public perception of dentistry has get your hands on this ...€¦ · photography before and after...
TRANSCRIPT
Get your Hands On Get your Hands On this:this:
Digital Dental Digital Dental Photography Photography WorkshopWorkshop
Daniel H Ward DDSDaniel H Ward DDS
Public Perception of Dentistry has Public Perception of Dentistry has ChangedChanged
•• Comprehensive Dental/Facial TreatmentComprehensive Dental/Facial Treatment
VISUALCOMMUNICATIONVISUALCOMMUNICATION
Uses of Dental PhotographyUses of Dental Photography
Lectures, Publications, AccreditationLectures, Publications, Accreditation
DiagnosticPatient Communication
Laboratory Communication
Communication w/ Specialists
Communication w/ Insurance Co
Medical/Legal Self-Evaluation
Uses of Dental PhotographyUses of Dental Photography
A Day at the OfficeA Day at the Office Chairside Smile EvaluationChairside Smile Evaluation
DiagnosticDiagnostic
Uses of Dental Uses of Dental PhotographyPhotography
Chairside Smile EvaluationChairside Smile Evaluation
DiagnosticDiagnostic
Ineffective!Uses of Dental Uses of Dental PhotographyPhotography
Measurement of Tooth DimensionsMeasurement of Tooth Dimensions
DiagnosticDiagnostic
GoldenGolden ProportionProportion
78% width/height ratio78% width/height ratio1:16 House Rule1:16 House Rule
REDRED ProportionProportion
Uses of Dental Uses of Dental PhotographyPhotography
PrePre--Planning Desired ResultsPlanning Desired Results
DiagnosticDiagnostic
Uses of Dental Uses of Dental PhotographyPhotography
Mouth Mirror is IneffectiveMouth Mirror is Ineffective
Patient CommunicationPatient Communication
Uses of Dental Uses of Dental PhotographyPhotography
Allows them to see what you seeAllows them to see what you see
Patient CommunicationPatient Communication
Uses of Dental Uses of Dental PhotographyPhotography
Chairside Patient InteractionChairside Patient Interaction
Patient CommunicationPatient Communication
Uses of Dental Uses of Dental PhotographyPhotography
Imaged Full Face SmilesImaged Full Face Smiles
Patient CommunicationPatient Communication
Uses of Dental Uses of Dental PhotographyPhotography
Before and After PagesBefore and After Pages
Patient CommunicationPatient Communication
Uses of Dental Uses of Dental PhotographyPhotography
Before and After PagesBefore and After Pages
Patient CommunicationPatient Communication
Uses of Dental Uses of Dental PhotographyPhotography
YourYour Treatment CapabilitiesTreatment Capabilities
Patient CommunicationPatient Communication
Uses of Dental Uses of Dental PhotographyPhotography
Adjacent teeth and tooth structureAdjacent teeth and tooth structure
Lab CommunicationLab Communication
Uses of Dental Uses of Dental PhotographyPhotography
Matching Single Central IncisorMatching Single Central Incisor
Lab CommunicationLab Communication
Uses of Dental Uses of Dental PhotographyPhotography
Root FractureRoot Fracture
Lab CommunicationLab Communication
Uses of Dental Uses of Dental PhotographyPhotography
Paint Tints onto Shade Tab, SealPaint Tints onto Shade Tab, Seal
Lab CommunicationLab Communication
Uses of Dental Uses of Dental PhotographyPhotography
Take PhotosTake Photos
EE--Mail Photos to Lab Mail Photos to Lab
Mail Custom Shade Tab to LabMail Custom Shade Tab to Lab
Do NOT Mail Printed PicturesDo NOT Mail Printed Pictures
Lab CommunicationLab Communication
Uses of Dental Uses of Dental PhotographyPhotography 66”” x 4x 4””
125 dpi125 dpi
JPEG
First Visit SUCCESS!First Visit SUCCESS!
