OrthoFX Steps to Success: Photographic Records

Extra-Oral Photos

Patient should be at a comfortable, direct angle to the camera while standing or seating. High quality photos assist our doctor team to create the best treatment plan possible.

Face Frontal Smiling

  • Patient’s natural smile
  • Patient looking forward
  • Head leveled
  • Capture collarbone

The patient’s natural smile line is very important for us while designing the treatment plan. It provides information on esthetics and soft tissues proportions.

Face Frontal Not Smiling

  • Lips together & relaxed
  • Patient looking forward
  • Head leveled
  • Capture collarbone

Profile Not Smiling

  • Lips together & relaxed
  • Patient looking forward
  • Hair behind ears
  • Capture collarbone

It is important to take this photo with the correct head position and lighting. Any change in the angulation can result in confusion regarding the patient’s actual skeletal condition. Ideally, the whole side of the face should be visible in the picture with no shadows.

Intra-Oral Photos

Should be taken using cheek retractors and while patient sitting in the dental chair.

Upper Occlusal

  • Take reflection of photo in mirror
  • Rest mirror behind lower molars
  • Capture all teeth including 2nd molars
  • Use air to dry foggy mirrors

Using a mirror is very important to capture all the tooth surfaces, as well as using a retractor to move the lips away from the teeth. If the mirror starts getting foggy, use air to dry it while the picture is taken.

 
Tip: Have patient tilt their head forward to easily capture the full arch image.

Lower Occlusal

  • Take reflection of photo in mirror
  • Retract tongue with mirror
  • Rest mirror behind upper molars
  • Capture all teeth including 2nd molars
  • Use air to dry foggy mirrors

Tip: Ask the patient to put their tongue behind the mirror, so it won’t block the lingual surface of the anterior teeth.

 

Right Buccal In Occlusion

  • Use one retractor, have patient pull it back to expose posterior teeth
  • Turn patient’s head to left
  • Take picture at 90° to canine-premolar area
  • Capture 1st cusp tip of upper 2nd molar

Tip: It is important to be able to see the canine and molar relationship.

 

Front Facing In Occlusion

  • Take picture at 90 degrees to facial midline
  • Capture molars
  • Keep occlusal plane level in the center of the frame

Left Buccal In Occlusion

  • Use one retractor, have patient pull it back to expose posterior teeth
  • Turn patient’s head to right
  • Take picture at 90° to canine-premolar area
  • Capture 1st cusp tip of upper 2nd molar

Tip: It is important to be able to see the canine and molar relationship