PH-03: Clinical Photography Production Checklist With The Sony Cybershot T-9 Digital Camera Date: Name: EXTRAORAL SERIOUS 1. Prepare the camera Program the camera to the recommended settings Set camera to Auto under Menu Set size of photo to 1 Megapixel under Photo size/delete button Turn on the flash Hold camera horizontal 2. Remove any large earrings, glasses, and pull down any large collars 3. Check that the patient s head is at the same height as the camera (should you both sit?) 4. Position your patient slightly away from the light or white background 5. Clip the hair back (if it is covering the forehead or ears) 6. Check the patient s pupils are aligned horizontally 7. Instruct your patient to: Hold his head straight. Face the camera looking right into it. Not tilt his head up or down or to the right or left. 8. Check your patient s bite. Check for: Large overjet and posturing. Help your patient bite together correctly. 9. Gently close his lips together (If there is lip strain plan on taking a second photo) 10. Position the camera Stand 4 feet in front of the patient and zoom in so that the magnification is from the top of the head to the collarbone. The camera is held at the same height as the patient s head The lens of the camera is pointing straight onto the patient s bridge of the nose Center the view in the LCD screen by rotating the camera horizontally slightly Check that both ears are equally visible in the camera LCD screen 11. Take the shot PH-03 Sony T-9 Photography Production Checklist Page 1 of 8
PH-03: Clinical Photography Production Checklist With The Sony Cybershot T-9 Digital Camera EXTRAORAL SMILING 1. Instruct your patient to smile as broadly as possible not biting together 2. Take the shot EXTRAORAL PROFILE 1. Turn your patient to the right for the profile view. 2. Keep the hair out from behind the profile. Clip the hair back (if it is covering the forehead or ear.) 3. Check your patient s bite. Check for: Large overjet and posturing. Check with your doctor the best way to help your patient bite together correctly. 4. Instruct your patient to: Look straight ahead Hold his head straight, not tilted up or down, nor tilted side to side. Instruct the patient to turn toward the background, then turn toward the camera, and to turn back toward the background but to stop when you see the patient s exact profile and the correct depth of the eye at the bridge of the nose Check that you do not see the patient s eyelashes or eyebrow in the profile. Gently close his lips together. If there is lip strain plan on taking a second extraoral profile photo). 5. Position the camera Stand 4 feet in front of the patient and zoom in so that the magnification is from the top of the head to the collarbone and is the same size as the Extraoral Serious and Smiling Views. The camera is held at the same height as the patient s head, held horizontally so that the flash is on the profile side of the patient Check that the full profile and ear are visible and that Frankfort Horizontal is parallel to the floor. Point the lens of the camera directly to the bridge of the nose, checking the depth of the eye from the bridge of the nose Center the view in the LCD screen by slightly rotating the camera horizontally 6. Take the shot on the eyebrow PH-03 Sony T-9 Photography Production Checklist Page 2 of 8
CLOSE-UP OF THE SMILE 1. Prepare your camera Press Menu and change the program to Magnifying Glass Hold the camera horizontal with the lips View includes all of the lip area (but not the nose and chin unless there is an asymmetry). 2. Position the patient and ask your patient to give you a big broad smile Show any facial asymmetry, slant to the occlusal plane, or slant to the incisors that you should document. Show the amount of tooth and gum tissue display with a full smile. Show the upper dental midline in relation to the upper facial midline. Show the narrowness or broadness of the patient s arch form Show the conformance of the upper incisal edge line with the contours of the lower lip documenting the smile line. 3. Position the camera Hold the camera two feet in front of the patient s mouth. Center the camera lens on the facial midline coming in straight to the occlusal plane, not too high nor too low Hold the camera lens horizontally and parallel with the lips Zoom in so that the smile, lips and surrounding area including the nasolabial folds are included in the view. Include the nose tip and chin area if there is an asymmetry 4. Take the shot INTRAORAL FRONTAL VIEW 1. Prepare your camera Keep the setting Magnifying Glass Flash on Hold the camera horizontal 2. Seat and assess your patient Evaluate lip tension, lip and cheek tissue fullness, alveolar length and select the best size and curve of retractors to use. Check for dental asymmetry or slant to the incisors that you should document. Check the upper dental midline in relation to the upper facial midline. Center view on the upper facial midline. Check your patient s correct bite. Have your patient turn toward you slightly PH-03 Sony T-9 Photography Production Checklist Page 3 of 8