Lab CommunicationLab Communication
Uses of Dental Uses of Dental PhotographyPhotography
Porcelain Laminate Veneer TryinPorcelain Laminate Veneer Tryin
Lab CommunicationLab Communication
Uses of Dental Uses of Dental PhotographyPhotography Laminates with
tryin paste
Place layered composite, email photo & send composite to labPlace layered composite, email photo & send composite to lab
Lab CommunicationLab Communication
Uses of Dental Uses of Dental PhotographyPhotography Non-bonded
Composite
PeriodontistsPeriodontists, Orthodontists, , Orthodontists, EndodontistsEndodontists, Oral Surgeons, Pathologists, Oral Surgeons, Pathologists
Specialist CommunicationSpecialist Communication
Uses of Dental Uses of Dental PhotographyPhotography
Oral PathologistsOral Pathologists
Specialist CommunicationSpecialist Communication
Uses of Dental Uses of Dental PhotographyPhotography
Oral PathologistsOral Pathologists
Specialist CommunicationSpecialist Communication
Uses of Dental Uses of Dental PhotographyPhotography
Fractured Porcelain invisible to radiographic inspectionFractured Porcelain invisible to radiographic inspection
Insurance Company Insurance Company CommunicationCommunication
Uses of Dental Uses of Dental PhotographyPhotography
Necessary treatment invisible to radiographic examinationNecessary treatment invisible to radiographic examination
Insurance Company Insurance Company CommunicationCommunication
Uses of Dental Uses of Dental PhotographyPhotography
Filing accident reportsFiling accident reports
Insurance Company Insurance Company CommunicationCommunication
Uses of Dental Uses of Dental PhotographyPhotography
DocumentationDocumentation
Medical/LegalMedical/Legal
Uses of Dental Uses of Dental PhotographyPhotography
Filing accident reportsFiling accident reports
Insurance Company Insurance Company CommunicationCommunication
Uses of Dental Uses of Dental PhotographyPhotography
Denture Denture TryinsTryins
Self EvaluationSelf Evaluation
Uses of Dental Uses of Dental PhotographyPhotography
Learning from Every CaseLearning from Every Case
Self EvaluationSelf Evaluation
Uses of Dental Uses of Dental PhotographyPhotography
Community Groups, Study Clubs, Conferences, UniversitiesCommunity Groups, Study Clubs, Conferences, Universities
LecturesLectures
Uses of Dental Uses of Dental PhotographyPhotography
Dentistry TodayDentistry Today
PublicationsPublications
Uses of Dental Uses of Dental PhotographyPhotography
Aesthetic OrganizationsAesthetic Organizations
AccreditationAccreditation
Uses of Dental Uses of Dental PhotographyPhotography
••ASDA ASDA
••AACDAACD
••AAEDAAED
Digital Photographic PrinciplesDigital Photographic Principles
●● LensLens●● ExposureExposure●● ApertureAperture
●● FlashFlash●● Standardized MagnificationStandardized Magnification
●● 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
LensLens LensLens
●● 35mm View35mm View
LensLens
●● 105mm View105mm View
●● Quantity of light that Quantity of light that reaches the sensorreaches the sensor
ExposureExposure
ExposureExposure
●● ApertureAperture--Size of the Size of the lens openinglens opening
●● Amount of time Amount of time shutter is openshutter is open
●● Length of time that Length of time that flash is illuminatedflash is illuminated
ApertureAperture
●● The size of the The size of the opening is referred opening is referred to as to as ff stopstop
●● The larger the The larger the ffstop, the smaller stop, the smaller the openingthe opening
f f 44
ApertureAperture
f f 3232
●●The larger the The larger the ffstop, the greater the stop, the greater the depth of fielddepth of field
ApertureAperture
f f 22
●●The smaller the The smaller the ffstop, the shallower stop, the shallower the depth of fieldthe depth of field
ApertureAperture
f f 22f f 3232
●● 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 illuminated flash is illuminated
●● Shutter opens before Shutter opens before flash is on and closes flash is on and closes after flash turns offafter flash turns off
FlashFlash
●● Digital TTL metering Digital TTL metering uses a preuses a pre--flash to flash to determine appropriate determine appropriate time for flashtime for flash
●● Shutter opensShutter opens●● Flash illuminatesFlash illuminates●● Flash turns offFlash turns off●● Shutter closesShutter closes
FlashFlash FlashFlash
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 +0.5overexpose +0.5--1.5 1.5 ffstops to compensate stops to compensate for white teethfor white teeth
FlashFlash
