FCCH Dental Diagnostic Images

Para completar este formulario en español:

Name*

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Birth Date*

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Instructions:

You have been asked by your dentist to provide photographs so that we can give you an accurate diagnosis of your dental problem.

For the best results, you will need a smartphone to complete this process. You should use the back camera, which produces much better images than the front camera. If you are alone, you can stand in front of a mirror with the screen facing the mirror and the back camera aimed towards your face. You will need to look in the mirror to see the buttons on your screen.

Alternatively, you can have a friend or family member hold the phone and take the pictures for you.

For the first 3 pictures, keep your teeth together and your lips slightly parted. Hold the phone about 12 inches away from your face.

1. Take a photo of the RIGHT side of your face.

2. Take a photo of your face from DIRECTLY IN FRONT.

3. Take a photo of the LEFT side of your face.

Now move the phone 2-3 inches away from your mouth.

Take 3 photos from different angles of the area of your mouth that is bothering you. (For back upper teeth you may need to turn the phone upside down so that the back camera is at the bottom of the phone rather than the top.)

Please describe your dental problem