Presentation1 / orthodontic courses by Indian dental academy

Video imaging
www.indiandentalacademy.comwww.indiandentalacademy.com

ContentsContents
 IntroductionIntroduction
 HistoryHistory
 Benefits of VideoimagingBenefits of Videoimaging
 Software programs for videoimagingSoftware programs for videoimaging
o JOE (Jiffy Orthodontic Evaluation)JOE (Jiffy Orthodontic Evaluation)
o Quick CephQuick Ceph
o DigigraphDigigraph
o Dentofacial palnnerDentofacial palnner
o PorDiosPorDios
o NemocephNemoceph
o Dolphin imaging systemDolphin imaging system
 ConclusionConclusion

Video imagingVideo imaging
 Video – is the technology of electrically capturing,Video – is the technology of electrically capturing,
recording, processing, storing, transmitting, andrecording, processing, storing, transmitting, and
reconstructing a sequence of still images representingreconstructing a sequence of still images representing
scenes in motion.scenes in motion.
 Imaging – it is the formation of an image.Imaging – it is the formation of an image.

THESE ARE PROGRAMS THAT EASILYTHESE ARE PROGRAMS THAT EASILY
CAPTURE FROM DIGITAL CAMERAS,CAPTURE FROM DIGITAL CAMERAS,
SCANNERS, RADIOLOGICAL DEVICES,SCANNERS, RADIOLOGICAL DEVICES,
PERFORM DETAILED CEPHALOMETRICPERFORM DETAILED CEPHALOMETRIC
TRACINGS AND ANALYSES, GIVESTRACINGS AND ANALYSES, GIVES
EXTENSIVE TREATMENT PLANNINGEXTENSIVE TREATMENT PLANNING
OPTIONS & EFFECTIVELY PRESENTS &OPTIONS & EFFECTIVELY PRESENTS &
CONSULTS WITH PATIENTS ANDCONSULTS WITH PATIENTS AND
AUTOMATICALLY GENERATESAUTOMATICALLY GENERATES
CUSTOMIZABLE RECORDS & REPORTS.CUSTOMIZABLE RECORDS & REPORTS.

HistoryHistory
 1957- The earliest known digital image1957- The earliest known digital image
processing by a digital computer occurred inprocessing by a digital computer occurred in
with the first picture scanner attached to thewith the first picture scanner attached to the
National Bureau of Standards ElectronicNational Bureau of Standards Electronic
Automatic Computer (SEAC), built andAutomatic Computer (SEAC), built and
designed by the scientists at the United Statesdesigned by the scientists at the United States
National Bureau of Standards andNational Bureau of Standards and
Technology.Technology.1616

 Ricketts advocated the use of computers to predictRicketts advocated the use of computers to predict
growth because they could put large amounts ofgrowth because they could put large amounts of
data into a clinically useful form.data into a clinically useful form.
 This led to the development of the original versionThis led to the development of the original version
of the Rocky Mountain Data Systems (RMDS).of the Rocky Mountain Data Systems (RMDS).
 Rocky Mountain Orthodontics (RMO) was theRocky Mountain Orthodontics (RMO) was the
first to provide the dental profession in the latefirst to provide the dental profession in the late
1960s with a computer-aided cephalometric1960s with a computer-aided cephalometric
diagnosisdiagnosis

 PorDios (Purpose on Request Digitizer InputPorDios (Purpose on Request Digitizer Input
Output System) : cephalometric IBM-Output System) : cephalometric IBM-
compatible system in the 1980scompatible system in the 1980s11
 Dentofacial Planner : computer-aidedDentofacial Planner : computer-aided
diagnostic and treatment planning softwarediagnostic and treatment planning software
system for Orthodontics and Orthognathicsystem for Orthodontics and Orthognathic
surgery in 1980ssurgery in 1980s11
 Quick Ceph image in 1988 was designedQuick Ceph image in 1988 was designed
especially for high-end Macintosh computersespecially for high-end Macintosh computers
that did computerized cephalometrics .that did computerized cephalometrics .