●● 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
FlashFlash
●● DualDual--point flash best for facial view of point flash best for facial view of anterior teethanterior teeth
Standardized MagnificationStandardized Magnification
●● Magnification refers to the ratio of image size Magnification refers to the ratio of image size to object 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
Standardized MagnificationStandardized Magnification
●● Magnification refers to the ratio of image size Magnification refers to the ratio of image size to object size to object size
●● 1:1 means object size is the same size as the 1:1 means object size is the same size as the imageimage
Standardized MagnificationStandardized Magnification
●● Most currently available sensors are smaller Most currently available sensors are smaller than 35mm film and magnify image by than 35mm film and magnify image by approximately 1.5approximately 1.5
Standardized MagnificationStandardized Magnification
●● Standard 35mm film is 24mm x 36mmStandard 35mm film is 24mm x 36mm
1:2 magnification1:2 magnification
(0.4m away)(0.4m away)
Standardized MagnificationStandardized Magnification
●● Digital sensors are smaller than film sizeDigital sensors are smaller than film size
1:2 magnification1:2 magnification
(0.4m away)(0.4m away)
Standardized MagnificationStandardized Magnification
●● Resulting image is magnified Resulting image is magnified approxmatelyapproxmately 1.5 X1.5 X
1:2 magnification1:2 magnification
(0.4m away)(0.4m away)
Standardized MagnificationStandardized Magnification
●● Standard 35mm film ViewfinderStandard 35mm film Viewfinder
1:2 magnification1:2 magnification
(0.4m away)(0.4m away)
Standardized MagnificationStandardized Magnification
●● Standard Digital SLR ViewfinderStandard Digital SLR Viewfinder
1:2 magnification1:2 magnification
(0.4m away)(0.4m away)
Standardized MagnificationStandardized Magnification
●● Standard Digital SLR ViewfinderStandard Digital SLR Viewfinder
1:3 magnification1:3 magnification
(0.5m away)(0.5m away)
Standardized MagnificationStandardized Magnification
1:10 (1:15 digital) 1:2 (1:3 digital)
Full Face Horizontal Full Smile View1:1 (1:1.5 digital)
Frontal Closeup View
Multiply magnification X 1.5 Multiply magnification X 1.5
Choosing & Buying a Dental CameraChoosing & Buying a Dental Camera•• IntraIntra--Oral CamerasOral Cameras•• Modified Consumer Fixed LensModified Consumer Fixed Lens•• Dental Designed Fixed LensDental Designed Fixed Lens•• Single Lens Reflex (SLR)Single Lens Reflex (SLR)
•• LensLens•• FlashFlash
•• AccessoriesAccessories•• SourcesSources
IntraIntra--Oral CamerasOral Cameras
•• ““FishFish--eyeeye”” perspectiveperspective•• Blurred & FadedBlurred & Faded•• Sheath fogs imageSheath fogs image•• Great for Hygiene RoomGreat for Hygiene Room
•• DisinfectionDisinfection•• DistortionDistortion•• HIPPA ComplianceHIPPA Compliance
Smart Phones???Smart Phones??? ModifiedModified--Consumer Fixed LensConsumer Fixed Lens
•• Relatively InexpensiveRelatively Inexpensive•• Limited VersatilityLimited Versatility•• Difficult for IntraDifficult for Intra--OralOral•• Great for Full Face & SmileGreat for Full Face & Smile
Canon GCanon G--1616
••Programmed Dental ModesProgrammed Dental Modes••Standardized MagnificationsStandardized Magnifications••LightweightLightweight••Excellent Full Face & SmileExcellent Full Face & Smile••Perfect for StaffPerfect for Staff
Dental Designed Fixed LensDental Designed Fixed Lens
ShofuShofu Eye Special CEye Special C--IV IV
••OnOn--Screen Touch ControlsScreen Touch Controls••Auto Focus & Zoom Auto Focus & Zoom Standardizes ViewsStandardizes Views••DualDual--Point FlashPoint Flash••Takes Picture when in RangeTakes Picture when in Range
Dental Designed Fixed LensDental Designed Fixed Lens
ShofuShofu Eye Special CEye Special C--IV IV
ShofuShofu Eye Special CEye Special C--IVIV
Select Mode Select Mode
ShofuShofu Eye Special CEye Special C--IVIV
Viewfinder Viewfinder
••Shows ModeShows Mode••Displays Ideal DistanceDisplays Ideal Distance••Indicates MagnificationIndicates Magnification••View Alignment Guide LinesView Alignment Guide Lines
••Best Image QualityBest Image Quality••Most Most VersatililyVersatilily••Image StandardizationImage Standardization••HeavierHeavier••Requires Dedicated Requires Dedicated OperatorOperator
Single Lens Reflex (SLR)Single Lens Reflex (SLR)
••Use Viewfinder to Align & Use Viewfinder to Align & FocusFocus••Do Not Recommend Live Do Not Recommend Live ViewView••Review Screen after Review Screen after ExposureExposure
