# DMD2 Dental Photography poh.hun.loh@uwa.edu.au poh.hun.loh@uwa.edu.au Topics * Learning outcomes * Photography Theory * Processing * Clinical Hints/Tips * Demonstration of Techniques * Practice in the clinic * Submit a “Dental Photography Essay” via LMS Topics - Learning outcomes - Photography Theory - Processing - Clinical Hints/Tips - Demonstration of Techniques - Practice in the clinic - Submit a “Dental Photography Essay” via LMS **Lecture Learning outcomes** Understand and outline photographic theory as it applies to dental photography. Understand concepts in using an SLR camera for dental photography. Describe the equipment and items needed to take dental photographs in a clinical setting. Understand concepts in photographic editing along with file and image management. **In-Clinic practical session:** * Observe a demonstration in extra-oral and intra-oral techniques for dental photography. * Practice taking photographs on a patient, as an assistant and a patient **Lecture Learning outcomes** - Understand and outline photographic theory as it applies to dental photography. - Understand concepts in using an SLR camera for dental photography. - Describe the equipment and items needed to take dental photographs in a clinical setting. - Understand concepts in photographic editing along with file and image management. **In-Clinic practical session:** - Observe a demonstration in extra-oral and intra-oral techniques for dental photography. - Practice taking photographs on a patient, as an assistant and a patient # Photography Theory * Why photo? * Why is dental photography so unique? * Limitations * Equipment * Photographic parameters - Why photo? - Why is dental photography so unique? - Limitations - Equipment - Photographic parameters Why Photo? Like Dental Radiography, Dental Photography is an integral diagnostic, record-keeping & communication tool  **Why Photo?** Like Dental Radiography, Dental Photography is an integral diagnostic, record-keeping & communication tool. Clinical dental radiograph (X-ray) showing a maxillary posterior region. A large, multi-unit fixed prosthesis (bridge) is visible spanning three tooth positions, appearing as a bright white structure with distinct internal voids. Adjacent to the bridge on the left is a molar with a large radiopaque filling material. The surrounding bone and periodontal ligament spaces are visible. Photographic images complement Radiographic images   Photographic images complement Radiographic images. Clinical photograph of a molar tooth exhibiting extensive decay and structural damage. The crown shows significant cavitation with dark discoloration and crumbling enamel/dentin. A green surgical retraction cord is visible in the gingival sulcus. Radiographic image (X-ray) of posterior teeth showing radiopaque dental restorations on the crowns. The image complements the clinical photo by revealing internal tooth structure and root condition. Why photo? “ A picture is worth a thousand words” “ One look is worth a thousand words” Frederick R Barnard 1921 **https://www.phrases.org.uk/meanings/a-picture-is-worth-a-thousand-words.html**  "A picture is worth a thousand words" "One look is worth a thousand words" – Frederick R Barnard 1921 Source: https://www.phrases.org.uk/meanings/a-picture-is-worth-a-thousand-words.html Photograph showing a man in a black cap with the number '3' and sunglasses surrounded by photographers holding cameras. The image visually demonstrates the concept of media attention and visual documentation referenced in the slide's text. **In words...** This is an intra-oral photograph depicting the mandibular arch... * Tooth 37 partially in view has an amalgam restoration * Tooth 36 has a stainless steel orthodontic band, pink/orange restoration likely Fuji VII. There is an occlusal access cavity type restoration in the mesial two-thirds * Tooth 35 is tilted mesial * Tooth 34 is missing and the space is closed, likely from previous orthodontic treatment. * Tooth 33 is lingually displaced and rotated * There is mild mandibular anterior crowding in the incisors and mild incisal wear. * Tooth 44 is missing and the space is closed, likely from previous orthodontic treatment. * Tooth 45 is tiled mesially * Tooth 46 appears to be a full coverage ceramic crown, * Tooth 48 partially in view has an amalgam restorations * The frenal attachments are in view * The anterior dorsal aspect of the tongue is visible and appears healthy and pink with normal papilla In words… This is an intra-oral photograph depicting the mandibular arch… - Tooth 37 partially in view has an amalgam restoration - Tooth 36 has a stainless steel orthodontic band, pink/orange restoration likely Fuji VII. There is an occlusal access cavity type restoration in the mesial two-thirds - Tooth 35 is tilted mesial - Tooth 34 is missing and the space is closed, likely from previous orthodontic treatment. - Tooth 33 is lingually displaced and rotated - There is mild mandibular anterior crowding in the incisors and mild incisal wear. - Tooth 44 is missing and the space is closed, likely