The protocol of digital photography

Photographic documentation can be extremely useful in cases where dental treatment contributes to the esthetics of the patient’s face.
The situations demanding photographic documentation can be divided into three main categories: 
 Facial portraits
 extraoral
 intraoral photographs.

In addition, laboratory photography is also considered part of this protocol.

1️⃣ Facial portraits:
provide necessary photographic evidence for a correct analysis of the preoperative situation and, later, of the provisional restorations and finally the definitive results. 
⛔️ It is advisable to maintain the same background, preferably white, black or gray. The images must portray frontal and lateral smile views, each acquired when the patient is first at rest, then with a semi-smile, and finally with a full, open-mouth smile. (3 photos: front, left, right) 


2️⃣ Extraoral photos:                                                                      Photos of the dentolabial area is of primary importance focusing on the anterior teeth and lips. The smile is analyzed beginning from its rest position, with a gradual shift toward a full smile. Like facial portraits, frontal and lateral profile views should be included ( 3 photos: front, left, right ) 
⛔️ It is important that the lens remains perpendicular to the nose-mouth-chin angle. So the dentist will be able to evaluate correctly the curve created during a smile and the relationship between the incisal edges of the teeth and the lower lip. 


3️⃣ Intraoral photography:    
Frontal view of dental arches is the simplest intraoral photograph a dentist takes. Using retractors, the patient remains seated with the teeth in intercuspation and the operator is positioned directly in front of the patient. Within the frame of the image, all teeth should be visible. The focus should be manually adjusted on the canines to ensure a greater depth of field “ greater details “.
Lateral views: a mirror is required with the help of an assistant. The mirror is placed on the side to be photographed and positioned to move the cheek away from the teeth; at the same time the lip retractor is inserted in the opposite side of the mouth to ensure that the lips do not obstruct the view of the dental arch. The lens is aimed perpendicular to the mirror focusing on the premolars. ( 3 photos: front, left, right )            👉🏻 Frontal and lateral intraoral photos using black contrastors 😎 are important to emphasize the chromatic characteristics of the teeth. ( 3 photos: front, left, right ) 



Maxillary occlusal view.
Mandibular occlusal view.


Overjet and overbite: the patient is seated with teeth in intercuspation, and the operator is positioned to the side of the patient. Retractors are gently pulled back and the lens is manually focused on the central incisors.

🧜🏻‍♂️ Finally, you can get at least about 14 essential photos of your patient acting like you have the patient in the office all the time.