Single Lens Reflex (SLR)Single Lens Reflex (SLR)
••24 megapixel24 megapixel••1080p HD Video1080p HD Video
Nikon (SLR)Nikon (SLR)
Nikon DNikon D--7200 7500 7200 7500 $2500$2500--35003500
••24 megapixel24 megapixel••1080p HD Video1080p HD Video••Built in wiBuilt in wi--fifi••Easiest to setupEasiest to setup--ValueValue
Canon (SLR)Canon (SLR)
Canon T7 T7i Canon T7 T7i $2300$2300--29002900
••32 megapixel32 megapixel••4k Video4k Video••Built in wiBuilt in wi--fifi••2 Custom Modes2 Custom Modes••HeavierHeavier
Canon (SLR)Canon (SLR)
Canon 90Canon 90--D D $2700$2700--30003000
Lens (SLR)Lens (SLR)
SigmaSigma--ModifiedModified CanonCanonSigma (85Sigma (85--105105))
Ring Flash (SLR)Ring Flash (SLR)
Canon MR 14Canon MR 14--EXEX
Metz MSMetz MS--1 1 Wireless FlashWireless Flash
Sigma EM 140 Sigma EM 140 DGDG--Dual PointDual Point
DualDual--Point Flash (SLR)Point Flash (SLR)
Canon MTCanon MT--24 24 EXEX
Nikon R1 WirelessNikon R1 Wireless
Mouth MirrorsMouth Mirrors
Occlusal MirrorsOcclusal Mirrors Buccal MirrorsBuccal Mirrors
Cheek RetractorsCheek Retractors
TS Cheek TS Cheek RetractorsRetractors
OneOne--Piece Cheek Piece Cheek RetractorRetractor
Full & Split Full & Split Cheek RetractorsCheek Retractors
Mail OrderMail Order--BHPhotoVideo.comBHPhotoVideo.com
PurchasingPurchasing
Avoid Gray MarketAvoid Gray Market
PurchasingPurchasing
ClinipixClinipix, Lester Dine, Photo, Lester Dine, Photo--MedMedTechnical SupportTechnical Support
PurchasingPurchasing●● IF you want to call yourself a IF you want to call yourself a ““cosmeticcosmetic”” dentistdentist●● IF you want to effectively communicate with your IF you want to effectively communicate with your
patients and laboratorypatients and laboratory●● IF you want to treat Maxillary Anterior Teeth with IF you want to treat Maxillary Anterior Teeth with
Indirect RestorationsIndirect Restorations●● IF you want to be able to defend yourself in a Court IF you want to be able to defend yourself in a Court
of Lawof Law
PurchasingPurchasing●● Then BUY, BUY, BUY a Then BUY, BUY, BUY a
professional digital dental camera professional digital dental camera tomorrow!tomorrow!
●● Direct InputDirect Input●● Memory cardsMemory cards●● Dental Imaging ProgramsDental Imaging Programs
Downloading & Manipulating ImagesDownloading & Manipulating ImagesDownloading & Manipulating Images
Direct InputDirect Input
Downloading & Manipulating ImagesDownloading & Manipulating ImagesDownloading & Manipulating Images
Memory Card ReaderMemory Card Reader
Direct card driverDirect card driver
Memory CardsMemory Cards
Downloading & Manipulating ImagesDownloading & Manipulating ImagesDownloading & Manipulating Images
SD is predominant cardSD is predominant card
File FormatsFile Formats
•RAW‐very large file (12‐32 M)
‐ability to manipulate exposure but traceable
‐AACD accreditation
•• TIFFTIFF‐‐large file (3large file (3‐‐6 M)6 M)
‐‐preferedprefered by some publishers & printersby some publishers & printers
‐‐also CMYK often preferred when printingalso CMYK often preferred when printing
•• JPEGJPEG‐‐manageable file (1manageable file (1‐‐3 M)3 M)
‐‐edited to 6edited to 6”” x 4x 4”” 125 dpi for email125 dpi for email‐‐300k300k
‐‐standard formatstandard format‐‐great for lecturesgreat for lectures
• Smile Library‐NOT RECOMMENDED!
• Independent Programs‐Smile Designer Pro
• Scanner Modules‐3‐Shape
• Comprehensive‐Digital Smile Design (DSD)
• Mainstream Imaging Programs
In-Office Dental Imaging ProgramsInIn--Office Dental Imaging ProgramsOffice Dental Imaging Programs
Smile LibrariesSmile Libraries
Is this possible?Is this possible?
In-Office Dental Imaging ProgramsInIn--Office Dental Imaging ProgramsOffice Dental Imaging Programs
Smile Design ProSmile Design Pro
In-Office Dental Imaging ProgramsInIn--Office Dental Imaging ProgramsOffice Dental Imaging Programs
33--Shape Imaging ModuleShape Imaging Module
In-Office Dental Imaging ProgramsInIn--Office Dental Imaging ProgramsOffice Dental Imaging Programs
Digital Smile DesignDigital Smile Design
In-Office Dental Imaging ProgramsInIn--Office Dental Imaging ProgramsOffice Dental Imaging Programs
• Photos
• Photoshop Elements
• Corel Draw
• Photoshop
Imaging ProgramsImaging ProgramsImaging Programs
USES
• Imaging
• Cropping & rotating images
• Adjusting light• Adjusting contrast & saturation• Balancing Color• Removing Red Eye & Imperfections
• Formatting image size
This is possible!This is possible!