from previous orthodontic treatment. - Tooth 45 is tiled mesially - Tooth 46 appears to be a full coverage ceramic crown, - Tooth 48 partially in view has an amalgam restorations - The frenal attachments are in view - The anterior dorsal aspect of the tongue is visible and appears healthy and pink with normal papilla In words.... This is an intra-oral photograph depicting the mandibular arch.... * Tooth 37 partially in view has an amalgam restoration * Tooth 36 has a stainless steel orthodontic band, pink/orange restoration likely Fuji VII. There is an occlusal access cavity type restoration in the mesial two-thirds * Tooth 35 is tilted mesial * Tooth 34 is missing and the space is closed, likely from previous orthodontic treatment. * Tooth 33 is lingually displaced and rotated * There is mild mandibular anterior crowding in the incisors and mild incisal wear. * Tooth 44 is missing and the space is closed, likely from previous orthodontic treatment. * Tooth 45 is tiled mesially * Tooth 46 appears to be a full coverage ceramic crown, * Tooth 48 partially in view has an amalgam restoration * The frenal attachments are in view * The anterior dorsal aspect of the tongue is visible and appears healthy and pink with normal papilla  In words… This is an intra-oral photograph depicting the mandibular arch… - Tooth 37 partially in view has an amalgam restoration - Tooth 36 has a stainless steel orthodontic band, pink/orange restoration likely Fuji VII. There is an occlusal access cavity type restoration in the mesial two-thirds - Tooth 35 is tilted mesial - Tooth 34 is missing and the space is closed, likely from previous orthodontic treatment. - Tooth 33 is lingually displaced and rotated - There is mild mandibular anterior crowding in the incisors and mild incisal wear. - Tooth 44 is missing and the space is closed, likely from previous orthodontic treatment. - Tooth 45 is tiled mesially - Tooth 46 appears to be a full coverage ceramic crown, - Tooth 48 partially in view has an amalgam restoration - The frenal attachments are in view - The anterior dorsal aspect of the tongue is visible and appears healthy and pink with normal papilla Clinical photo: Intra-oral photograph of the mandibular dental arch. The image shows the lower teeth with specific pathologies and restorations including an amalgam restoration on tooth 37 (partially visible), a stainless steel orthodontic band and pink/orange restoration on tooth 36, missing teeth 34 and 44 with closed spaces, lingually displaced and rotated tooth 33, and mild crowding in the anterior incisors. Why photo? * Communication * Patients * Education * Motivation * Other clinicians * **Treatment planning**  **Why photo?** - Communication - Patients - Education - Motivation - Other clinicians - **Treatment planning** A cartoon illustration depicting two women entering a dental office. The wall is decorated with framed pictures of smiling mouths and teeth. One woman says in a speech bubble: 'GEEZ, I'M SURE GLAD THIS ISN'T MY GYNECOLOGISTS OFFICE......'. The image serves as a visual metaphor for the educational and motivational power of photos in dentistry. Why photo? - Records - **Monitoring** - Medico-legal - Trauma  **Why photo?** - Records - **Monitoring** - Medico-legal - Trauma Clinical photo showing a close-up view of the upper anterior dentition with a metal ruler placed horizontally at the bottom for scale. The image displays missing central incisors and visible gingival tissue. A dental instrument is partially visible on the right side. Why photo? - Records - **Monitoring** - Medico-legal - Trauma  **Why photo?** - Records - **Monitoring** - Medico-legal - Trauma A composite image containing six distinct clinical photographs of the oral cavity. The images show various views of the tongue and hard palate, likely demonstrating anatomical landmarks or pathological conditions relevant to 'Records', 'Monitoring', 'Medico-legal', and 'Trauma' as indicated by the slide text. **What about the tooth caused by trauma?**  What about the tooth caused by trauma? Clinical intraoral photograph showing the maxillary arch. Visible are several posterior teeth with significant dental pathology and wear. On the left side (viewer's perspective), a molar shows severe occlusal surface destruction and discoloration, likely due to trauma or caries. Adjacent teeth on both sides exhibit varying degrees of attrition and restorations. The image serves as visual evidence for conditions such as trauma, monitoring progress, or medico-legal documentation. Why photo? ✦Records ✧Monitoring ✵Medico-legal ✦Trauma  **Why photo?