Sunday, October 5, 2008

Say Cheese! Pt 5 (Photography Reflection)

Hello all.

In Semester 2A I managed to organise two photo sessions with patients, each with a different patient. I chose these patients because they were both smokers, meaning that I could also use these images in my TUPAC assignment. One of the patients would be inappropriate to use in my photography portfolio as they have lost most of their posterior teeth. Fortunately, the other patient has all of their teeth.

In the soft tissue examination of one of these patients I identified some hyperkeratinised areas that the dentist classified as ‘smokers stomatitis’. As well as monitoring any changes over our appointments, I may also be able to take some follow-up photographs of these soft tissue lesions for comparison with the ones I have already taken. If I manage to take them with accurate reproduction I should be able to identify even minor changes that may have occurred in these tissues.

I took the photos of the patient with a complete dentition early in the semester. When it came to taking the lateral shots I mentioned to my patient that they could be taken with mirrors or by retraction and direct vision (oblique lateral view as mentioned in Bengel, Wolfgang (2002 p.69)). The patient preferred the idea of using retraction, so that is how I ended up taking those photos. Although these photos turned out okay, the use of mirrors would have provided a better angled and better composed shot. In hindsight it would have been better to see if the patient could tolerate the buccal mirrors before mentioning and resorting to an oblique lateral view. I considered re-taking the photos in another appointment; however, as not all photos in the portfolio need to be perfect, I decided my patient’s time would be better spent receiving treatment.

It was a challenge to take some of the photos of the patient with partial edentulism, but my goal was to photograph the teeth present without causing patient discomfort.

Overall I am fairly happy with the quality of the photographs I took of my patients. There are aspects that I would do differently if I was to take them again, but that is what the self evaluation is for!

Nick

1 comment:

Luke K said...

nice one Nick! I have also taken some intra - oral Clinical photographs on a pt with p/ denture. My pt only had one upper tooth so for the purpose of our assignment I asked my pt to leave the denture in. This way i could practice my focal points and review my results a lot better than would have been possible to review with only one upper tooth present.