ProportionProportion--basedbased ImagingImaging
Imaging ProgramsImaging ProgramsImaging Programs
RED RED ProportionProportion--based Imagingbased Imaging
Imaging ProgramsImaging ProgramsImaging Programs
REDRED Proportion Smile DesignProportion Smile Design
Imaging ProgramsImaging ProgramsImaging Programs
REDRED ProportionProportion Imaged SmileImaged Smile
Imaging ProgramsImaging ProgramsImaging ProgramsPhotoshop Elements
Before
After
Quick Fix Mode/Smart Fix
• Smile Vision
• Laboratory performed
••PrePre--op Photoop Photo
••Template*Template*
••Imaged Photo*Imaged Photo*
Outsourced Imaging Outsourced Imaging
*Valley Dental Arts*Valley Dental Arts
Downloading & Manipulating ImagesDownloading & Manipulating ImagesDownloading & Manipulating Images
Taking Standardized Dental ViewsTaking Standardized Dental Views
MandMand Mirrored OcclusalMirrored Occlusal
1:21:2
Max Mirrored OcclusalMax Mirrored Occlusal
1:21:2
L Lateral L Lateral CloseupCloseup
1:11:1R Lateral R Lateral CloseupCloseup
1:11:1
R Full Smile LateralR Full Smile Lateral
1:21:2L Full Smile LateralL Full Smile Lateral
1:21:2R Lateral RetractedR Lateral Retracted
1:21:2
L Lateral RetractedL Lateral Retracted
1:21:2
Full FaceFull Face
1:101:10
Full SmileFull Smile
1:21:2
Frontal RetractedFrontal Retracted
1:21:2
Max Ant FrontalMax Ant Frontal
1:11:1
*AACD Required Views*AACD Required Views
• ISO 200• Flash Sync speed 1/200 second
• Aperture Priority (Av setting)• Over exposure override +0.5-1.5 f stops
• Manual focus• TTL flash
SLR Camera SetupSLR Camera Setup
No Setup NeededNo Setup Needed
Specialty Dental Camera SetupSpecialty Dental Camera Setup
ShofuShofu Eye Special Eye Special
CC--IIIIII
Simplified ViewsSimplified Views
MandMand Mirrored Mirrored
Occlusal*Occlusal*
1:21:2
Max Mirrored Max Mirrored
Occlusal*Occlusal*
1:21:2
Mirrored Mirrored CloseupCloseup**
1:11:1Mirrored Buccal*Mirrored Buccal*
1:1.51:1.5
R Full Smile LateralR Full Smile Lateral
1:21:2L Full Smile LateralL Full Smile Lateral
1:21:2R Lateral RetractedR Lateral Retracted
1:21:2
L Lat RetractedL Lat Retracted
1:21:2
Full Face*Full Face*
1:101:10
Full Smile*Full Smile*
1:21:2
Frontal Retracted*Frontal Retracted*
1:21:2Max Ant Frontal*Max Ant Frontal*
1:11:1
Taking Standardized Dental ViewsTaking Standardized Dental Views
1.1. Turn Camera and flash onTurn Camera and flash on
2.2. Set f stopSet f stop
3.3. Set magnificationSet magnification
4.4. Position patientPosition patient
5.5. Move to Focus and SHOOTMove to Focus and SHOOT
Exposure StepsExposure Steps
Single Lens Reflex CameraSingle Lens Reflex Camera
•• Most have 30 Most have 30 second automatic second automatic shutoffshutoff
•• Set flash to TTLSet flash to TTL
Exposure PreparationExposure Preparation
Step 1Step 1--Turn Camera & Flash OnTurn Camera & Flash On
•• f 8 or 11 for full facef 8 or 11 for full face•• f 22 or 32 for all othersf 22 or 32 for all others
Exposure PreparationExposure Preparation
Step 2Step 2--Set the ApertureSet the Aperture
• Manual focus• Pre-set magnification
Exposure PreparationExposure Preparation
Step 3Step 3--Set the MagnificationSet the Magnification
•• Lean patient in Lean patient in chairchair
•• Stand over patientStand over patient
Exposure PreparationExposure Preparation
Step 4Step 4--Position the PatientPosition the Patient
•• Move Move camera to camera to focusfocus
•• SHOOT!SHOOT!