** - Records - Monitoring - Medico-legal - Trauma Clinical photo showing the anterior dentition with visible dental trauma. The upper central incisors exhibit significant fractures: the left central incisor has a large fracture exposing the underlying pulp chamber (pulp exposure), and the right central incisor shows a vertical fracture line extending from the incisal edge towards the root. There is also apparent spacing between the teeth. **Communicate treatment planning** (Anchor for bridge) Tooth 14 (Anchor for bridge) Tooth 12 (Buildup & future crown) Tooth 11 (Buildup & future crown) Tooth 21 (Buildup & future crown) Tooth 22 Tooth 44 (Extraction) Tooth 43 (adjustment) Tooth 42 (Buildup) Tooth 41 (buildup) Tooth 31 (buildup) Tooth 32 (buildup)   **Communicate treatment planning** - (Anchor for bridge) Tooth 14 - (Anchor for bridge) Tooth 12 - (Buildup & future crown) Tooth 11 - (Buildup & future crown) Tooth 21 - (Buildup & future crown) Tooth 22 - Tooth 44 (Extraction) - Tooth 43 (adjustment) - Tooth 42 (Buildup) - Tooth 41 (buildup) - Tooth 31 (buildup) - Tooth 32 (buildup) Clinical photo showing the patient's dentition from a frontal view. The image displays significant dental pathology including multiple missing teeth, severe crowding in both arches, and worn incisal edges on the remaining anterior teeth. Annotated clinical photograph of the same dentition illustrating the proposed treatment plan. Labels identify specific interventions for each tooth: (Anchor for bridge) Tooth 14, (Anchor for bridge) Tooth 12, (Buildup & future crown) Tooth 11, (Buildup & future crown) Tooth 21, (Buildup & future crown) Tooth 22, Tooth 44 (Extraction), Tooth 43 (adjustment), Tooth 42 (Buildup), Tooth 41 (buildup), Tooth 31 (buildup), and Tooth 32 (buildup). Yellow outlines highlight the central incisors and lateral incisors designated for buildups and future crowns. Convey and record aspects of treatment Tooth investigation-restoration removal   Convey and record aspects of treatment Tooth investigation-restoration removal Clinical photo showing an intraoral view of posterior teeth with existing restorations. The image highlights the need for tooth investigation and restoration removal as indicated by the OCR text. Clinical photo showing a dental mirror reflecting a close-up view of posterior teeth with visible restorations. The image demonstrates aspects of tooth investigation and restoration removal. Convey and record aspects of treatment ND 6  Convey and record aspects of treatment ND 6 Clinical photo showing the upper anterior teeth with a central tooth exhibiting significant discoloration (dark grey/brown), likely representing a dental stump. Below the mouth, a dental shade guide is visible with the label 'ND 6' on its metal arm and a beige plastic tab, used to record the color of the tooth stump for treatment planning. Why is Dental Photography so unique? ♦ Access difficulties and obstructions ♦ Lips, cheeks ♦ Tongue ♦ Other teeth ♦ Facial hair ♦ Light ♦ Too Little (dark/poor detail/grainy) ♦ Too much (reflection/over-exposure) ♦ Saliva/humidity -> ♦ mask detail ♦ condensation ♦ Objects at different distances ♦ Infection control ♦ Positioning ♦ operator, ♦ patient, ♦ assistant  **Why is Dental Photography so unique?** - Access difficulties and obstructions - Lips, cheeks - Tongue - Other teeth - Facial hair - Light - Too Little (dark/poor detail/grainy) - Too much (reflection/over-exposure) - Saliva/humidity -> mask detail, condensation - Objects at different distances - Infection control - Positioning - operator, - patient, - assistant Clinical photo demonstrating the unique challenges of dental photography. The image shows a photographer using a camera with an attached flash unit to photograph a patient's mouth while wearing protective eyewear and gloves. The visual context illustrates the text overlay listing factors such as access difficulties (lips, cheeks, tongue), lighting issues, saliva/humidity effects, and positioning requirements. # What is a good (dental) photo? ## Area of interest ## In Focus ## Correct (lighting) brightness ## Clear/contrast ## Obstructions ## Context/Story  #### What is a good (dental) photo? - Area of interest - In Focus - Correct (lighting) brightness - Clear/contrast - Obstructions - Context/Story A clinical or illustrative photo used to demonstrate poor image quality in the context of dental photography. The image is taken from inside a vehicle looking out the window and suffers from significant motion blur (blurriness), poor lighting conditions causing underexposure on the interior, and obstruction by foreground objects such as a car seat headrest and a gift box. This visual serves as an example of what to avoid when taking photos. "Why's wrong with this image?"  Why's wrong with this image? Clinical photo showing a close-up view of an open mouth with the tongue retracted. The image displays severe dental decay, characterized by extensive dark brown to black staining on multiple posterior teeth (molars and premolars) in both the upper and lower arches. The gingiva appears inflamed and red. What’s wrong with this image 🔹 Colour → too red 🔹 No retractors   🔹 Lip covers anteriors 🔹 Poor angulation, can’t see palato-   incisal surfaces 🔹 Mirror not centered 🔹 Taken too far away   🔹 Upper lip in view 🔹 Remains as mirror image   🔹 Not flipped  - Colour → too red - No retractors - Lip covers anteriors - Poor angulation, can’t see palato-incisal surfaces - Mirror not centered - Taken too far away - Upper lip in view - Remains as mirror image - Not flipped Clinical photo of an open mouth showing the mandibular and maxillary arches. The image is used as a teaching example to demonstrate common errors in intraoral photography, specifically: excessive redness (overexposure), lack of retractors causing the upper lip to cover anterior teeth, poor angulation obscuring palato-incisal surfaces, uncentered mirror view including the upper lip, distance issues, and the image remaining as a mirror reflection rather than being flipped.  