public perception of dentistry has get your hands on this ...€¦ · photography before and after...

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


Ineffective!Uses of Dental Uses of Dental PhotographyPhotography

Measurement of Tooth DimensionsMeasurement of Tooth Dimensions


GoldenGolden ProportionProportion

78% width/height ratio78% width/height ratio1:16 House Rule1:16 House Rule

REDRED ProportionProportion


PrePre--Planning Desired ResultsPlanning Desired Results



Mouth Mirror is IneffectiveMouth Mirror is Ineffective

Patient CommunicationPatient Communication


Allows them to see what you seeAllows them to see what you see



Chairside Patient InteractionChairside Patient Interaction



Imaged Full Face SmilesImaged Full Face Smiles



Before and After PagesBefore and After Pages



Before and After PagesBefore and After Pages



YourYour Treatment CapabilitiesTreatment Capabilities



Adjacent teeth and tooth structureAdjacent teeth and tooth structure

Lab CommunicationLab Communication


Matching Single Central IncisorMatching Single Central Incisor



Root FractureRoot Fracture



Paint Tints onto Shade Tab, SealPaint Tints onto Shade Tab, Seal



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


Uses of Dental Uses of Dental PhotographyPhotography 66”” x 4x 4””

125 dpi125 dpi

Print

JPEG

First Visit SUCCESS!First Visit SUCCESS!



Porcelain Laminate Veneer TryinPorcelain Laminate Veneer Tryin


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


Uses of Dental Uses of Dental PhotographyPhotography Non-bonded

Composite

PeriodontistsPeriodontists, Orthodontists, , Orthodontists, EndodontistsEndodontists, Oral Surgeons, Pathologists, Oral Surgeons, Pathologists

Specialist CommunicationSpecialist Communication


Oral PathologistsOral Pathologists



Oral PathologistsOral Pathologists



Fractured Porcelain invisible to radiographic inspectionFractured Porcelain invisible to radiographic inspection

Insurance Company Insurance Company CommunicationCommunication


Necessary treatment invisible to radiographic examinationNecessary treatment invisible to radiographic examination



Filing accident reportsFiling accident reports



DocumentationDocumentation

Medical/LegalMedical/Legal


Filing accident reportsFiling accident reports



Denture Denture TryinsTryins

Self EvaluationSelf Evaluation


Learning from Every CaseLearning from Every Case

Self EvaluationSelf Evaluation


Community Groups, Study Clubs, Conferences, UniversitiesCommunity Groups, Study Clubs, Conferences, Universities

LecturesLectures


Dentistry TodayDentistry Today

PublicationsPublications


Aesthetic OrganizationsAesthetic Organizations

AccreditationAccreditation


••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


●● 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


●● 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


●● Standard 35mm film is 24mm x 36mmStandard 35mm film is 24mm x 36mm

1:2 magnification1:2 magnification

(0.4m away)(0.4m away)


●● Digital sensors are smaller than film sizeDigital sensors are smaller than film size




●● Resulting image is magnified Resulting image is magnified approxmatelyapproxmately 1.5 X1.5 X




●● Standard 35mm film ViewfinderStandard 35mm film Viewfinder




●● Standard Digital SLR ViewfinderStandard Digital SLR Viewfinder




●● Standard Digital SLR ViewfinderStandard Digital SLR Viewfinder




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


Memory Card ReaderMemory Card Reader

Direct card driverDirect card driver

Memory CardsMemory Cards


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?


Smile Design ProSmile Design Pro


33--Shape Imaging ModuleShape Imaging Module


Digital Smile DesignDigital Smile Design


• 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


RED RED ProportionProportion--based Imagingbased Imaging


REDRED Proportion Smile DesignProportion Smile Design


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


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


Step 2Step 2--Set the ApertureSet the Aperture

• Manual focus• Pre-set magnification


Step 3Step 3--Set the MagnificationSet the Magnification

•• Lean patient in Lean patient in chairchair

•• Stand over patientStand over patient


Step 4Step 4--Position the PatientPosition the Patient

•• Move Move camera to camera to focusfocus

•• SHOOT!SHOOT!


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!