3. Help your patient insert the retractors and instruct him to: Pull them out to the sides. Pull the whole retractor slightly forward. Tilt the handles forward so that the lips and cheeks are completely retracted away from the teeth. Have your patient bite together correctly again with the retractors in and check that the bite is the same as before 4. Position the camera Place your left index finger above the camera lens to be a guide when positioning the lens Hold the camera two feet in front of the patient, horizontally, with the camera lens at the level of the occlusal plane, not coming in too high or too low Center the camera lens onto the facial midline so that you can see the posterior teeth equally on the right and the left in the LCD screen. Zoon in the camera lens so that the full arch fills the frame focused on the canines showing no lips and little retractors in the view. The view should show the full arch molar to molar and fill the frame with no distortion 5. Take the shot LEFT LATERAL VIEW 1. Prepare your camera Keep the setting Magnifying Glass Flash is turned on and positioned on the same side as the mirror handle so the light will illuminate the posterior teeth and not be blocked by the incisors Hold the camera horizontal 2. Assess your patient with your patient sitting upright in the chair Does your patient have deep vestibules and fleshy loose cheeks back by the last molar that will require a large round-ended mirror? Or is there a small constricted area back by the molars with tight lips where you need to use a small mirror? Are the lips loose enough so you will be able to rotate and hold out the mirror far enough to position the camera lens perpendicular to the mirror? How long is the view? Do you need to use a longer mirror and back up your magnification? Check your patient s correct bite without a mirror or retractor. Will your patient be able to bite together with a mirror in there? What size of retractor will hold the lips apart sufficiently? 3. Help your patient insert the retractor Place it in on his right side and instruct him to pull it slightly toward his right side just enough to keep his lips in the front from collapsing down over his front teeth or over the edges of the mirror. PH-03 Sony T-9 Photography Production Checklist Page 4 of 8
4. Insert the mirror using your left hand Grip the other end of the mirror with your left hand with your thumb on the mirror side of the handle for the strongest hold Insert the mirror flat to the occlusal surfaces moving it into the patient s left cheek area and rotating it so it is positioned vertically into the vestibules. Position the end near the oblique ridge back by the last molar in front of any extra cheek tissue in the area Gripping the mirror handle with your left thumb on top, push the whole mirror out at a 45- degree angle to the buccal surfaces. Hold the mirror out from the last molar using care to not rest the sharp edge of the mirror on the buccal tissue. Check that the mirror is held horizontally with the bite plane and parallel to the buccal surfaces vertically not tilted or rotated up or down. 5. Have your patient turn his head toward his left slightly and tilt his head up so you can position the camera in front of his incisors. 6. Check that your patient can bite together correctly again now with the mirror and retractor in. Is the bite the same as before? 7. Position the camera Hold the camera in your right hand and use the cross-over technique in holding the camera and mirror so the flash will be directed into the mirror properly to illuminate the posterior teeth (and not be blocked by the incisors) Position the camera so it is just in front of the incisors. Point the lens straight into the mirror so you can see back to the distal of the last molar and capture the true bite. Move the camera back or zoom in so the view shows at least from the distal of the maxillary lateral to the distal of the last molar. Focus on the distal of the first premolars. Include only the mirror view, no real teeth, no mirror edges, no lips blocking the view Come in straight to the occlusal plane, not too high or too low. Show all the teeth and gum tissue. 8. Take the shot RIGHT LATERAL VIEW 1. Position your patient in a supine position and prepare your camera from above the patient Because of the position of the flash relative to the lens it is best to take this view with the patient supine holding the camera from a position from above the patient with the view in the camera upside down Keep the same settings that were used for the Intraoral Left Lateral View 2. Help your patient insert the retractor in the anterior Use the same mirror and retractor that were used for the Intraoral Left Lateral View Recoat or heat the mirror Help your patient insert the retractor and separate the lips pulling the retractor to the patient s left side Instruct the patient to turn his head toward his right side PH-03 Sony T-9 Photography Production Checklist Page 5 of 8