Clinical intraoral photograph showing the maxillary arch with multiple teeth exhibiting severe carious lesions and extensive silver amalgam restorations. The palatal mucosa appears healthy with normal rugae patterns.  Clinical photo showing an intraoral view of the right buccal mucosa. The image displays erythematous mucosa with scattered white striations and plaques consistent with oral lichen planus or leukoplakia. A dental mirror is visible in the lower right corner, reflecting light to illuminate the area. Teeth are partially visible along the upper and lower gingival margins. What’s wrong with this image?  What’s wrong with this image? Clinical photograph of an open human mouth displaying the upper and lower dental arches. The image serves as a visual case study for identifying oral health issues. Magic..... * Flipped * Cropped * Area of interest changes * Colours/brightness/contrast  Magic… - Flipped - Cropped - Area of interest changes - Colours/brightness/contrast Clinical photo of the maxillary dental arch showing upper teeth and palate. The image demonstrates an 'Area of interest changes' scenario where the view is cropped to focus on the anterior teeth rather than a full panoramic view. **Shadows and Reduced illumination** posterior segments  Shadows and Reduced illumination posterior segments Clinical photo showing the oral cavity with a retractor in place. The image demonstrates shadows and reduced illumination in the posterior segments of the mouth, as indicated by the text above the image. The teeth are visible, along with the gums and tongue. Mirror Fog/saliva   Mirror Fog/saliva Clinical photo of an open mouth showing the upper and lower anterior teeth. The image demonstrates a lack of visual clarity due to 'Mirror Fog/saliva' as indicated by the context text. The surfaces of the teeth appear wet, shiny, and obscured by moisture on the tongue and inside the cheek, making it difficult to inspect the tooth structure clearly. Clinical photo of an open mouth viewed from a different angle or patient. This image shows a clearer view of the teeth, particularly a metal restoration on a molar, but also displays significant saliva accumulation and condensation on the inner cheek (buccal mucosa), illustrating the diagnostic challenge of visualizing anatomy through fogged oral tissues. The text on the page only makes sense in the context of the figures and images (Dental X-ray showing root canal, Reflection/Over-exposed). Treat the whole page as a figure:   The text on the page only makes sense in the context of the figures and images (Dental X-ray showing root canal, Reflection/Over-exposed). Treat the whole page as a figure: Clinical photo showing a close-up of anterior teeth with a dental instrument holding a tooth. The image demonstrates reflection and over-exposure issues in dental photography. Clinical photo showing a full view of the upper and lower teeth with lips retracted. The image is well-lit and shows the natural coloration of the teeth and gums. Limits of Dental photography Time Cumbersome * Positioning * Equipment Patient * Two-dimensional recording - no perception of depth  **Limits of Dental photography** - Time - Cumbersome - Positioning - Equipment - Patient - Two-dimensional recording - no perception of depth Clinical photograph showing a close-up intraoral view of posterior teeth. The image demonstrates the 'Two-dimensional recording - no perception of depth' limitation mentioned in the slide text. It shows a molar with a large metal restoration and adjacent gingival tissue. # Equipment - camera  ### Equipment - camera Diagram of a camera system showing the optical path from lens to sensor. The diagram includes a large orange-rimmed lens on the left, a gray cylindrical tube representing the barrel or mirror housing, and a cube-shaped box on the right representing the camera body with an internal rectangle symbolizing the image sensor. **Photographic Parameters** **⇧ (ISO)** **⇤ Lighting (ring flash)** **⇤ Shutter speed** **⇤ Aperture** **⇤ Composition/Area of Interest** **SHUTTER SPEED & ISO** <div align="center"> **F1,4** **F2** **F2,8** **F4** **F5,6** **F8** **F11** **F16** **F22** **F32** **1/1000** **1/500** **1/250** **1/125** **1/60** **1/30** **1/15** **1/8** **1/4** **1/2** **ISO 50** **ISO 100** **ISO 200** **ISO 400** **ISO 800** **ISO 1600** **ISO 3200** **ISO 6400** **ISO 12800** **ISO 25600** </div> **WWW.WASEEMRIAZ.CO**  #### Photographic Parameters - **ISO** (↑) - **Lighting** (ring flash) - **Shutter speed** - **Aperture** - **Composition/Area of Interest** #### Shutter Speed & ISO | Aperture | F1.4 | F2 | F2.8 | F4 | F5.6 | F8 | F11 | F16 | F22 | F32 | |----------|------|----|------|----|------|----|-----|-----|-----|-----| | Shutter | 1/1000 | 1/500 | 1/250 | 1/125 | 1/60 | 1/30 | 1/15 | 1/8 | 1/4 | 1/2 | | ISO | 50 | 100 | 200 | 400 | 800 | 1600 | 3200 | 6400 | 12800 | 25600 | Educational diagram illustrating the relationship between Aperture (f-stops), Shutter Speed, and ISO sensitivity on photographic exposure. The chart is organized into three horizontal rows of icons: top row shows aperture circles increasing in darkness from F1.4 to F32; middle row shows running figures demonstrating motion blur at shutter speeds from 1/1000s to 1/2s; bottom row shows people with varying noise levels representing ISO values from 50 to 25600.  