BENEFITS OF VIDEOIMAGINGBENEFITS OF VIDEOIMAGING

1. Improved communication1. Improved communication
Patient understandingwww.indiandentalacademy.comwww.indiandentalacademy.com

Realistic treatment expectationsRealistic treatment expectations

Patient acceptancePatient acceptance
 Visual dialogue imparts confidence andVisual dialogue imparts confidence and
subsequently acceptance for the treatmentsubsequently acceptance for the treatment
recommendations. (Ackermann & Proffit 1995)recommendations. (Ackermann & Proffit 1995)

Interactive informed consentInteractive informed consent
 Bioethicists across the country and theBioethicists across the country and the
jurisprudence system in many states havejurisprudence system in many states have
concluded that the doctor as the soleconcluded that the doctor as the sole
decisionmaker is an abuse of professionaldecisionmaker is an abuse of professional
authority (Ackermann & Proffit 1995)authority (Ackermann & Proffit 1995)

2. Data manipulation2. Data manipulation
 Ease of archivingEase of archiving
 Decreased storage spaceDecreased storage space -- 1.5 to 3.0 gigabytes1.5 to 3.0 gigabytes forfor
400 patients.400 patients.

 Rapid comparison of treatment plansRapid comparison of treatment plans

3. Improved treatment planning3. Improved treatment planning
 Treatment planning from soft tissue analysisTreatment planning from soft tissue analysis
versus cephalometric dataversus cephalometric data

 Immediate visualization with bony movementsImmediate visualization with bony movements

 Rapid assimilation of various treatmentRapid assimilation of various treatment
possibilitiespossibilities

4. Interface with collaborating specialists4. Interface with collaborating specialists
 Coordinated treatment planningCoordinated treatment planning

Improved data exchangeImproved data exchange

Morphing is a special effect in motion pictures and animations that changes
(or morphs) one image into another through a seamless transition
Morphing the imageMorphing the image

Facial change can be predictedwww.indiandentalacademy.comwww.indiandentalacademy.com

Software ProgramsSoftware Programs
 JOE (1960 s)JOE (1960 s)
 PorDios (1980 s)PorDios (1980 s)
 Quick Ceph (1988)Quick Ceph (1988)
 Digigraph (1980s)Digigraph (1980s)
 Dentofacial plannerDentofacial planner
(1982)(1982)
 Proview (1993)Proview (1993)
 WinCeph 8.0WinCeph 8.0
 OrisCephOrisCeph
 LightningCephLightningCeph
 Cephbasic (FYITEKCephbasic (FYITEK
software)software)
 Cephalometrics.nlCephalometrics.nl
 QuadCephQuadCeph
 LogiCeph 1.2LogiCeph 1.2
 FastCephFastCeph
 PentaCephPentaCeph
 BasicX 9.0BasicX 9.0


 winRPwinRP
 Flash morphingFlash morphing
 Viewbox (dHALViewbox (dHAL
software)software)
 Dolphin ImagingDolphin Imaging
systemsystem
 LaserLogicLaserLogic
 EasyCephEasyCeph
 InsigniaInsignia
 Trace-XTrace-X
 NewCeph (2001)NewCeph (2001)
 OnyX Ceph (2002)OnyX Ceph (2002)
 NemocephNemoceph
(2004,05,06)(2004,05,06)
 Dr Ceph 2008Dr Ceph 2008
 CephX 2008CephX 2008
 Digora 2008Digora 2008
 Facad 2009Facad 2009
 Hummingbird (2009)Hummingbird (2009)www.indiandentalacademy.comwww.indiandentalacademy.com

RMO's jiffy Orthodontic EvaluationRMO's jiffy Orthodontic Evaluation
 Rocky Mountain Orthodontics (RMO) was theRocky Mountain Orthodontics (RMO) was the
first to provide the dental profession in the latefirst to provide the dental profession in the late
1960s with a computer-aided cephalometric1960s with a computer-aided cephalometric
diagnosisdiagnosis
 JOE generates tracings of lateral or frontalJOE generates tracings of lateral or frontal
cephalograms.cephalograms.
 Ricketts, Jarabak, Sassouni-plus, Steiner andRicketts, Jarabak, Sassouni-plus, Steiner and
Grummons analyses.Grummons analyses.
 JOE can also provide visual presentation ofJOE can also provide visual presentation of
norms applicable to the patients tracingsnorms applicable to the patients tracings

PorDiosPorDios
 PorDios (Purpose On Request Digitizer InputPorDios (Purpose On Request Digitizer Input
Output System)Output System)
 IBM-compatible system (1980s)IBM-compatible system (1980s)
 PorDios works with a digitizer in the standardPorDios works with a digitizer in the standard
way and also enables the use of a video or scannerway and also enables the use of a video or scanner
as means of digitation of X-rays.as means of digitation of X-rays.
 Cephalometric analyses, including Bjork,Cephalometric analyses, including Bjork,
Burstone, Coben, Downs, McNamara, Ricketts,Burstone, Coben, Downs, McNamara, Ricketts,
Steiner, and Tweed.Steiner, and Tweed.

