Chapter 4:

Section:

Digital Imaging

Intraoral Cameras

Ease of operation

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Handpiece Configuration
The design of the handpiece depends on the placement of the CCD sensor, the location of the lightsource, the location of the power source, and the way the image is transmitted. In many older cameras, the CCD sensor was located in the head of the camera itself. This design has been replaced by cameras with the CCD in the intraoral part of the camera or in the body of the handpiece. CCDs in the intraoral part of the camera are often combined with universal lenses (which cannot be changed). Unfortunately, universal lenses do not produce optimal images for all types of exposures. However, they are often sufficient for patient education. Cameras with the CCD in the handpiece body can accommodate multiple lenses, and therefore can deliver images of higher quality.

To be added: Information about cameras that use an intraoral mirror

Ambient and chair lighting is usually not enough to illuminate intraoral images. Therefore, intraoral cameras have a built-in light source. The light source can be in the base unit, the handpiece or the camera head. Light sources in the base unit require fiberoptic cables for transmitting the light to the camera. Such cables tend to be bulky and fracture-prone. A lightsource in the handpiece can increase the weight of the handpiece, which can result in increased operator fatigue. However, sometimes a heavier handpiece with a light cable is preferable to a lighter one with a heavy, bulky and inflexible cable.

The light-emitting diodes (LEDs) in the head of the camera are a new development that minimize some of the advantages of the other systems. However, LEDs tend to produce bluish light and thus distort colors (compared to scenes lit by daylight or fiberoptic light sources). In addition, they generate heat and require larger apertures, resulting in a reduced depth of field.

In most cameras, the base unit contains the power source. Wireless cameras are battery-operated and have therefore a somewhat higher weight. Many such systems can run on rechargeable batteries.
Wireless cameras do not require a cable to transmit images to the computer. Usually, the handpiece has to be within a range of ##x-y ft for the transceiver to receive the signal. All other cameras require a cable for image transmission. The cable configuration also depends on the location of the lightsource. Intraoral cameras that contain the lightsource in the base unit tend to have bulkier cables.

Lenses
Cameras either come with a single lens or a set of interchangeable lenses. Single-lens cameras have a simpler design, but are limited in the range of camera-to-object distance and magnification. In addition, they tend to distort images progressively more as the camera-to-object distance decreases. Interchangeable lenses have the advantage that the operator can pick the appropriate lens for the type of exposure, such as full face, full arch or individual teeth.

Focus
Once an image is framed, it needs to be focused. Fixed-focus cameras require the operator to vary the distance to the object until it is in focus. Variable-focus cameras are focused using a slider or similar mechanism. When assessing the ease of use of a camera, it is important to test the ease with which the image can be focused.

Image Capture
Once the camera is switched on, it continuously records images and displays them on the screen. Several systems switch themselves on automatically when the handpiece is removed from its holder or cradle. When the operator wishes to capture an image, he uses a capture button, foot pedal or mouse to freeze the current frame. The system should make it easy to trigger image capture to allow the operator to concentrate on framing and focusing the image, not capturing it.

Sterilization and Disinfection
Typically, only the intraoral part of the camera comes in direct contact with saliva, blood or oral tissues. Cameras that can not be sterilized use a sheath or protective plastic cover. Of the two, the plastic cover is the more cumbersome method to use. Other handpieces have detachable intraoral parts, which can be autoclaved, or are sealed to the degree that they can be cold-sterilized.

Setup
To be added: connection to output device, types of connections, power sources, etc.

Question: Identify the marked parts on the photograph of the intraoral camera handpiece.

Question: What type of intraoral camera connector is illustrated in the photograph? Question: What advantage do variable-focus intraoral cameras have?