Clinical photo showing a side-by-side comparison of two views of the upper anterior gingiva. Both images depict a dental implant fixture with a healing abutment (metal cap) and an adjacent soft tissue swelling or nodule in the interdental papilla area. The left image appears slightly more out of focus compared to the right. The surrounding teeth are visible, exhibiting normal morphology. **Equipment - camera** * Camera on 'M' for manual settings * (**ISO**) **100-200** * Lighting (ring flash) **Max or + 1/3** * Shutter speed **1/125-1/200** * Aperture * **F11** for face/profile * **F22 to 25 to 32** for close smile/intraoral * Composition/Area of Interest **as close as possible to area of interest** * Manual zoom (or auto if novice user)  ### Equipment - camera - Camera on 'M' for manual settings - **ISO** 100–200 - Lighting (ring flash) **Max or + 1/3** - Shutter speed **1/125–1/200** - Aperture - **F11** for face/profile - **F22 to 25 to 32** for close smile/intraoral - Composition/Area of Interest **as close as possible to area of interest** - Manual zoom (or auto if novice user) Diagram of a camera setup showing the lens and body. The lens is depicted with an orange ring (likely representing a ring flash) and the body has a rectangular shape with an opening. # Camera settings https://bit.ly/uwadentphotosettings Camera settings https://bit.ly/uwadentphotosettings QR code logo with 'UWA Dental' text embedded in the center. **Equipment**    #### Equipment Photo showing photography equipment: a camera lens on the left, a Canon DSLR camera in the center, and a flash unit with a ring light on the right. Photo of two metal tools against a white background. The top tool is a double-ended wrench or spreader. The bottom tool is a wire frame device, possibly a speculum or holder. Photo of four small, smooth, reflective objects on a gray textured surface. These appear to be medical mirrors (specula) used for examination. Equipment-Photography mirrors - Mirrors allow images to be taken perpendicular to occlusal plane - Bypass anatomical limitations - Mandibular opening - Soft tissues    #### Equipment - Photography mirrors - Mirrors allow images to be taken perpendicular to occlusal plane - Bypass anatomical limitations - Mandibular opening - Soft tissues Clinical photo showing the use of a dental mirror to reflect an image from inside the mouth. A gloved hand holds a camera with a long extension tube, capturing a view through the angled mirror which is positioned perpendicular to the occlusal plane. Clinical photo demonstrating photography bypassing anatomical limitations related to soft tissues. It shows a wide-mouth intraoral shot where a cheek retractor has been used to expose the teeth and gums for imaging. Close-up clinical photo illustrating photography bypassing mandibular opening limitations. The image displays the upper and lower anterior teeth with a lip retractor in place, allowing access and visibility despite restricted jaw movement. Photography mirrors Occlusal – various sizes Buccal *Lingual <img>Dental photography mirrors  #### Photography mirrors - Occlusal – various sizes - Buccal - Lingual Clinical photograph showing a set of dental photography mirrors. The image displays several small, rectangular, and curved mirror pieces with reflective surfaces arranged on a white background. Based on the OCR context, these are categorized as Occlusal (various sizes), Buccal, and Lingual mirrors used for dental photography. Retractors - Plastic vs Metal - Metal (wire) re retractors -> surgery - Plastic better at cheek retraction and supporting lips  #### Retractors - Plastic vs Metal - Metal (wire) retractors → surgery - Plastic better at cheek retraction and supporting lips Clinical photo showing a patient's mouth with a clear plastic retractor in place. The retractor holds the lips and cheeks away from the teeth to expose the oral cavity. Visible text on slide includes 'Retractors', 'Plastic vs Metal', 'Metal (wire) retractors → surgery', and 'Plastic better at cheek retraction and supporting lips'. ### Processing and Clinical Hints/Tips + Chairside + File Handling + Image Handling ### Processing and Clinical Hints/Tips - Chairside - File Handling - Image Handling # Chairside - Media consent via TOHM - Take the right photo first time - Avoids time consuming image manipulation