CLINICAL MANUAL IN DENTAL PHOTOGRAPHY
NEW YORK UNIVERSITY COLLEGE OF DENTISTRY LUPO VILLEGA, D.D.S. , Type to enter text
Forward The importance of dental photography can be found in the need to create educational material for the various levels of dentistry. From the undergraduate students into the clinical field, to the continuing educational courses. However, the need to maintain some type of clinical /legal record has also emerged. The introduction of the digital camera, made clinicians start to realize the great impact that dental photography can have on their daily practices. Dental photography has become a powerful and indispensable tool for treatment plans, presentations, and patient education as well as legal documentation.
Preface The clinical manual is intended to be practical, simple, accessible, and readily usable for daily clinical use. It is also intended to simply help undergraduates, and all specialties that need to take a digital photograph for documentation and or case presentation. The goal is to provide a quick reference guide for students in all area to have a predictable and constant guide to clinical photography. Note: this clinical manual, focuses on the problem that we face in the clinic , like light conditions and or other clinical situations.
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Lupo Villega
Dental Photography Practical Clinical Manual
Lupo Villega D.D.S, Oral Design Clinical Assistant Professor New York University College Of Dentistry All rights reserved Editor: Lupo Villega, DDS
Table of Contents A. Forward B. Preface C. Section I-Basic concepts and methodology D. Technical elements E. Requisite equipment for image capture F. Section II-Photographic setups G. Facial composition, lateral and horizontal view H. Dental-Facial composition I. Dental composition J. Close up photography K. Laboratory communication
Camera Selection Digital single length reflex (DSLR) you will need a camera that has ... A. B. C. D. E.
At least 8 mg pixel Capable of accepting macro lengths Capable of having manual control Has a JPG to raw format Able to connect an external electronic flash ( specialty ETTL flash)
Important Camera Tips for Constant and Predictable Photography
A. Focal point B. Magnification C. Aperture ( F-stop - depth field) D. Isso, sensitivity (WB) E. Shutter speed F. Picture frame
Tip: Set up your magnification before you take the picture, and do not move the lens anymore, only move yourself until you are in focus, then shoot the photo. This gives you a constant frame at all times.
FLASH IN DENTAL PHOTOGRAPHY Please note: that there are two kinds of electronic flashes,they are ring flash and dual point flash.I highly recommend the dual point flash in that way you can see three dimensionally in dental photography, for enamel texture, dentin strata incisal hallow and translucency,
Electronic Flash Electronic flash wether it may be compact (mounted in the camera), ring flash, or dual point flash; their light outputs are corrected to photography. Day light at 5,500k is ideal for photography, because it is only at this color temperature that the three addictive primary colors (red, blue, and green) are present in equal proportions.
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DUAL POINT FLASH
RING FLASH
Set-up Your Camera
Magnification: will be depending on the distance that you decide to work (1:1 to 1:10) Portrait Pictures: Is a 1:10 magnification Dental facial frame: 1:2 to 1:5 magnification Close-up: (1:1) magnification takes 4 to 6 teeth depend of the lens. Aperture [ F -stop] Portrait from 9 to 11 dependent on light condition Close-up and dental facial photography:(F-stop 22-32) Iso sensitivity:[ 100 to 200] Shutter speed:1/125.S Manual Mode: ( M )
When we are able to maintain a constant and predictability, In our photography, this allows us to better communicate with our patients, dental labs, and other specialties in our field.
ARTISTIC PICTURE
DOCUMENTED PICTURE
Artistic picture is not recommended for legal documentation because it does not show the face details that we need to see in esthetic. Therefore we recommend a documented picture that you are able to see face details by retracting the hair behind the ear.
PORTRAIT
PICTURE
To check for lip support, muscle tonality, the 3 third of the face, face symmetry MAGNIFICATION : 1:5 PICTURE FRAME: Forehead line and 3 cm above the chin FOCAL LENTH: (F STOP 8 TO 11) FOCAL POINT: Tip of the nose, CAMERA POSITION: 90º
