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Billions of photographs are taken worldwide each day, and most of them are captured with a smartphone. In the context of clinical dentistry, many clinicians use their smartphone to take clinical photographs for communication or documentation simply because they cannot operate or afford a professional camera. Author Louis Hardan understands too well how a poorly taken photograph can compromise the quality of dentistry delivered to the patient, which is why he launched the Mobile Dental Photography (MDP) project in 2012. He wanted to find a way to make documentation and communication easy and affordable to all dentists and laboratory technicians, including students. In this book he outlines how to use the smartphone camera with auxiliary lighting and accessories to take photographs for treatment planning, documentation and self-evaluation, communication with the patient and laboratory technician, tracking the evolution of treatment, as well as for publishing, lecturing, and insurance and medicolegal purposes. He also shows how to take artistic photographs to wow your followers on social media and effectively market your practice online. You really can get similar-quality images with a smartphone camera as with a DSLR camera; you just need to know how to use it. This book is the key.
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Protocols for Mobile Dental Photography with Auxiliary Lighting
Library of Congress Cataloging-in-Publication Data
Names: Hardan, Louis, author.
Title: Protocols for mobile dental photography with auxiliary lighting / Louis Hardan.
Description: Chicago : Quintessence Publishing, 2020. | Includes bibliographical references and index. | Summary: “Demonstrates how to document dental treatment and take artistic photography with a smartphone camera in conjunction with auxiliary lighting”—Provided by publisher.
Identifiers: LCCN 2020020011 | ISBN 9780867159462 (hardcover)
Subjects: MESH: Photography, Dental--methods | Dental Records | Mobile Applications | Smartphone | Lighting
Classification: LCC TR708 | NLM TR 708 | DDC 617.60022/2--dc23
LC record available at https://lccn.loc.gov/2020020011
© 2020 Quintessence Publishing Co, Inc
Quintessence Publishing Co, Inc
411 N Raddant Road
Batavia, IL 60510
www.quintpub.com
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All rights reserved. This book or any part thereof may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, or otherwise, without prior written permission of the publisher.
Editor: Leah Huffman
Design: Sue Zubek
Production: Sarah Minor
Printed in China
CONTENTS
About the Author
Foreword
01Introduction
02Why Document?
03Advantages of Mobile Dental Photography
04Specifications of a Smartphone Camera
05Accessories Needed for MDP
06Types of Light
07Smile Lite MDP
08Important Rules for MDP
09How to Take Intraoral Photographs with MDP
10How to Take Extraoral Photographs with MDP
11Mobile Dental Video
12Applications of MDP
Epilogue
Index
ABOUT THE AUTHOR
Louis Hardan, DDS, PhD, is a professor and the director of the master program in the Restorative and Esthetic Department at Saint Joseph University in Beirut, Lebanon. He received his dental degree in 1989 and continued his postdoctoral education at Saint Joseph University, where he obtained a certificate for basic science in 1993, completed his specialization in restorative and esthetic dentistry in 1995, and completed his PhD in oral biology and materials in 2009. Dr Hardan maintains a private practice in his hometown of Byblos, Lebanon, and he is the scientific director and an honorary and active international member of StyleItaliano. He is also the country chairperson for Lebanon of the European Society of Cosmetic Dentistry. Dr Hardan is the inventor of Smile Lite MDP (Smile Line), a device used to take high-quality dental photographs with a mobile phone, for which he won the Best of Class Technology Award in 2017, as well as Posterior Misura (LM instrument), an instrument for shaping direct posterior composites. He has many publications to his name in international journals and has given several international lectures and courses on esthetics, restorative dentistry, and mobile dental photography.
FOREWORD
“You should never judge a photographer by the type of film used, but only how he uses it.”
–Ernst Haas
Walter Devoto & Angelo Putignano Founders of StyleItaliano
Since Professor Louis S. Hardan joined the StyleItaliano team, every day he has shown the curiosity and interest in simplified dentistry that is in our StyleItaliano DNA. One day he came to us and said, “Taking a good dental photo must be as easy and pleasant as taking a selfie.”
We were shocked by this, considering all the effort that goes into taking high-quality photographs in the clinic, all the devices and details required, all the money invested in making the communication better and better in our courses and lectures. But then he came with a smart prototype and showed us a series of photographs. They were breathtaking—in clarity, resolution, sharpness, and the way the light was managed.
And the device in question was his mobile. With some smart lighting of course.
We finally understood. He was thinking exactly of all the dentists and students who don’t take photographs because it is too complicated and expensive. He was thinking of an easy way to communicate with the dental technician. He was thinking of the assistants, always struggling with the professional camera. He was thinking of the easiest and best way to speak with the patient and create a positive relationship. All of this is the real philosophy and target of StyleItaliano.
We are proud of this work, proud to encourage every dentist to always document every case. This is the way to grow your skills and to share emotions with everyone around.
Although some may express cynicism at the use of smartphones in clinical photography, we would like to remind you of the initial quote by Ernst Haas: “You should never judge a photographer by the type of film used, but only how he uses it.” Smartphone cameras are evolving rapidly, and the photographs in this book are the best proof that it is not the type of camera that dictates the quality of a photograph—it’s how you use it.
Enjoy the book with passion and bright eyes!
Introduction
Billions of photographs are taken worldwide each day, and most of them are captured with a smartphone.
The past is gone, we live in the present, and no one can predict the future. This is a reality that we cannot deny. Because our memories can be unclear and lack detail, to keep them alive we often try to capture moments with photographs and videos. Inventor Nicéphore Niépce is credited as the first to take a partially successful photograph in the early 19th century. This technology was slow to evolve, eventually picking up pace in the late 20th century with the introduction of pocket cameras, followed by the integration of cameras in mobile phones in recent years.