later - Accuracy - Infection control - You stay ‘clean’ – don’t touch patient - Nurse/assistant stays ‘dirty’ - Patient to hold retractors/mirrors #### Chairside - Media consent via TOHM - Take the right photo first time - Avoids time consuming image manipulation later - Accuracy - Infection control - You stay ‘clean’ – don’t touch patient - Nurse/assistant stays ‘dirty’ - Patient to hold retractors/mirrors # Media Consent via TOHM e-forms Media Consent **Tutorial, ScanX (TEMP108949)** [In Progress] THE UNIVERSITY OF WESTERN AUSTRALIA Oral Health Centre of Western Australia **Media Consent** I agree to my dental records being accessed by staff involved in my care and for it to be used for approved teaching and/or quality assurance activities, including clinical audits. I understand that any clinical images collected for treatment and/or teaching purposes will not be identifiable as my mine. Signature [Signature Box] Tutorial, ScanX (TEMP108949) [Sign] [Cancel] [Save & Print] [Save & Complete] [Save] #### Media Consent via TOHM e-forms Media Consent **Tutorial, ScanX (TEMP108949)** [In Progress] THE UNIVERSITY OF WESTERN AUSTRALIA Oral Health Centre of Western Australia **Media Consent** I agree to my dental records being accessed by staff involved in my care and for it to be used for approved teaching and/or quality assurance activities, including clinical audits. I understand that any clinical images collected for treatment and/or teaching purposes will not be identifiable as my mine. Signature [Signature Box] Tutorial, ScanX (TEMP108949) [Sign] [Cancel] [Save & Print] [Save & Complete] [Save] The University of Western Australia logo and the Oral Health Centre of Western Australia logo displayed side-by-side. # File handling - Students to purchase own Memory (SD) card - Download images from memory card as soon as possible - Take a photo of patient name/screen capture - Label files with both date of image and patient number and name - Delete files from SD card after upload - Avoids delays as camera/image software attempts to catalogue files in memory card - Backup images to UWA student OneDrive account. - Upload files to Romexis - “Images not to leave OHCWA premises” - **_Privacy concerns**_  #### File handling - Students to purchase own Memory (SD) card - Download images from memory card as soon as possible - Take a photo of patient name/screen capture - Label files with both date of image and patient number and name - Delete files from SD card after upload - Avoids delays as camera/image software attempts to catalogue files in memory card - Backup images to UWA student OneDrive account. - Upload files to Romexis - “Images not to leave OHCWA premises” - ***Privacy concerns*** A bulleted list outlining a file handling procedure for students. The steps include purchasing an SD card, downloading images, taking photos of patient names/screen captures, labeling files with date and patient info, deleting files from the card after upload to avoid software delays, backing up to UWA OneDrive, uploading to Romexis, and keeping images within OHCWA premises due to privacy concerns. # Image handling * Crop unwanted data/excess information from image * Re-size maintaining aspect ratio * Flip mirror images * Vertical for occlusal photos * Horizontal for buccal/lateral views  #### Image handling - Crop unwanted data/excess information from image - Re-size maintaining aspect ratio - Flip mirror images - Vertical for occlusal photos - Horizontal for buccal/lateral views Clinical photo of a patient's lower face showing teeth in occlusion. The image demonstrates the concept of 'Crop unwanted data/excess information from image' by displaying a white rectangular grid overlay on the mouth area. This grid visually represents the specific region to be retained (teeth and lips) while excluding surrounding facial features like ears and cheeks. # Mirror images * Ensure these are flipped, not rotated, why? * Crop out retractors * Crop out mirror * Crop out “non-mirror” teeth #### Mirror images - Ensure these are flipped, not rotated, why? - Crop out retractors - Crop out mirror - Crop out “non-mirror” teeth Original images – as taken   Original images – as taken Clinical photo of the mandibular dental arch showing occlusal view with a fixed orthodontic appliance (lingual retainer or wire) bonded to the lingual surfaces of posterior teeth. Teeth show mild crowding and discoloration. Clinical photo of the maxillary dental arch showing occlusal view. Maxillary anterior teeth are aligned in an arch form. Posterior teeth exhibit restorations including amalgam fillings on molars. No visible appliances. Flipped and cropped   Flipped and cropped Clinical photo showing an occlusal view of a dental arch with artificial teeth and metal clasps. The image is oriented horizontally. Clinical photo showing an occlusal view of a dental arch with artificial teeth and metal clasps. The image is oriented vertically (upright). Flipped and cropped   Flipped and cropped Clinical intraoral photograph showing the maxillary arch from a superior view. The image displays the upper teeth with visible restorations (metal fillings) on the right posterior molars. The hard palate and tongue are visible in the background. Clinical intraoral photograph showing the mandibular arch from an inferior view. The lower teeth are clearly visible with similar metal restorations on the left posterior molars. The floor of the mouth and tongue are visible.   