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


•• Touch ScreenTouch Screen


Step 2Step 2--Select ModeSelect Mode

•• Touch Touch ““ModeMode””


Step 2Step 2--Select ModeSelect Mode

•• Use arrows to Use arrows to move up or downmove up or down


Step 2Step 2--Select ModeSelect Mode Step 2Step 2--Select ModeSelect Mode

•• Touch on desired Touch on desired ModeMode


•• Turn dial to select Turn dial to select desired desired magnificationmagnification

•• Observe ideal Observe ideal distance from distance from subjectsubject


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



•• Align and center Align and center subjectsubject

•• SHOOT!SHOOT!


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


•• 1:15 digital1:15 digital•• Full face (far left) Full face (far left)

settingsetting





•• 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



Frontal Portrait View 1:10Frontal Portrait View 1:10


•• f f 1111

•• Face ModeFace Mode



settingsetting



•• Parallel to Parallel to InterpupillaryInterpupillary lineline

•• Inferior border at clavicleInferior border at clavicle





settingsetting



•• 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



•• Parallel to Parallel to InterpupillaryInterpupillary lineline

•• Inferior border at clavicleInferior border at clavicle




Full Smile View 1:2Full Smile View 1:2


•• f 3f 322

•• Standard ModeStandard Mode


•• 1:3 digital1:3 digital•• 1/2 setting1/2 setting



•• Patient seated in chairPatient seated in chair•• Tilt backTilt back•• Stand over PatientStand over Patient



•• Parallel to incisal planeParallel to incisal plane•• Centered with contact Centered with contact

between central incisorsbetween central incisors



Full Smile Lateral View 1:2Full Smile Lateral View 1:2


•• f 3f 322






•• Patient seated in chairPatient seated in chair•• Tilt backTilt back•• Stand to side of Stand to side of

PatientPatient



•• Parallel to incisal planeParallel to incisal plane•• Centered with lateral Centered with lateral

incisorsincisors


Full Smile Lateral View 1:2Full Smile Lateral View 1:2 Frontal Retracted View 1:2Frontal Retracted View 1:2


•• f 3f 322


Frontal Retracted View 1:2Frontal Retracted View 1:2




•• Gently place cheek Gently place cheek retractorsretractors



•• Parallel to incisal planeParallel to incisal plane•• Centered between central Centered between central

incisorsincisors•• Centered with incisal planeCentered with incisal plane



Lateral Retracted View 1:2Lateral Retracted View 1:2


•• f 3f 322








•• 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


Lateral Retracted View 1:1Lateral Retracted View 1:1 Max Ant Frontal View 1:1Max Ant Frontal View 1:1


•• f 3f 322


Max Ant Frontal View 1:1Max Ant Frontal View 1:1

•• 1:1.5 digital1:1.5 digital•• 1.0 setting1.0 setting




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



Max Ant Lateral View 1:1Max Ant Lateral View 1:1


•• f 3f 322



•• 1:1.5 digital1:1.5 digital•• 1.0 setting1.0 setting




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


Max Ant Lateral View 1:1Max Ant Lateral View 1:1 Mirrored Occlusal ViewsMirrored Occlusal Views

Maxillary Mandibular


•• f 3f 322

•• Mirror ModeMirror Mode

Mirrored Occlusal ViewsMirrored Occlusal Views



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


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


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


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


MandibularMandibular Mirrored Occlusal ViewsMirrored Occlusal Views

Mirrored Buccal ViewMirrored Buccal View


•• f 3f 322



•• 1:2.25 digital1:2.25 digital•• 1/1.5 setting1/1.5 setting



•• Full Retractor on Full Retractor on photographer sidephotographer side

•• Mirror holding out Mirror holding out cheek cheek

•• Blowing air on mirrorBlowing air on mirror



•• 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


Mirrored Buccal ViewMirrored Buccal View Mirrored Mirrored CloseupCloseup ViewView


•• f 3f 322


Mirrored Mirrored CloseupCloseup ViewView

•• 1:1.5 digital1:1.5 digital•• 1:1 setting1:1 setting





•• 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



Julia Roberts

Thank You!

www.drwardhandouts.com

[email protected]

public perception of dentistry has get your hands on this ...€¦ · photography before and after...

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