How to optimize intraoral imaging using a smartphone

How to optimize intraoral imaging using a smartphone

Accepted Manuscript How to optimize intraoral imaging using a smartphone Sandip Agrawal, MD, Kiran Chahal, MD, Aseem Sharma, MD, Rachita Dhurat, MD PI...

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Accepted Manuscript How to optimize intraoral imaging using a smartphone Sandip Agrawal, MD, Kiran Chahal, MD, Aseem Sharma, MD, Rachita Dhurat, MD PII:

S0190-9622(19)30695-4

DOI:

https://doi.org/10.1016/j.jaad.2019.04.060

Reference:

YMJD 13411

To appear in:

Journal of the American Academy of Dermatology

Received Date: 27 February 2019 Revised Date:

20 March 2019

Accepted Date: 1 April 2019

Please cite this article as: Agrawal S, Chahal K, Sharma A, Dhurat R, How to optimize intraoral imaging using a smartphone, Journal of the American Academy of Dermatology (2019), doi: https:// doi.org/10.1016/j.jaad.2019.04.060. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Title Page

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Title: How to optimize intraoral imaging using a smartphone

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Sandip Agrawal, MD1; Kiran Chahal, MD1; Aseem Sharma, MD1; Rachita Dhurat,

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MD1

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1-department of dermatology, LTMMC & GH, Mumbai.

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Corresponding author:

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Aseem Sharma

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Department of dermatology, OPD16, 2nd floor of new OPD building, Sion west,

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Mumbai-22

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9920868737

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[email protected]

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This article has no funding source

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The authors have no conflict of interest to declare

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Word count: 240

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References: 1

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Manuscript

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Technological Challenge

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Imaging of the oral cavity is necessary for documenting clinical findings,

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diagnoses, for training and education, for medicolegal purposes, publishing, and

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even for communication with patients. Capturing images of the oral cavity often

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requires expertise, and is time-consuming. The usage of smartphone cameras is

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marred by certain limitations like blurring, light glare and reflected shadows of

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dental crowns and units.

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Technical Solution

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While placing the smartphone near the oral cavity, it is held with the thumb and index

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finger, and stabilized with the little finger which is kept over the cheek of patient. The

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little finger acts as a fulcrum which is used to move the smartphone to get the proper

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photographic alignment, and focal length. Flash 1 is another smartphone is kept parallel

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to, and near the flash system(Flash 2) of the main smartphone, from which image is to

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be captured. We have kept flash 1 switched on permanently, but flash 2 gets activated

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only while the smartphone clicks the picture. (Figure 1)The settings for ISO, exposure

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and shutter speed are to be set to the Auto mode. Parameters like white balance, colour

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saturation and temperature might need minor post-photo editing. The retractors and

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mirrors can be used wherever required. The authors used a Samsung Note 8®

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smartphone with a 12MP, double lens camera. Proper videos and images taken with this

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optimized technique can be used for the purpose of patient demonstration and

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educational teaching. (Figure 2)

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References

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1. Casaglia, A et al. “Dental photography today. Part 1: basic concepts” ORAL &

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implantology vol. 8,4 122-129. 23 Jul. 2016, doi:10.11138/orl/2015.8.4.122

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Legends

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Figure-1 (i) the smartphone focused over area of interest and it is held with the

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thumb and index finger, and stabilized with the little finger which acts as a

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fulcrum and is kept over the cheek of patient.

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(ii) The second flash which helps in better focus of the camera.

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(iii)A schematic diagram of intraoral photography showing the position of

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camera and second flash.

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Figure-2 A clear, sharp image, with focus on the lesion over buccal mucosa.

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