Occlusal Photos
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Industry Clinical IMPLANT TRIBUNE | October 2008 26 Zimmer Dental launches CopiOs Pericardium Membrane Zimmer Dental Inc., a leading provider of dental oral rehabilita- tion products and a subsidiary of Zimmer Holdings, Inc., is pleased to announce the U.S. release of the CopiOs ® Pericardium Membrane. Sourced from bovine pericardial tissue, CopiOs Pericardium Mem- brane provides the characteristics of natural tissue, coupled with the ease-of-manipulation, conforma- bility and strength required to meet high clinical expectations and facilitate successful surgical outcomes. As the latest addition to Zimmer Dental’s broad range of comple- mentary regenerative membranes, the CopiOs Pericardium Membrane offers remarkable tissue compati- bility, and is ideal for guided bone regeneration procedures such as block graft coverage and large ridge augmentation where a mal- leable, drapeable and long-lasting barrier is desired. Product quality is preserved with the unique Tutoplast ® process, which thoroughly removes unwanted impurities while main- taining the tissues’ natural quali- ties and biomechanical stability. Customers who have been unable to obtain the Puros ® Peri- cardium Allogaft Membrane due to limited quantity and high demand will have access to the CopiOs Peri- cardium Membrane to meet their clinical needs. Both products undergo the Tuto- plast preservation process and con- sist of pericardial tissue; however the Puros membrane is sourced from human donor tissue while the CopiOs one is derived from bovine (i.e., cattle) tissue. CopiOs Pericardium Membrane is designed to work seamlessly with Zimmer Dental’s Puros family of bone grafting products. Under the brand name Tutodent ® , more than 50,000 of these bovine pericardial mem- branes have been implanted in patients in Europe and Asia since 2000. Zimmer Dental is proud to carry on this tradition with the CopiOs Pericardium Membrane. Contact your Zimmer Dental Sales Consultant or Customer Serv- ice at (800) 854-7019, (760) 929- 4300 (for outside the U.S.), or visit www.zimmerdental.com for more information. (Source: Zimmer Dental) By Martin B. Goldstein DMD The following e-mail is typical of the trials and tribulations that doc- tors and staff encounter when attempting to add digital occlusal shots to their new patient exam pro- tocols. “My staff and I are still having problems with getting decent occlusal pictures. We even bought the newer occlusal mirror with an attached han- dle and the lip lifter. We already had mirrors, both large and small, with- out handles. It seems to be a problem with getting a good clear picture back to the second molars, and of course, the lower is even harder than the upper. We blow air on the mirror to clear the fog. Perhaps the problem is that the patient is not reclined back in the chair enough, or is not opening wide enough. Should we be taking the picture from in front of the patient, or from behind? We take it from the front. Gagging is a problem all the time. I need some advice.” Occlusal images may indeed be tough to get. Assuming your camera is properly set up, the following tips might help regardless of whether you are using auto or manual focus to take your occlusal shots. (Note: manual focus might be more pre- dictable with respect to magnifica- tion and illumination, but auto-focus will certainly speed up the process). It’s important to retract the cheeks when taking occlusal shots. Wire retractors may aid the cause as mir- rors can slide through them rather than bump into them as they do with the solid plastic retractors It helps to pull the retractors up and out when shooting the maxilla and down and out when shooting the mandible. This 45 degree tug will expose the second molars. The patient is usually reclined to about 30 degrees with the photogra- pher shooting from the front of the patient. (If you are shooting with manual focus, use 1:3 magnifica- tion.) We often ask the patient to move his or her tongue behind the mirror when taking the occlusal shots. This often helps to clear the field. Air is essential to defog the mirror and a bit of indirect lighting from the overhead light will help the camera to lock in focus. Sounds crazy, but the wide end of the occlusal mirror goes in first, not the small end. (You’d be surprised at what I see at my hands-on seminars.) Attempt to get the image as close to a perpendicular to the occlusal plane as possible; the bigger the mouth, the easier it is. If I can’t get a good occlusal shot, I’ll take quadrant shots to make up for this using a smaller mirror Finally, realize that mirrored shots taken like this will need to be “mir- ror-flipped” vertically with image editing software to properly orient the arch prior to presentation. I hope these tips are helpful. Prac- tice makes perfect. ‘Those troublesome occlusal shots’ Dr. Martin Goldstein, a member of the International Academy of Dento-Facial Esthetics, practices general dentistry in Wolcott, Conn. Noted as a Dentistry Today C.E. Leader for the last five years, he lectures and writes exten- sively concerning cosmetics and the integration of digital photography into the general practice. A regular con- tributing editor for Dentistry Today, he has also authored numerous articles for multiple dental periodicals both in the United States and abroad. He can be contacted at [email protected]. His current speaking schedule can be found at www.drgoldsteinspeaks.com. About the author IT Example of an occlusal mirror view. IT-1008.qxd:ITUS_Title_MS 10/2/08 11:53 AM Page 26
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Transcript of Occlusal Photos
Industry Clinical IMPLANT TRIBUNE | October 200826
Zimmer Dental launches CopiOs Pericardium MembraneZimmer Dental Inc., a leading
provider of dental oral rehabilita-tion products and a subsidiary ofZimmer Holdings, Inc., is pleasedto announce the U.S. release of theCopiOs® Pericardium Membrane.Sourced from bovine pericardialtissue, CopiOs Pericardium Mem-brane provides the characteristicsof natural tissue, coupled with theease-of-manipulation, conforma-bility and strength required tomeet high clinical expectationsand facilitate successful surgicaloutcomes.