Exposure PreparationExposure Preparation
Step 5Step 5--Focus and ShootFocus and Shoot
1.1. Turn on CameraTurn on Camera
2.2. Select ModeSelect Mode
3.3. Select MagnificationSelect Magnification
4.4. Position the PatientPosition the Patient
5.5. Align and Shoot!Align and Shoot!
Exposure PreparationExposure Preparation
Specialty Dental CameraSpecialty Dental Camera
ShofuShofu Eye Special Eye Special
CC--IIIIII
•• Turn Switch to ONTurn Switch to ON
•• Remove lens coverRemove lens cover
Step 1Step 1--Turn Camera OnTurn Camera On
Exposure PreparationExposure Preparation
•• Touch ScreenTouch Screen
Exposure PreparationExposure Preparation
Step 2Step 2--Select ModeSelect Mode
•• Touch Touch ““ModeMode””
Exposure PreparationExposure Preparation
Step 2Step 2--Select ModeSelect Mode
•• Use arrows to Use arrows to move up or downmove up or down
Exposure PreparationExposure Preparation
Step 2Step 2--Select ModeSelect Mode Step 2Step 2--Select ModeSelect Mode
•• Touch on desired Touch on desired ModeMode
Exposure PreparationExposure Preparation
•• Turn dial to select Turn dial to select desired desired magnificationmagnification
•• Observe ideal Observe ideal distance from distance from subjectsubject
Exposure PreparationExposure Preparation
Step 3Step 3--Select MagnificationSelect Magnification
•• Depress shutter button Depress shutter button half wayhalf way
•• Observe distance & move Observe distance & move if necessaryif necessary
•• Release & reRelease & re--press press shutter againshutter again
Exposure PreparationExposure Preparation
Step 4Step 4--Position the PatientPosition the Patient
•• Align and center Align and center subjectsubject
•• SHOOT!SHOOT!
Exposure PreparationExposure Preparation
Step 5Step 5--Align and ShootAlign and Shoot
Full Face View 1:10Full Face View 1:10
Step 2Step 2--Select Select f f stop/Modestop/Mode
•• f f 1111
•• Face ModeFace Mode
Full Face View 1:10Full Face View 1:10
•• 1:15 digital1:15 digital•• Full face (far left) Full face (far left)
settingsetting
Full Face View 1:10Full Face View 1:10
Step 3Step 3--Select MagnificationSelect Magnification
Full Face View 1:10Full Face View 1:10
Step 4Step 4--Position the PatientPosition the Patient
•• Use backgroundUse background
•• 66”” in front of backgroundin front of background
•• Careful focusingCareful focusing
•• *Auto*Auto--focus w reference ptfocus w reference pt
•• Centered w Centered w InterpupillaryInterpupillary lineline
•• Inferior border below chinInferior border below chin
•• Centered with vertical midlineCentered with vertical midline
Full Face View 1:10Full Face View 1:10
Step 5Step 5--Align and ShootAlign and Shoot
Frontal Portrait View 1:10Frontal Portrait View 1:10
Step 2Step 2--Select Select f f stop/Modestop/Mode
•• f f 1111
•• Face ModeFace Mode
Frontal Portrait View 1:10Frontal Portrait View 1:10
•• 1:15 digital1:15 digital•• Full face (far left) Full face (far left)
settingsetting
Frontal Portrait View 1:10Frontal Portrait View 1:10
Step 3Step 3--Select MagnificationSelect Magnification
•• Parallel to Parallel to InterpupillaryInterpupillary lineline
•• Inferior border at clavicleInferior border at clavicle
•• Centered with vertical midlineCentered with vertical midline
Frontal Portrait View 1:10Frontal Portrait View 1:10
Step 5Step 5--Align and ShootAlign and Shoot
•• 1:15 digital1:15 digital•• Full face (far left) Full face (far left)
settingsetting
Frontal Portrait View 1:10Frontal Portrait View 1:10
Step 3Step 3--Select MagnificationSelect Magnification
•• Patient forward 6Patient forward 6”” of of backgroundbackground
•• Sit or stand to be Sit or stand to be even or slightly highereven or slightly higher
•• Camera rotated 90 Camera rotated 90 degreesdegrees
•• ParallelParallel
Frontal Portrait View 1:10Frontal Portrait View 1:10
Step 4Step 4--Position the PatientPosition the Patient
•• Parallel to Parallel to InterpupillaryInterpupillary lineline
•• Inferior border at clavicleInferior border at clavicle
•• Centered with vertical midlineCentered with vertical midline
Frontal Portrait View 1:10Frontal Portrait View 1:10
Step 5Step 5--Align and ShootAlign and Shoot