In 2011, only about 10% of the world’s population used a smartphone. In 2018, that figure jumped to 36%, with an estimated 3.8 billion users in 2021. Because smartphones are relatively similar in design, utility, and performance, smartphone companies are shifting their attention to the quality of their products’ cameras to give them the competitive advantage in the marketplace. After all, billions of photographs are taken worldwide each day, and most of them are captured with a smartphone. Improved optical zooming (10× or more), 360-degree video, and 3D imaging with depth sensing are the serious projects of the future for smartphone cameras, and there are plenty of other innovations on the horizon. This technology war between the dueling smartphone companies has spurred rapid evolution in the capabilities of smartphone cameras, leading even some professional photographers to start using their smartphones to take high-quality photographs with great definition.
We know that many dentists already use their smartphone cameras to document their cases and communicate with their laboratory because they do not have professional cameras, but a poorly taken photograph can compromise the quality of the dentistry delivered to the patient. Therefore, it is important to understand how to properly use a smartphone camera in the context of clinical photography. That is why we started the Mobile Dental Photography (MDP) project in 2012; we wanted to find a way to make documentation and communication easy and affordable to all dentists and laboratory technicians, including students. Even in hospitals, the trend of using smartphones and wireless technologies is increasing with the aim of providing high-quality, cost-effective, and altogether better health care.
Why Document?
The primary reason to document in dentistry is to record with precision the actual oral situation or procedure performed, and as part of this process dental photography can be employed for diagnostic, clinical, and medicolegal purposes.
Patients’ dental records comprise documents concerning the history of their dental conditions, clinical examinations, diagnoses, and treatments. The primary reason to document in dentistry is to record with precision the actual oral situation or procedure performed, and as part of this process dental photography can be employed for diagnostic, clinical, and medicolegal purposes.
High-quality photographs are required to obtain more information from the images, allowing their use in multiple fields of dentistry. Photography can be used for treatment planning, documentation and self-evaluation, communication with the patient and laboratory technician, tracking the evolution of treatment, as well as for publishing, lecturing, and marketing; it can also be used for artistic, insurance, or legal purposes.
Treatment Planning
From the patient’s first visit to the dental clinic, dental photography can prove its worth as a diagnostic and evaluative tool. A complete set of oral photographs is essential to create a thorough treatment plan. It can be a very useful implement for the analysis of facial profiles, for the evaluation of prosthetic rehabilitation, for the detection of caries or enamel defects, and for the assessment of gingival health and periodontal pocket or ridge morphology prior to implant placement. Moreover, photographs can be sent to external specialists for a second opinion without need for patient consultation, facilitating better diagnosis and optimized treatment planning. For esthetic cases, photographs can be used to build a smile design so the patient can see the final outcome via a virtual mockup on screen that can be printed and transferred to the mouth with bis-acryl material (Figs 1 and 2). Many smile design softwares are evolving to be used on smartphones as an app or on a website where you can upload photographs directly from the image gallery.
FIGS 1 & 2The patient can see his final smile design before beginning treatment. The photographs serve to build this smile, and if the patient approves the design, the dentist can begin the treatment in a guided way.
Documentation and Self-Evaluation
For many years documentation in dental records relied on handwritten notes, radiographs, study models, and clinical photographs. Today most of this documentation is digitized for accessibility purposes. Photographs constitute a very effective archiving tool, providing improved documentation of clinical conditions over time and facilitating observation and monitoring.
Photographs also allow a more precise assessment of the completed work and the procedures followed, enabling effective self-evaluation. Details imperceptible to the human eye without magnification all of a sudden become clear. Moreover, the practitioner can easily examine and compare different procedures for different patients to determine which led to a better outcome, potentially improving future treatment planning.
With the evolution of smartphone cameras, accessibility is further enhanced because every dentist has a phone in his or her pocket that is designed to be user friendly. Photographs taken on a smartphone can be organized into folders by case and later evaluated on a larger screen to evaluate the quality of the work in hopes of improving it in future cases (Figs 3 and 4).
FIGS 3 & 4Before and 4 weeks after restoration of the first molar (and 1 year after restoration of the second molar). Examination of these photographs allows better assessment of the work performed than direct examination in the mouth and exposes any problems that can be corrected in the future.
Communication with the Patient and the Dental Technician
Effective communication between the practitioner and the patient is crucial for the success of any dental treatment, and a photograph is the simplest way to communicate dental information to patients. Images leave an impression on the patient and give him or her the sufficient confidence to move forward with treatment. Sometimes it is only by seeing photographs of their teeth that patients really understand their current dental situation and the treatment planning that the dentist proposes. This is especially true for patients who have sought dental advice elsewhere with negative experiences.
Patients often appreciate viewing photographs of their dental procedures to see exactly how their treatment was carried out. Patients can hence visualize things that they were only capable of imagining before, such as the presence and size of carious lesions (Figs 5 and 6) or the shape of pulp chambers during root canal treatment. Furthermore, by showing photographs of the clinical sequence of similar cases to the patient during the treatment plan presentation, he or she is better able to understand the procedure and predict the result. This is often helpful in justifying the cost of treatment, especially in advanced cases.
FIGS 5 & 6Patients should know that sometimes a small black line on a tooth can hide a big carious lesion and that they should consult a dentist when they see such a lesion on their teeth. This information can be very empowering for patients who want to be in control of their dental health.