3. Insert the mirror Standing above the patient s hand at the top of the chair Hold the mirror handle with your thumb on the mirror surface for a strong grip Insert the mirror flat to the occlusal surfaces positioning it into the patient s right cheek area and rotating it so it is positioned vertically into the vestibules. Position the end near the oblique ridge back by the last molar. Push the whole mirror out at a 45-degree angle to the buccal surfaces. Check that the mirror is held horizontal with the bite plane and parallel to the buccal surfaces vertically not tilted or rotated up or down. Hold the mirror out from the last molar using care to not rest the sharp edge of the mirror on the buccal tissue. Instruct your patient to bite together as before 4. Position the camera Using the crossover method again, hold the camera lens with your right hand Position the camera and lens just in front of the incisors. Point the lens straight into the mirror so that the true occlusion is evident. Back up or zoom in so the view shows at least the distal of the maxillary lateral to the distal of the last molar. Focus on the distal of the first premolars. The view should show only the mirror view, no mirror edges, and no real teeth The view should be horizontal with the occlusal plane coming in straight, not too high or too low. The view should show all the teeth and gum tissue. 5. Take the shot MAXILLARY OCCLUSAL VIEW 1. Keep your patient in a supine position and position your camera from above the patient The Maxillary View is easy to take with the patient in a supine position It may also be taken with the patient sitting upright with this camera because the flash source is close to the lens. This camera has a sufficient depth of field to produce a clear image of the palate and of the occlusal surfaces of the teeth. Keep the same settings that were used for the Intraoral Lateral Views 2. Assess your patient and select the best retractors and mirror Assess arch size, ability to open wide and tightness of the lips Select small retractors that will hold the lips back yet not interfere with positioning the mirror. Select a mirror that will show the full view but not interfere with the patient s ability to open wide Coat or heat the mirror to prevent fog. PH-03 Sony T-9 Photography Production Checklist Page 6 of 8
3. Help your patient insert and hold the retractors Place the small retractors on the inside of the upper lip. Instruct the patient to pull the retractors up in a happy face, out from the teeth to block the view of the face, and forward stretching the lips to block the view of the nose. 4. Insert the mirror Flat to the occlusal surfaces and instruct your patient to open as wide as possible. Position the back end of the mirror behind the last molars evenly away from the terminal molar on each side to produce a better view of these teeth. Rotate the whole mirror away from the occlusal surfaces so it is at a 45-degree angle to the occlusal surfaces of the full arch. Check that midline of the palate is in the center of the view. Recheck that the lips are pulled away from the teeth. 5. Position your camera Position the camera lens just in front of the maxillary incisors. Point the lens straight into the mirror perpendicular to the mirror surface. Back out or zoom in so that the view shows the full arch terminal molar to terminal molar. Focus on the distal of the first premolars. Check that there are no mirror edges in the view and no real teeth from the upper arch, only the view in the mirror. 6. Take the shot MANDIBULAR OCCLUSAL VIEW 1. Return your patient to an upright position in the chair Take this view from a position standing in front of the patient Keep the same settings that were used for the Intraoral Maxillary Occlusal View 2. Use the same retractors and mirror that were used in the maxillary arch Coat or heat the mirror to prevent fog. Help your patient place the small retractors on the inside of the lower lip. Instruct the patient to pull the retractors down in a frown, out from the teeth, and forward stretching the lips away from the teeth. Instruct your patient to tilt his head up and back. 3. Insert the mirror Flat to the occlusal surfaces and instruct your patient to open as wide as possible. Position the back end of the mirror behind the last molars and up evenly on each side from the terminal molars. Rotate the whole mirror up at a 45-degree angle to the mandibular occlusal surfaces. Check that the mirror is held even horizontally, not tilted up on one side or the other. Check that the lower dental midline is in the center of the view. PH-03 Sony T-9 Photography Production Checklist Page 7 of 8
4. Position the camera Position the camera lens just in front of the mandibular incisors. Point the lens straight up into the mirror perpendicular to the view. Back up or zoom in so that the view shows the full arch terminal molar to terminal molar. Focus on the distal of the first premolars. Show no mirror edges, only the mirror view, no real teeth from the lower arch. Recheck that the lower lip is retracted off of the teeth. 5. Take the shot PH-03 Sony T-9 Photography Production Checklist Page 8 of 8