Full Smile View 1:2Full Smile View 1:2
Step 2Step 2--Select Select f f stop/Modestop/Mode
•• f 3f 322
•• Standard ModeStandard Mode
Full Smile View 1:2Full Smile View 1:2
•• 1:3 digital1:3 digital•• 1/2 setting1/2 setting
Step 3Step 3--Select MagnificationSelect Magnification
Full Smile View 1:2Full Smile View 1:2
•• Patient seated in chairPatient seated in chair•• Tilt backTilt back•• Stand over PatientStand over Patient
Step 4Step 4--Position the PatientPosition the Patient
Full Smile View 1:2Full Smile View 1:2
•• Parallel to incisal planeParallel to incisal plane•• Centered with contact Centered with contact
between central incisorsbetween central incisors
Step 5Step 5--Align and ShootAlign and Shoot
Full Smile View 1:2Full Smile View 1:2
Full Smile Lateral View 1:2Full Smile Lateral View 1:2
Step 2Step 2--Select Select f f stop/Modestop/Mode
•• f 3f 322
•• Standard ModeStandard Mode
Full Smile Lateral View 1:2Full Smile Lateral View 1:2
•• 1:3 digital1:3 digital•• 1/2 setting1/2 setting
Step 3Step 3--Select MagnificationSelect Magnification
Full Smile Lateral View 1:2Full Smile Lateral View 1:2
•• Patient seated in chairPatient seated in chair•• Tilt backTilt back•• Stand to side of Stand to side of
PatientPatient
Step 4Step 4--Position the PatientPosition the Patient
Full Smile Lateral View 1:2Full Smile Lateral View 1:2
•• Parallel to incisal planeParallel to incisal plane•• Centered with lateral Centered with lateral
incisorsincisors
Step 5Step 5--Align and ShootAlign and Shoot
Full Smile Lateral View 1:2Full Smile Lateral View 1:2 Frontal Retracted View 1:2Frontal Retracted View 1:2
Step 2Step 2--Select Select f f stop/Modestop/Mode
•• f 3f 322
•• Standard ModeStandard Mode
Frontal Retracted View 1:2Frontal Retracted View 1:2
•• 1:3 digital1:3 digital•• 1/2 setting1/2 setting
Step 3Step 3--Select MagnificationSelect Magnification
Frontal Retracted View 1:2Frontal Retracted View 1:2
•• Gently place cheek Gently place cheek retractorsretractors
Step 4Step 4--Position the PatientPosition the Patient
Frontal Retracted View 1:2Frontal Retracted View 1:2
•• Parallel to incisal planeParallel to incisal plane•• Centered between central Centered between central
incisorsincisors•• Centered with incisal planeCentered with incisal plane
Step 5Step 5--Align and ShootAlign and Shoot
Frontal Retracted View 1:2Frontal Retracted View 1:2
Lateral Retracted View 1:2Lateral Retracted View 1:2
Step 2Step 2--Select Select f f stop/Modestop/Mode
•• f 3f 322
•• Standard ModeStandard Mode
Lateral Retracted View 1:2Lateral Retracted View 1:2
•• 1:3 digital1:3 digital•• 1/2 setting1/2 setting
Step 3Step 3--Select MagnificationSelect Magnification
Lateral Retracted View 1:2Lateral Retracted View 1:2
Step 4Step 4--Position the PatientPosition the Patient
Lateral Retracted View 1:2Lateral Retracted View 1:2
•• 2 full retractors2 full retractors--1 firm 1 firm 1 loose1 loose--pulling pulling upwardupward
•• Parallel to incisal planeParallel to incisal plane•• Parallel to frontal plane of Parallel to frontal plane of
lateral incisorlateral incisor•• Centered w lateral incisorCentered w lateral incisor
Step 5Step 5--Align and ShootAlign and Shoot
Lateral Retracted View 1:1Lateral Retracted View 1:1 Max Ant Frontal View 1:1Max Ant Frontal View 1:1
Step 2Step 2--Select Select f f stop/Modestop/Mode
•• f 3f 322
•• Standard ModeStandard Mode
Max Ant Frontal View 1:1Max Ant Frontal View 1:1
•• 1:1.5 digital1:1.5 digital•• 1.0 setting1.0 setting
Step 3Step 3--Select MagnificationSelect Magnification
Max Ant Frontal View 1:1Max Ant Frontal View 1:1
Step 4Step 4--Position the PatientPosition the Patient
Max Ant Frontal View 1:1 Max Ant Frontal View 1:1
•• Gently place cheek Gently place cheek retractorsretractors
•• Black background Black background optionaloptional
•• Parallel to incisal planeParallel to incisal plane•• Centered with contact Centered with contact
between central incisorsbetween central incisors
Step 5Step 5--Align and ShootAlign and Shoot
Max Ant Frontal View 1:1Max Ant Frontal View 1:1
Max Ant Lateral View 1:1Max Ant Lateral View 1:1
Step 2Step 2--Select Select f f stop/Modestop/Mode
