Smartphones or digital SLRs for clinical dental photography: is there a difference?

  • 1Department of Orthodontics, Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, United Kingdom.
  • 2Department of Orthodontics, Guy's, King's and St Thomas Dental Institute, Floor 25, Tower Wing, Great Maze Pond, London SE1 9RT, United Kingdom.
  • 3Bristol Dental Hospital, University of Bristol, Lower Maudlin Street, Bristol BS1 2LY, United Kingdom.

Abstract

BACKGROUND

Clinical photography is a fundamental aspect of orthodontic treatment and has become critical to patient care, communication and documentation. Digital Single Lens Reflex (DSLR) cameras with a ring flash have been established as a gold standard for clinical photography for many years, however smartphones are increasingly being utilized by both patients and clinicians due to their convenience, cost effectiveness and good accessibility.

AIMS/ OBJECTIVES

This study compared the image quality, dimensional accuracy, ease of use and accuracy of shade representation of images produced by recent flagship smartphones versus DSLR cameras with a ring flash.

MATERIAL AND METHODS

A sample of four recent smartphones and three semi-professional DSLR cameras were compared taking a comprehensive set of orthodontic intra and extra oral clinical photographs. The following outcome measures were assessed for each device: Camera sensor size, image quality, ease of use, dimensional accuracy and colour shade representation.

RESULTS

DSLR cameras with a ring flash were statistically significantly superior to smartphones for camera sensor size, image quality rating and dimensional accuracy. There was no significant difference between all devices for their ease-of-use rating or accuracy of colour shade representation.

CONCLUSION

Based on the results of this study, the authors recommend the use of DSLR cameras with a ring flash as a gold standard for clinical photography due to reduced quality rating and image distortion produced by many smartphone cameras.