Clinical intraoral photograph of the maxillary dental arch viewed from above. The image shows a U-shaped arrangement of teeth with visible restorations (metal crowns) on the posterior molars. A blue label 'Q1' is superimposed over the left side and 'Q2' over the right side. Clinical intraoral photograph of the mandibular dental arch viewed from above. The image displays the lower teeth with a visible metal crown on the upper-right molar (viewer's perspective). Blue labels 'Q4' and 'Q3' are superimposed over the left and right sides respectively. Software - Windows 10/11 - Paint - Photos - PowerPoint - Adobe Photoshop/Lightroom - Mac #### Software - Windows 10/11 - Paint - Photos - PowerPoint - Adobe Photoshop/Lightroom - Mac # Image handling - Process your images and upload to Romexis/Sidexis regularly - You must do it, because no one else will. - This is patient information so handle accordingly with privacy & respect - Do not leave to the end of semester - Karma - You will see the impact of not having the data you need to make a diagnosis - Do not do this to others. #### Image handling - Process your images and upload to Romexis/Sidexis regularly - You must do it, because no one else will. - This is patient information so handle accordingly with privacy & respect - Do not leave to the end of semester - Karma - You will see the impact of not having the data you need to make a diagnosis - Do not do this to others. **Clinical Hints and Tips** “ Get the right shot... (duh!) ” Tip 1 “Get the right shot... (duh!)” Tip 1 # Get the right shot... - Digital photography allows for multiple re-takes - But - Patients get tired - Each image takes time to handle, look at, and process - Takes up less storage - Set yourself and the patient up to get it right - Positioning - Lighting - Retraction of soft tissues #### Get the right shot... - Digital photography allows for multiple re-takes - But - Patients get tired - Each image takes time to handle, look at, and process - Takes up less storage - Set yourself and the patient up to get it right - Positioning - Lighting - Retraction of soft tissues “ Get in close ” Tip 2 “Get in close” Tip 2   Clinical photograph showing a dental study model of the upper and lower jaws. A gloved hand is holding the model to display the occlusion. An inset image within the photo provides a close-up view of the lower dental arch from an occlusal perspective. Close-up clinical photograph of the mandibular (lower) dental arch in occlusal view. The teeth exhibit significant staining and calculus accumulation along the cervical margins and interproximal areas. The gingival tissue appears pink and relatively healthy.  Clinical photo of an elderly male patient's face showing a frontal view. The patient has white hair and is seated in what appears to be a dental chair (blue headrest visible). His eyes are obscured by a black redaction bar. He is smiling, revealing the upper and lower dentition. The teeth appear to be natural or prosthetic with some spacing and wear consistent with age. The background includes blurred elements, including a green surface likely part of the dental environment. Even intra-orally   Even intra-orally Clinical photo showing a close-up view of upper anterior teeth intra-orally. The image displays multiple teeth with varying shades of yellowish discoloration and staining along the gumline. Clinical photo showing another intra-oral view of upper anterior teeth. One tooth exhibits significant dark discoloration and possible decay or restoration issues. A dental instrument labeled 'ND 6' is visible in the foreground, likely used for shade matching or examination. “Subject to take 3 to 4 steps from background” Tip 4 “Subject to take 3 to 4 steps from background” Tip 4   Clinical photograph showing the lower face of a male patient with short dark hair. The image captures the mouth area revealing dental malocclusion, including spacing and irregularity of teeth. A black rectangular bar obscures the eyes for privacy. Clinical photograph showing the lower face of a male patient with short dark hair. Similar to the left image, it displays dental malocclusion in the mouth region. A black rectangular bar obscures the eyes for privacy. “ Photos before alginates or plaque score Tip 5 ” “Photos before alginates or plaque score” Tip 5  Clinical procedure image showing a person undergoing the application of a grey alginate impression material to their face and neck. Two medical professionals are visible: one on the left (partially cropped) is applying the material, while a woman on the right observes with her hands covered in the substance, indicating active participation or preparation for the next step.  