•• f 3f 322
•• Standard ModeStandard Mode
Max Ant Lateral View 1:1Max Ant Lateral View 1:1
•• 1:1.5 digital1:1.5 digital•• 1.0 setting1.0 setting
Step 3Step 3--Select MagnificationSelect Magnification
Max Ant Lateral View 1:1Max Ant Lateral View 1:1
Step 4Step 4--Position the PatientPosition the Patient
Max Ant Lateral View 1:1 Max Ant Lateral View 1:1
•• 2 full retractors2 full retractors--1 firm 1 firm 1 loose1 loose--pulling pulling upwardupward
•• Parallel to incisal planeParallel to incisal plane•• Parallel to frontal plane of Parallel to frontal plane of
lateral incisorlateral incisor•• Centered w lateral incisorCentered w lateral incisor
Step 5Step 5--Align and ShootAlign and Shoot
Max Ant Lateral View 1:1Max Ant Lateral View 1:1 Mirrored Occlusal ViewsMirrored Occlusal Views
Maxillary Mandibular
Step 2Step 2--Select Select f f stop/Modestop/Mode
•• f 3f 322
•• Mirror ModeMirror Mode
Mirrored Occlusal ViewsMirrored Occlusal Views
•• 1:3 digital1:3 digital•• 1/2 setting1/2 setting
Step 3Step 3--Select MagnificationSelect Magnification
Mirrored Occlusal ViewsMirrored Occlusal Views
•• Patient tilted 60 Patient tilted 60 degrees in chairdegrees in chair
•• Stand over PatientStand over Patient•• Cheek Retractors (full Cheek Retractors (full
or split)or split)•• Occlusal MirrorOcclusal Mirror
Step 4Step 4--Position the PatientPosition the Patient
Maxillary Mirrored Occlusal ViewsMaxillary Mirrored Occlusal Views
•• Tilt mirror and camera to Tilt mirror and camera to include Incisors & 2nd include Incisors & 2nd molarsmolars
•• Blow air on mirror or preBlow air on mirror or pre--warm in waterwarm in water
•• Do not show nose!Do not show nose!•• Centered Centered
Step 5Step 5--Align and ShootAlign and Shoot
Maxillary Mirrored Occlusal ViewsMaxillary Mirrored Occlusal Views
•• Patient tilted 20 Patient tilted 20 degrees in chairdegrees in chair
•• Stand over PatientStand over Patient•• Cheek Retractors (full Cheek Retractors (full
or split)or split)•• Occlusal MirrorOcclusal Mirror
Step 4Step 4--Position the PatientPosition the Patient
MandibularMandibular Mirrored Occlusal ViewsMirrored Occlusal Views
•• Tilt mirror and camera to Tilt mirror and camera to include Incisors & 2nd include Incisors & 2nd molarsmolars
•• Blow air on mirror or preBlow air on mirror or pre--warm in waterwarm in water
•• Tongue behind mirrorTongue behind mirror•• Centered Centered
Step 5Step 5--Align and ShootAlign and Shoot
MandibularMandibular Mirrored Occlusal ViewsMirrored Occlusal Views
Mirrored Buccal ViewMirrored Buccal View
Step 2Step 2--Select Select f f stop/Modestop/Mode
•• f 3f 322
•• Mirror ModeMirror Mode
Mirrored Buccal ViewMirrored Buccal View
•• 1:2.25 digital1:2.25 digital•• 1/1.5 setting1/1.5 setting
Step 3Step 3--Select MagnificationSelect Magnification
Mirrored Buccal ViewMirrored Buccal View
•• Full Retractor on Full Retractor on photographer sidephotographer side
•• Mirror holding out Mirror holding out cheek cheek
•• Blowing air on mirrorBlowing air on mirror
Step 4Step 4--Position the PatientPosition the Patient
Mirrored Buccal ViewMirrored Buccal View
•• Adjust mirror angleAdjust mirror angle•• Back to first or second Back to first or second
molarmolar•• Do not pivot on Do not pivot on gingivagingiva, ,
pull out cheekpull out cheek
Step 5Step 5--Align and ShootAlign and Shoot
Mirrored Buccal ViewMirrored Buccal View Mirrored Mirrored CloseupCloseup ViewView
Step 2Step 2--Select Select f f stop/Modestop/Mode
•• f 3f 322
•• Mirror ModeMirror Mode
Mirrored Mirrored CloseupCloseup ViewView
•• 1:1.5 digital1:1.5 digital•• 1:1 setting1:1 setting
Step 3Step 3--Select MagnificationSelect Magnification
Mirrored Mirrored CloseupCloseup ViewView
Step 4Step 4--Position the PatientPosition the Patient
Mirrored Mirrored CloseupCloseup ViewView
•• Patient tilted in chairPatient tilted in chair•• Hold camera & mirrorHold camera & mirror•• Assistant dries mirrorAssistant dries mirror
•• Centered w toothCentered w tooth
•• May use disposable mouth May use disposable mouth mirrormirror
Step 5Step 5--Align and ShootAlign and Shoot
Mirrored Mirrored CloseupCloseup ViewView