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Cosmetic Imaging Primer

A Power Tool for Dentistry. There are so many exciting and obvious benefits to cosmetic imaging, that it has become commonly accepted as a powerful tool in dentistry. Of course, how you incorporate cosmetic imaging into your practice will depend upon your own needs and practice philosophy. Cosmetic imaging is not just for "selling" cosmetic cases. It is a powerful diagnostic and treatment planning tool whose benefits should not be overlooked. We've found that there are three distinctively different avenues for applying this technology in the dental practice, each of which has advantages and disadvantages.

Send It Out. For some practices, it may work better to use an outside imaging service, sending 'before treatment' photographs along with a type of 'lab script'. In this scenario, the doctor uses words and or drawings in the 'script' to communicate what he or she wants the patient to see. The imager interprets these instructions and then returns an image via email or hardcopy. The doctor then evaluates, requests modifications, and/or simply shows the patient the results.

This method simplifies things for the doctor, in that he/she has only a small learning curve in order to incorporate imaging into the practice. In addition, this outsourcing, costs the practice very little time. However, it eliminates some of the key benefits of imaging such as aid in diagnosis and treatment planning. You can miss vital information for case design without first hand imaging. outsourcing also relies on the same old hope that the imaging lab can interpret what the doctor has in mind. As we all know, in reality, it's not always that easy for a lab to understand instructions, make the smile look good, and create a smile that can be realized with reasonable treatment procedures.

Keep It In: For other offices, the doctor or staff will find that imaging right on site will work better for them. The doctor may do it himself, or have a trained auxiliary do the work under his supervision.

Of course, this method gives the doctor complete control of the process, and allows him to have a hand in creating his 'vision' of how the patient's new smile should look. The doctor can now take advantage of diagnostic and treatment planning benefits of imaging. However, on site imaging takes time to learn and time to do each image. Those office choosing this option feel the time and effort well spent. The quality of the simulations depend on the ability of the software and the skill of the imager.

Made for dentistry: Made for dentistry software program are those imaging programs written specifically for the dental practice. These can often be linked to practice management programs, allowing images to be linked automatically to the patient's financial and insurance data bases. They are typically set up with intuitive interfaces that allow for relatively short learning curves. Further, they enable the user to accomplish and display simulations in a wide variety of formats. Many of the made for dentistry program come with a digital image library that allows the user to perform full mouth rehabilitation simulations by pasting a smile from the gallery into the patient's image.

This is the most expensive solution to adding cosmetic imaging to the dental practice but most comprehensive. It may be the best option for those who want to combine all simulation capability with organizing all the digital images collected in your practice from x-ray, scanners, intraoral cameras, and digital cameras. Made for dentistry software is also one-stop. That is everything you are likely to need is in one package. An excellent choice for made for dentistry software is PatientGaller with Designer (www.patientgallery.com)

Professional image editing software: There are other, less expensive options available for imaging. Many dentists have heard of PhotoShop and PhotoShop-like programs. These are image editing programs used by graphic artists. They have no dental related interface or link capability. Typically, these are incredibly sophisticated programs with capabilities far beyond dental-specific software. But with the proper knowledge of the tools they can easily and precisely accomplish all dental treatment simulations. Such programs, with a trained person at the controls, are especially well suited to creating realistic simulations.

Some doctors may be concerned with the lack of integration offered by these programs; however, the amount of control offered by this type of software far outweighs any perceived disadvantages. In fact, if desired, it's actually possible with just a click of the mouse to import each image created by these programs into the modern practice management system's image database. In any case, these programs can manage their own images with unbeatable ease.

Combining professional software and made for dentistry: Learning to use a professional imaging program can be a daunting task. Creating a meaningful smile library formatted to use for pasting into simulations can be incredibly time consuming. For doctors who want these capabilities and don't want the high cost of made for dentistry progams, Digident has created Digital Dentist. Digital Dentist is simply a fast track training system designed to teach you how to use one of the most powerful image editing programs in the industry today, Paint Shop Pro. Digital Dentist combines the program with dental specific training and a library of ready-to-use smile designs (The Lorin Library Digital Smile Designs) that is simply the best in the industry. You can use the Smile Style Guide as an index it to choose a specific smile design and then from the digital version drag and drop single teeth as well as full smiles into your simulations. This combination allows you to create simulations with speed, accuracy, and realism.

Digital Dentist is virtually free if you consider the cost of the digital library and Paint Shop Pro. It is less than one fourth the cost of made for dentistry programs and costs only slightly more than Adobe's PhotoShop program. It does not link to any practice management programs and takes some time to learn all the tricks and techniques. But in the end you will be rewarded with an imaging system that will satisfy all your needs and more.

Digital Dentist is available only as a complete system which includes: a written step-by-step training manual, a multimedia training CD, the Lorin Library Smile Style Guide and Digital Smile Designs, unlimited email support (sorry no phone support at this price!), and the professional image editing software 'Paint Shop Pro", all for only $995!

Summary: If you want cosmetic computer imaging in your office, you have 3 choices:

  • Buy a "dental specific" system and pay $4000 or more for the software. Your capabilities will be adequate for most practices. You can add the Lorin Library to any of these programs.
  • For those of you who know that professional graphics programs do everything that "made for dentistry" programs do, buy a $50 to $600 graphics editing program.  Then take the next two years to create a smile library and learn how to use it.  Take the following year to teach it to your assistant.  When she leaves, start all over again.
  • Consider Digital Dentist. Our system teaches you how to use award winning professional graphics editing software in just a few days!  We have taken the time to learn all the ins and outs of the program so you don't have to.  Then, keep all the training materials for you and your current and future staff. Read more about how the Lorin Library makes imaging with Digital Dentist easy!

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