VERTICAL VIEW
This picture is to analyze bipupillary line with incisal plane, face mid line in relation with dental mid line, amount of teeth exposed •
MAGNIFICATION: 1:10
•
PICTURE FRAME: Top of the head line and 3 cm above the chin
•
FOCAL LENTH: (F STOP 9 TO 11)
•
FOCAL POINT: Tip of the nose , camera 90°
•
SHUTER SPEED: 1/125s
LATERAL VIEW: WITHOUT SMILE
To study the Ricket E plane also Nasal labial angle • CAMERA POSITION :VERTICAL • MAGNIFICATION:1:10 • FOCAL LENTH ( F STOP ) 9 to 11 • FOCUS POINT :CHEEK BONE
LATERAL VIEW
CLOSE-UP SMILE
Buccal- Lingual position of anterior teeth in relation with the lower lip • MAGNIFICATION: 1:2 • CAMERA POSITION: VERTICAL POSITION • FOCAL LENTH: ( f stop 22 ) • FOCUS POINT: CANINE
DENTAL FACIAL FRONT
VIEW
Amount of gingiva display, zenith point relationship of the anterior teeth, papilla relationship with teeth position and size, negative space of buccal corridor, teeth contact point position over bite how many are expose. • MAGNIFICATION: 1:2 • CAMERA POSITION: 90° • FOCAL LENTH: ( f stop 22 ) • FOCUS POINT: TIP OF THE PAPILA IN BTW CENTRALS
LATERAL VIEW
RIGHT
LEFT
Buccal-Lingual position of the anterior teeth • MAGNIFICATION: 1:2 • FOCAL LENTH :( F STOP ),22 • FOCUS POINT: LATERAL TOOTH • CAMERA: 90°
REST - POSITION
TO ANALYZE INCISAL EDGE DISPLAY
• MAGNIFICATION: 1:2 • FOCAL LENTH: (F STO):22 • FOCUS POINT: CONTAC POINT BETWEEN CENTRALS • CAMERA: 90°
PHONETIC
F AND V SOUND
• MAGNIFICATION: 1:2 • FOCAL LENTH: (F STO):22 • FOCUS POINT: CONTAC POINT BETWEEN CENTRALS • CAMERA: 90°
PHONETIC
S - SOUND
• MAGNIFICATION: 1:2 • FOCAL LENTH:(F STO):22 • FOCUS POINT: CONTAC POINT BETWEEN CENTRALS • CAMERA : 90°
E - SOUND
To analyze the occlusal plane in relation to the lower lip
• MAGNIFICATION: 1:2 • FOCAL LENTH: (F STO):22 • FOCUS : TIP OF THE PAPILA • CAMERA: 90°
RETRACTED VIEW PHOTOGRAPHY
FULL RETRACTED VIEW
To see the occlusion in maximum intercupation in anterior posterior relationship
• MAGNIFICATION: 1:5 • FOCAL LENTH: (F STO):22 • FOCUS POINT : TIP OF THE PAPILA • CAMERA: 90°
TO check for angle classification canine and molar
RIGHT
LEFT
• MAGNIFICATION: 1:5 • FOCAL LENTH: (F STO):22 • FOCUS POINT : CANINE • CAMERA: 90°
DENTAL CLOSE-UP
To analyze enamel surface, proportion W-L ratio
• MAGNIFICATION: 1:1 • FOCAL LENTH: (F STO):22 • FOCUS POINT : IN BETWEEN EDGES UPPER AND LOWER • CAMERA: 90°
DENTAL CLOSE-UP
• MAGNIFICATION: 1:1 • FOCAL LENTH: (F STO):22 • FOCUS POINT : CANINE/LATERAL • CAMERA: 90°
DENTAL CLOSE-UP
• MAGNIFICATION: 1:1 • FOCAL LENTH: (F STO):22 • FOCUS POINT : CANINE/LATERAL • CAMERA: 90°
DENTAL CLOSE-UP WITH BLACK BACKGROUND
To analyze enamel characterization,
• MAGNIFICATION: 1:1 • FOCAL LENTH: (F STO):22 • FOCUS POINT : TIP OF THE PAPILA • CAMERA: 45°
DENTAL CLOSE-UP WITH BLACK BACKGROUND
RIGHT
LEFT • MAGNIFICATION: 1:1 • FOCAL LENTH: (F STOP ):22 • FOCUS POINT : LATERAL • CAMERA: 45°
OCCLUSAL ANALY SIS
PROTRUSIVE MOVEMENT
•MAGNIFICATION: 1:2 •FOCAL LENTH: (F STO):22 •FOCUS POINT : BTW UPPER- LOWER INCISALS •CAMERA: 90°
RIGHT
LATERAL MOVEMENT
LEFT
verify the curve of speed and wilson
RIGHT
LEFT
• MAGNIFICATION: 1:2 • FOCAL POINT(F STOP): 22 • FOCUS CANINE • CAMERA 90º
OCCLUSAL VIEW UPPER
To analyze the arch form occlusal were from habits
• MAGNIFICATION: 1:5 • FOCAL LENTH: (F STO):22 • FOCUS POINT : CENTER OF THE PALAT • CAMERA: 45°
parafunctional
OCCLUSAL VIEW LOWER
•MAGNIFICATION: 1:5 •FOCAL LENTH: (F STO):22 •FOCUS POINT : CENTER OF THE PALAT • TIP OF THE TONGUE TOUCHING THE PALAT
•
LAB COMMUNICATION
•SHADE SELECTION •STUM SHADE •ENAMEL EFFECT •INCISAL HALLOW •INCISAL TRANSLUCENCY SHADE SELECTION
• MAGNIFICATION:1:1 • FOCAL LENTH: (F STO):22 • FOCUS POINT : IN BETWEEN EDGES UPPER AND THE SHADE • CAMERA: 45° HORIZONTAL.
STUMP SHADE
• MAGNIFICATION: 1:1 • FOCAL LENTH: (F STO):22 • FOCUS POINT : IN BETWEEN EDGES UPPER AND THE SHADE • CAMERA: 45° VERTICAL DIRECTION.
INCISAL HALLOW
• MAGNIFICATION: 1:1 • FOCAL LENTH: (F STO):22 • FOCUS POINT : CONTAC POINT IN BETWEEN CENTRALS • CAMERA: 90° • USE DUAL POINT FLASH ONE LIGHT 45°ABOVE THE NOSE
INCISAL TRANSLUCENCY
Highlight the incisal transparency
• MAGNIFICATION: 1:1 • FOCAL LENTH: (F STO):22 • FOCUS POINT : CONTAC POINT IN BETWEEN CENTRALS • CAMERA: 90° • USE DUAL POINT FLASH ONE LIGHT 45°BELOW THE CHIN
REFERENCES Digital and Conventional Dental Photography, Irfan Ahmad, quintessence publishing Mastering Digital Dental Photography, Wolfgang Bengel, quintessence publishing.