As the latest addition to ZimmerDental’s broad range of comple-mentary regenerative membranes,the CopiOs PericardiumMembraneoffers remarkable tissue compati-bility, and is ideal for guided boneregeneration procedures such asblock graft coverage and largeridge augmentation where a mal-leable, drapeable and long-lastingbarrier is desired.
Product quality is preserved withthe unique Tutoplast® process,which thoroughly removesunwanted impurities while main-
taining the tissues’ natural quali-ties and biomechanical stability.
Customers who have been
unable to obtain the Puros® Peri-cardium Allogaft Membrane due tolimited quantity and high demand
will have access to the CopiOs Peri-cardium Membrane to meet theirclinical needs.
Both products undergo the Tuto-plast preservation process and con-sist of pericardial tissue; howeverthe Puros membrane is sourcedfrom human donor tissue while theCopiOs one is derived from bovine(i.e., cattle) tissue.
CopiOs Pericardium Membraneis designed to work seamlesslywith Zimmer Dental’s Puros familyof bone grafting products.
Under the brand nameTutodent®, more than 50,000 ofthese bovine pericardial mem-branes have been implanted inpatients in Europe and Asia since2000. Zimmer Dental is proud tocarry on this tradition with theCopiOs Pericardium Membrane.
Contact your Zimmer DentalSales Consultant or Customer Serv-ice at (800) 854-7019, (760) 929-4300 (for outside the U.S.), or visitwww.zimmerdental.com for moreinformation.
(Source: Zimmer Dental)
By Martin B. Goldstein DMD
The following e-mail is typical ofthe trials and tribulations that doc-tors and staff encounter whenattempting to add digital occlusalshots to their new patient exam pro-tocols.
“My staff and I are still havingproblems with getting decent occlusalpictures. We even bought the newerocclusal mirror with an attached han-dle and the lip lifter. We already hadmirrors, both large and small, with-out handles. It seems to be a problemwith getting a good clear picture backto the second molars, and of course,the lower is even harder than theupper. We blow air on the mirror toclear the fog. Perhaps the problem isthat the patient is not reclined back inthe chair enough, or is not openingwide enough. Should we be taking thepicture from in front of the patient, orfrom behind? We take it from thefront. Gagging is a problem all thetime. I need some advice.”
Occlusal images may indeed betough to get. Assuming your camerais properly set up, the following tipsmight help regardless of whetheryou are using auto or manual focusto take your occlusal shots. (Note:manual focus might be more pre-dictable with respect to magnifica-tion and illumination, but auto-focuswill certainly speed up the process).
It’s important to retract the cheekswhen taking occlusal shots. Wireretractors may aid the cause as mir-
rors can slide through them ratherthan bump into them as they do withthe solid plastic retractors
It helps to pull the retractors upand out when shooting the maxillaand down and out when shooting themandible. This 45 degree tug willexpose the second molars.
The patient is usually reclined toabout 30 degrees with the photogra-pher shooting from the front of thepatient. (If you are shooting withmanual focus, use 1:3 magnifica-tion.)
We often ask the patient to movehis or her tongue behind the mirrorwhen taking the occlusal shots. This
often helps to clear the field.Air is essential to defog the mirror
and a bit of indirect lighting from theoverhead light will help the camerato lock in focus.
Sounds crazy, but the wide end ofthe occlusal mirror goes in first, notthe small end. (You’d be surprised atwhat I see at my hands-on seminars.)
Attempt to get the image as closeto a perpendicular to the occlusalplane as possible; the bigger themouth, the easier it is.
If I can’t get a good occlusal shot,I’ll take quadrant shots to make upfor this using a smaller mirror
Finally, realize that mirrored shots
taken like this will need to be “mir-ror-flipped” vertically with imageediting software to properly orientthe arch prior to presentation.
I hope these tips are helpful. Prac-tice makes perfect.
‘Those troublesome occlusal shots’
Dr. Martin Goldstein, a member of theInternational Academy of Dento-FacialEsthetics, practices general dentistryin Wolcott, Conn. Noted as a DentistryToday C.E. Leader for the last fiveyears, he lectures and writes exten-sively concerning cosmetics and theintegration of digital photography intothe general practice. A regular con-tributing editor for Dentistry Today, hehas also authored numerous articlesfor multiple dental periodicals both inthe United States and abroad. He canbe contacted at [email protected] current speaking schedule can befound at www.drgoldsteinspeaks.com.
About the authorIT
Example of an occlusal mirror view.
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