Clinical intraoral photograph showing the anterior dentition of a patient. The image displays both the upper and lower arches with significant gingival recession and generalized tooth wear. A red circle highlights a small, white, calcified lesion on the palatal surface of an upper incisor, likely representing a dental carious lesion or enamel defect. >Tip 6 Watch the angulation of the anterior image > Tip 6 > > Watch the angulation of the anterior image  Clinical photo: A composite of six intraoral photographs showing the patient's dentition from multiple angles (maxillary occlusal, mandibular occlusal, right and left buccal views, and frontal view). The images demonstrate severe dental pathology including extensive caries, dark staining on teeth, missing teeth, and poor periodontal health.   Large white 3D question mark on light blue background. Black textured panel with text 'Questions?' in serif font and speaker icon. Thanks  Thanks Clinical photo showing a close-up of human teeth and lips. A small white dental implant abutment with a black star-shaped design is placed against the lower lip. # Dental Photography Clinical Practice Session Poh.hun.loh@uwa.edu.au Dental Photography Clinical Practice Session Poh.hun.loh@uwa.edu.au Knowing the camera - Which camera am I using? - Which flash am I using? - Turning camera on and off - Turning flash on and off - Setting M mode - How to set Aperture, shutter speed and ISO - Camera battery in and out - Flash batteries in and out - SD card in and out #### Knowing the camera - Which camera am I using? - Which flash am I using? - Turning camera on and off - Turning flash on and off - Setting M mode - How to set Aperture, shutter speed and ISO - Camera battery in and out - Flash batteries in and out - SD card in and out Demonstration of Techniques - **Extra-oral** - Face - Profile - Smiling - At rest - Smile only - **Intra-oral** - Anterior - Anterior edge-to-edge - Lateral/buccal - Occlusal - *palatal/lingual #### Demonstration of Techniques - **Extra-oral** - Face - Profile - Smiling - At rest - Smile only - **Intra-oral** - Anterior - Anterior edge-to-edge - Lateral/buccal - Occlusal - palatal/lingual # Compulsory Formative activity * Photo Essay * Submit the photographs obtained during your practice session with the template from LMS * IF you do not have photos from your practice session, include photos taken from an OHCWA patient but attach the patient’s TOHM media consent. * Appraise and write reflective comments on the photographs you have taken suggesting areas for improvement [^1]: Original PDF page 1: [[P1 Dental Photography.pdf#page=1|P1 Dental Photography, p.1]] [^2]: Original PDF page 2: [[P1 Dental Photography.pdf#page=2|P1 Dental Photography, p.2]] [^3]: Original PDF page 3: [[P1 Dental Photography.pdf#page=3|P1 Dental Photography, p.3]] [^4]: Original PDF page 4: [[P1 Dental Photography.pdf#page=4|P1 Dental Photography, p.4]] [^5]: Original PDF page 5: [[P1 Dental Photography.pdf#page=5|P1 Dental Photography, p.5]] [^6]: Original PDF page 6: [[P1 Dental Photography.pdf#page=6|P1 Dental Photography, p.6]] [^7]: Original PDF page 7: [[P1 Dental Photography.pdf#page=7|P1 Dental Photography, p.7]] [^8]: Original PDF page 8: [[P1 Dental Photography.pdf#page=8|P1 Dental Photography, p.8]] [^9]: Original PDF page 9: [[P1 Dental Photography.pdf#page=9|P1 Dental Photography, p.9]] [^10]: Original PDF page 10: [[P1 Dental Photography.pdf#page=10|P1 Dental Photography, p.10]] [^11]: Original PDF page 11: [[P1 Dental Photography.pdf#page=11|P1 Dental Photography, p.11]] [^12]: Original PDF page 12: [[P1 Dental Photography.pdf#page=12|P1 Dental Photography, p.12]] [^13]: Original PDF page 13: [[P1 Dental Photography.pdf#page=13|P1 Dental Photography, p.13]] [^14]: Original PDF page 14: [[P1 Dental Photography.pdf#page=14|P1 Dental Photography, p.14]] [^15]: Original PDF page 15: [[P1 Dental Photography.pdf#page=15|P1 Dental Photography, p.15]] [^16]: Original PDF page 16: [[P1 Dental 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p.26]] [^27]: Original PDF page 27: [[P1 Dental Photography.pdf#page=27|P1 Dental Photography, p.27]] [^28]: Original PDF page 28: [[P1 Dental Photography.pdf#page=28|P1 Dental Photography, p.28]] [^29]: Original PDF page 29: [[P1 Dental Photography.pdf#page=29|P1 Dental Photography, p.29]] [^30]: Original PDF page 30: [[P1 Dental Photography.pdf#page=30|P1 Dental Photography, p.30]] [^31]: Original PDF page 31: [[P1 Dental Photography.pdf#page=31|P1 Dental Photography, p.31]] [^32]: Original PDF page 32: [[P1 Dental Photography.pdf#page=32|P1 Dental Photography, p.32]] [^33]: Original PDF page 33: [[P1 Dental Photography.pdf#page=33|P1 Dental Photography, p.33]] [^34]: Original PDF page 34: [[P1 Dental Photography.pdf#page=34|P1 Dental Photography, p.34]] [^35]: Original PDF page 35: [[P1 Dental Photography.pdf#page=35|P1 Dental Photography, p.35]] [^36]: Original PDF page 36: [[P1 Dental Photography.pdf#page=36|P1 Dental Photography, p.36]] [^37]: Original PDF page 37: [[P1 Dental 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