Product of the Institute of Orthodontic computer sciences

 The standard deviations & mean values of eachThe standard deviations & mean values of each
cephalometric variable can be changed by thecephalometric variable can be changed by the
user if different ethnic groups have to beuser if different ethnic groups have to be
evaluated.evaluated.
 The main system can automatically alter theThe main system can automatically alter the
orientation of a picture to have the profileorientation of a picture to have the profile
looking to the left or right side of the screen.looking to the left or right side of the screen.

 PorDios is multilingual and the user can choosePorDios is multilingual and the user can choose
from English, German, French, Italian, Spanish,from English, German, French, Italian, Spanish,
Danish & GreekDanish & Greek
 PorDios allows the drawings to be printedPorDios allows the drawings to be printed
 The results are stored in a disk file which areThe results are stored in a disk file which are
always ready for transfers.always ready for transfers.

Dentofacial PlannerDentofacial Planner
A product of Dentofacial Software Inc.

 Works with an IBM-compatible 286 or 386Works with an IBM-compatible 286 or 386
processor in DOS 3.0 or higher.processor in DOS 3.0 or higher.
 Steiner, McNamara,Downs, Ricketts, Grummons,Steiner, McNamara,Downs, Ricketts, Grummons,
Harvold, Legan, and Jarabak .Harvold, Legan, and Jarabak .

 The surgery subsystem allows the user toThe surgery subsystem allows the user to
estimate the skeletal and soft tissue effects ofestimate the skeletal and soft tissue effects of
orthognathic surgery; creating a so-calledorthognathic surgery; creating a so-called
Surgical Treatment Objective (Wolford et al,Surgical Treatment Objective (Wolford et al,
1985).1985).
 CO-CR optionCO-CR option

Quick Ceph ImageQuick Ceph Image
A product of Orthodontic Processings

 Designed especially for high-end MacintoshDesigned especially for high-end Macintosh
computers.computers.
 A Macintosh Quadra or IIci processor and a high-A Macintosh Quadra or IIci processor and a high-
resolution monitor should be used.resolution monitor should be used.
 The hardware also consists of a black and whiteThe hardware also consists of a black and white
cameracamera ,, a camcorder Sony TR200, S-Video, aa camcorder Sony TR200, S-Video, a
29-inch (74-cm) camera stand, and a colour29-inch (74-cm) camera stand, and a colour
printerprinter

 Thirteen different analyses can be performed,Thirteen different analyses can be performed,
including Ricketts, Steiner, Jarabak,including Ricketts, Steiner, Jarabak,
McNamara, Downs, Soft Tissue, Iowa, Roth,McNamara, Downs, Soft Tissue, Iowa, Roth,
Burstone; Sassouni, Frontal and SMV andBurstone; Sassouni, Frontal and SMV and
model analyses of arch length .model analyses of arch length .

 CO-CR conversionCO-CR conversion
 Growth forecastGrowth forecast
 Treatment simulations of orthodontic, orthognathic, andTreatment simulations of orthodontic, orthognathic, and
surgical movementssurgical movements
 superimpositions at any selected landmark and parallelsuperimpositions at any selected landmark and parallel
to any selected line.to any selected line.
 Quick Ceph Image allows the user to take all theQuick Ceph Image allows the user to take all the
patient's pictures, including intraorals in the superiorpatient's pictures, including intraorals in the superior
24-bit colour mode.24-bit colour mode.
 This function is performed by means of a video cameraThis function is performed by means of a video camera
to input upto 16 pictures per patient at one sitting.to input upto 16 pictures per patient at one sitting.

 Several innovations have been incorporatedSeveral innovations have been incorporated
into the systeminto the system
 JPEG compression for massive image storageJPEG compression for massive image storage
 Fast operationFast operation
 Free style record talkingFree style record talking
 Animated treatment simulationAnimated treatment simulation
 Use of digitizer or camera for the X-raysUse of digitizer or camera for the X-rays

Digigraph work stationDigigraph work station
5 feet x 3 feet x 7 feet5 feet x 3 feet x 7 feet
A product of Dolphin Imaging Systems

 Non-invasive and non-radiagraphic cephalometricNon-invasive and non-radiagraphic cephalometric
analysisanalysis www.indiandentalacademy.comwww.indiandentalacademy.com

 The machine has the following capabilities-The machine has the following capabilities-
 AA landmark can be identifiedlandmark can be identified as a pointas a point inin threethree
dimensions.dimensions.
 A cephalometric analysis can be madeA cephalometric analysis can be made
independently of the head position;independently of the head position;
 Neither parallelism at the X-ray in the mid-Neither parallelism at the X-ray in the mid-
sagittal plane nor the symmetry of anatomicsagittal plane nor the symmetry of anatomic
morphology between left- and right sides ismorphology between left- and right sides is
necessary.necessary.

