0 Diagnostic

Sitting:

Suction spit:

Creaking:

Dental anxiety:

Good looking:

Lose job:

Make memories:

Freebies:

Types of DA's:

CliniViewer
Username: guni
Password: qscan
Search using the Pt's name

Techniques for radiographs:
Paralleling PA technique:


Bisecting angle technique:


Endo or Implant radiography:

OPG:

CBCT:

Clincam instructions
C1 intraoral
C2 extraoral

Extraoral:
For extraoral full face use F11
• Can use assistant to hold up a b/g during full phase photograph
(• Pt in front of neutral b/g, usually opposite to hair color. Don't have Pt too close to b/g. Be on level w/ Pt)
• Extra-oral, full repose (aka facial): Lips slightly apart and relaxed, show from clavicle to little bit of top of head
• Extra-oral, full smile (aka smiling): Smile
• Extra-oral, profile: Turn to L, your R, so ear becomes center of image; lips in repose, lips slightly apart and relaxed
(• Extra-oral, full retracted: Mouth retracted, teeth slightly apart)

OPTIONAL: For up-close and intraoral switch to F25
(Have Pt sit in front, knee to knee; ensure on level w/ Pt)
• Up-close, repose: Lips apart and relaxed
• Up-close, smile: Smiling. If using F25, some teeth may not be in focus, may need increase F-stop to higher number
• Up-close, L/R smile: Pt turns 45 degrees L and R while smiling, so lateral incisor pointing directly at camera
• Up-close, chin down, smile: Pt look straight towards you, point down and chin down, to capture how max incisor edges positioned in relation to wet dry line of lower lip when Pt is smiling
• Up-close, profile smile: Orient Pt same for full face profile, facing L or our R, capturing AP relationship of max incisor to lower lip w/ Pt smiling

Intraoral:
• Have Pt lying in supine position, raising chin
• Use triplex to keep tissue dry, and to keep mirrors clear
• Pt keeps their teeth open using cheek retractors, out and forwards. For maxillary also pulling upwards, mandibular also pulling downwards
• Use aperture F25 for intraoral
(Ask Pt to suck in before taking shot, to minimize saliva)
• Retracted, teeth together (aka frontal): bite in max intercuspation
• Retracted, teeth apart (aka leeway space): slightly open to visualize incisal edges
(• Retracted L/R, lateral apart: w/ teeth slightly apart, camera directly pointing at lateral side)
(Mirror shots need to be flipped horizontally since are reflected image. Soak mirrors in warm water prior to putting in Pt's mouth, and ask Pt to breathe through nose)
• Retracted L/R buccal: Mirror in on side, placing as far back as can. Angle mirror out away from posterior teeth. So rule of 45-and-45, mirror moved to 45 degree angle to teeth, then taking photo at 45 degree to mirror, creating an ideal 90 degree angle to teeth. Teeth together in maximum intercuspation. Alternately can also pull further back on either side
• Retracted U/L occlusal: Tilt head/chin as far back as possible. Place mirror on retromolar pad or max tuberosity, and tilt open as far as will allow, so all O surfaces of teeth (esp posterior teeth) visible. Retract so lips off anterior teeth. For lower O view, ask Pt to place tongue on to roof of mouth
(• Retracted linguals: O plane of quadrant should parallel upper/lower border of image, trying capture D of canine to most posterior tooth on quadrant, focusing on the 4 or 5 for picture. Place mirror closer to midline, angling away from teeth towards camera)
(• Retracted anterior 6 black: take using black contrastor behind teeth, taking image of both upper and lower, from canine to canine)

Flash:

iTero/Trios:
• Scan lower dentition, starting on occlusal surfaces; try looking at the screen while scaning; and ensure latched on to last image
• Scan upper dentition
• Scan bite, asking Pt to open, place scanner in, then bite down, then scanning, until registers; then repeat for other side

KaVo DIAGNOcam: