An effort has been made to encourage improved clinical photography. Contemporary and readily available photographic publications are included in the reference list at the end of this article. Those interested are encouraged to obtain copies for their personal libraries. Advantages and uses of a copy stand have been shown. Methods of obtaining black and white negatives from color slides have been described. The use of a 35 mm. copy technique has been expanded to encourage copying of older case histories, transfer records, and third-party requests. Duplication of radiographs using Kodak SO 185 film has been described. The concept of 8 by 10 inch color photographs, together with a typed description of the information to be learned, have been explained. These areas include parent, patient, and staff instruction and encourage the in-office fabrication of slide-tape sequences.The advantages of slide duplication have been covered. Correction of color, density, cropping, and primarily the safety factor of using duplicate slides to prevent loss or damage of slides frequently used by clinicians has been presented. Techniques for making color slides or black and white prints of plaster casts have been explained. The techniques showed lighting concepts to obtain modeling, form, and texture together with procedures to control shadows on casts.A lighting system for facial photographs using light reflected into an umbrella has been presented. This type of light is flattering and prevents the red eyes produced when the light source is close to the lens. Patients should not look at an on-the-camera strobe light but at a point away from the light. Use of a slave strobe light has been discussed in order that the backgrounds for facial photographs could be illuminated.21The difficulties experienced in the color balance of certain films has been described. One way to improve the color of photographs taken with Kodachrome 25 and Kodachrome 64 film by adding color-correction filter gels has been stated.An attempt has been made to encourage the use of either life-size or 8 by 10 inch facial photographs for more detailed diagnosis and consultation. Muscle activity is more readily visible on larger prints and is a valid requirement in orthognathic surgical procedures. The convenience of using prints for parent consultation and diagnosis has been described. One of the advantages of prints is that a projector is not required and the ambient light in a room does not have to be lowered.In the past, most clinical cameras were adaptations of regular photographic equipment. Currently, there are a number of detailed and technical articles on photographic techniques and types of equipment which can consistently produce dependable slides or prints. Before- and after-treatment photographs have been unique in the practice of orthodontics for many years. The availability of improved camera bodies, exposure meters, strobe lights, and longer focal length lenses with a better definition of what makes a good clinical photograph has created another sphere in orthodontic history and record production.It is hoped that this article will stimulate those who desire better clinical photographs to search the literature and to take the time to produce, in a consistent manner, superior clinical photographs, irrespective of film format.One of the thrusts of this article has been to encourage orthodontists to spend some time reading the theory of films, lenses, filters, and basic photographic techniques. The availability of photographic equipment of a hiqh quality, together with the understanding of a few concepts, will deliver credible photographs for the orthodontist and his staff. This knowledge can provide pleasure and service to the orthodontist, his colleagues, and the patients he treats. If custom photographic laboratories are used, a more specific channel of communication is afforded each party in order that a finished slide or print will please those involved.
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