 Enable the performance of cephalometricEnable the performance of cephalometric
analyses, tracings; superimpositions, and visualanalyses, tracings; superimpositions, and visual
treatment objectives.treatment objectives.
 The programme produces any of 14The programme produces any of 14
cephalometric analyses including Rickettscephalometric analyses including Ricketts
lateral, Vari-Simplex, Holdaway, Alabama,lateral, Vari-Simplex, Holdaway, Alabama,
Jarabak, Steiner, Downs, Burstone, McNamara,Jarabak, Steiner, Downs, Burstone, McNamara,
Tweed, Grummons frontal, Standard lateral, andTweed, Grummons frontal, Standard lateral, and
Standard frontalStandard frontal

Nemoceph (2004)Nemoceph (2004)

Nemoceph allows the direct capture of :Nemoceph allows the direct capture of :
- digital video (DV)- digital video (DV)
- TWAIN supported scanners- TWAIN supported scanners
- Digital camera media- Digital camera media
- Digital intra-oral radiography systems- Digital intra-oral radiography systems
- Digital extra-oral radiography systems.- Digital extra-oral radiography systems.

Image manipulations:Image manipulations:
- Conversion of image types: binary, grey scale,- Conversion of image types: binary, grey scale,
256 colors, full color, etc.256 colors, full color, etc.
- Geometric transformations : rotate 90°, 180°,- Geometric transformations : rotate 90°, 180°,
270° or user defined, flip vertical or horizontal270° or user defined, flip vertical or horizontal
and image croppingand image cropping
- Transform image properties: adjust- Transform image properties: adjust
dynamically or with preview : brightness,dynamically or with preview : brightness,
contrast, hue, tonecontrast, hue, tone

 Automatically Rotate Radiographs Rotate x-raysAutomatically Rotate Radiographs Rotate x-rays
according to Frankfurt plane, S.N. plane, Trueaccording to Frankfurt plane, S.N. plane, True
Vertical or Natural Head Position.Vertical or Natural Head Position.
 CO-CR ConversionsCO-CR Conversions
Interactively create and superimpose CO-CRInteractively create and superimpose CO-CR
(open or closed) conversions over tracings.(open or closed) conversions over tracings.
 Simulate orthognathic surgery over cephalometricSimulate orthognathic surgery over cephalometric
analysis. Visualize or re-define soft tissueanalysis. Visualize or re-define soft tissue
relationshipsrelationships

 Nemoceph supplies with presentation toolsNemoceph supplies with presentation tools
allowing you to view images full screen, makeallowing you to view images full screen, make
comparisons between series of images or usecomparisons between series of images or use
slide-show type viewers.slide-show type viewers.
 Intelligent recognition system, Nemoceph guidesIntelligent recognition system, Nemoceph guides
you in placing your landmarks by zooming in onyou in placing your landmarks by zooming in on
the appropriate anatomical region.the appropriate anatomical region.

 Incorporates more than 33 pre-definedIncorporates more than 33 pre-defined
cephalometric analyses: Ricketts, Steiner,cephalometric analyses: Ricketts, Steiner,
McNamara, Jarabak, Downs, Powell, Roth, AyalaMcNamara, Jarabak, Downs, Powell, Roth, Ayala
Soft Tissue, etc.Soft Tissue, etc.
 Any or all of these methods may be modified toAny or all of these methods may be modified to
suit personal needs.suit personal needs.
 You may choose to create your own method,You may choose to create your own method,
combining existing landmarks and measurementscombining existing landmarks and measurements
or define new landmarks & structures.or define new landmarks & structures.

 NemoCeph offers the possibility of viewing as many treatment plans as you wish.NemoCeph offers the possibility of viewing as many treatment plans as you wish.

SuperimpositionSuperimposition

ApplicationsApplications

Dolphin ImagingDolphin Imaging14,1514,15

Before a patient’s visitBefore a patient’s visit

Fingerprint Security
Secure Employee Login
Employee Time Clock

Patient DatabasePatient Database

During a patient visitDuring a patient visit

Patient check in Patient GPS

Treatment CardTreatment Card

Enhanced Customized Tooth ChartEnhanced Customized Tooth Chart Graphically enterGraphically enter
items like bracket type with torque information, arch wireitems like bracket type with torque information, arch wire
sizes, elastics, powerchains etcsizes, elastics, powerchains etcwww.indiandentalacademy.comwww.indiandentalacademy.com

After a patient’s visitAfter a patient’s visit

Treatment Planning Documentation-Treatment Plans include sequencing,Treatment Planning Documentation-Treatment Plans include sequencing,
number of visits, procedures, months between visits, etc. Easily viewnumber of visits, procedures, months between visits, etc. Easily view
treatment plans from the patient’s treatment card.treatment plans from the patient’s treatment card.www.indiandentalacademy.comwww.indiandentalacademy.com

DOLPHIN IMAGINGDOLPHIN IMAGING
FEATURING 3DFEATURING 3D
Dolphin 3D allows visualization and analysis of craniofacial anatomy from data produced
by cone beam computed tomography (CBCT), MRI, medical CT and 3D facial camera
systems.

