlusal View
••Seated, chair Seated, chair reclined up to 60reclined up to 6000
••2 split retractors2 split retractors--place on upper lipplace on upper lip
••3B Occlusal 3B Occlusal mirrormirror
••Centered with Centered with occlusal planeocclusal plane
••Includes Incisors Includes Incisors & 2& 2ndnd molarsmolars
••Mirror 45Mirror 4500 below below occlusal planeocclusal plane
••Warmed mirrors Warmed mirrors or air syringe driedor air syringe dried
Maxillary Occlusal ViewMaxillary Occlusal View
Tilt pt back 60 degreesTilt pt back 60 degrees Retractors InRetractors In Place mirrorPlace mirror Dry with air or preDry with air or pre--warm in warm in
waterwater Angle to include incisors Angle to include incisors
and back molarsand back molars Avoid showing the nose!Avoid showing the nose!
25
**MandibularMandibular occlusal view 1:2occlusal view 1:2 (1:3) digital(1:3) digital
f/22f/22
ChairChair FlashFlash
Mirror, retractors, otherMirror, retractors, other OrientationOrientation
MandibularMandibular Occlusal ViewOcclusal View
••Seated, chair Seated, chair reclined 20reclined 2000
••RingRing
••2 split retractors2 split retractors--place on lower lipplace on lower lip
••3B Occlusal 3B Occlusal mirrormirror
••Centered with Centered with occlusal planeocclusal plane
••Includes Incisors Includes Incisors & 2& 2ndnd molarsmolars
••Mirror 45Mirror 4500 above above occlusal planeocclusal plane
••Warmed mirrors Warmed mirrors or air syringe driedor air syringe dried
••Tongue behind Tongue behind mirrormirror
MandibularMandibular Occlusal ViewOcclusal View
Tilt pt up 20 degrees Tilt pt up 20 degrees Retractors inRetractors in Place mirrorPlace mirror Dry with air or preDry with air or pre--
warm in waterwarm in water
R&L Buccal 2:3 (1:2.25)R&L Buccal 2:3 (1:2.25)
f/22f/22
Right & Left BuccalRight & Left Buccal
Full Retractor on Full Retractor on photographer sidephotographer side
Mirror holding out Mirror holding out cheek cheek
Practice Makes PerfectPractice Makes Perfect
START TODAY!START TODAY!