Dolphin 3D display of MRI dataset

Panoramic x-ray image created by Dolphin 3D from CBCT image

Merge CBCT volume with surface data from 3D facial camera

Translucent soft-and hard-tissue images of pre-
and post-surgery case

View impacted teeth from any angle

Display of airway volume and most constricted
area

2D Facial Photo Wrap

ConclusionConclusion
 It is a graphic method of communication that canIt is a graphic method of communication that can
overcome the deficiencies inherent in verbalovercome the deficiencies inherent in verbal
description of treatment goals and/or outcomes.description of treatment goals and/or outcomes.
 It is a visual template by which all parties involvedIt is a visual template by which all parties involved
in making treatment decisions can communicate.in making treatment decisions can communicate.
 It improves quantification of treatment plans.It improves quantification of treatment plans.
 The use of images in communication with otherThe use of images in communication with other
professional enhances the communication of theprofessional enhances the communication of the
problems present and the development of potentialproblems present and the development of potential
solutions.solutions. www.indiandentalacademy.comwww.indiandentalacademy.com

ReferencesReferences
1.1. Athanasios E Athanasiou;Orthodontic Cephalometry;Mosby-Athanasios E Athanasiou;Orthodontic Cephalometry;Mosby-
Wolfe, 1995Wolfe, 1995
2.2. Alexander Jacobson; Radiography Cephalometry ;QuintessenceAlexander Jacobson; Radiography Cephalometry ;Quintessence
Co,1995 John E. Grubb, Tim Smith, Peter Sinclair Clinical andCo,1995 John E. Grubb, Tim Smith, Peter Sinclair Clinical and
scientific applications/advances in video imaging Anglescientific applications/advances in video imaging Angle
Orthodontist 1996 No. 6, 407 – 416.Orthodontist 1996 No. 6, 407 – 416.
3.3. John E. Grubb, Tim Smith, Peter Sinclair Clinical and scientificJohn E. Grubb, Tim Smith, Peter Sinclair Clinical and scientific
applications/advances in video imaging Angle Orthodontistapplications/advances in video imaging Angle Orthodontist
1996 No. 6, 407 – 416.1996 No. 6, 407 – 416.
4.4. Sarver DM. Video imaging: The pros and cons. Angle OrthodSarver DM. Video imaging: The pros and cons. Angle Orthod
1993; 63; 167–170.1993; 63; 167–170.
5.5. Ackerman JL, Profitt WR. Communication in orthodonticAckerman JL, Profitt WR. Communication in orthodontic
treatment planning: Bioethical and informed consent issues.treatment planning: Bioethical and informed consent issues.
Angle Orthod 1995; 65(4): 253–262.Angle Orthod 1995; 65(4): 253–262.www.indiandentalacademy.comwww.indiandentalacademy.com

6. Turpin D. The need for video imaging.6. Turpin D. The need for video imaging.
Editorial. Angle Orthod 1995; 65(4):243Editorial. Angle Orthod 1995; 65(4):243
7. David M. Sarver Video-imaging and treatment7. David M. Sarver Video-imaging and treatment
presentation: Medico-legal implications andpresentation: Medico-legal implications and
patient perception Volume 1998 Mar (360 -patient perception Volume 1998 Mar (360 -
363)363)
8. Robert Isaacson Predicting treatment results8. Robert Isaacson Predicting treatment results
with video imaging systemswith video imaging systems EditorialEditorial
9. Ceib Phillips, Brett J. Hill, Christian Can. The9. Ceib Phillips, Brett J. Hill, Christian Can. The
influence of video imaging on patients’influence of video imaging on patients’
perceptions and expectations 1995 No. 4, 263perceptions and expectations 1995 No. 4, 263
– 270.– 270.

10. www.visiodent.com10. www.visiodent.com
11. www.Dolphin imaging.com11. www.Dolphin imaging.com
12 . AnywhereDolphin.com12 . AnywhereDolphin.com

Thank youThank you

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