Table 4 Checklist for optimal image acquisition for this CFM photo protocol

A

Frontal

• Orbit

• Mandible

• Ear

• Soft tissue

• Subject should always sit with his back straight

• Subject should look straight forward (chin level to ground)

• Subject should have a neutral expression

• The plane of the face is perpendicular to the camera

• "Look at the camera with a relaxed expression."

• "Close your mouth with your lips gently touching."

B

Right Oblique

• Mandible

• Soft tissue

• Subject should look to his left, 45 degrees from center

• Subject should have a neutral expression

• Both eyes should be visible in the shot

• Do not let chin drop

• The tip of the nose should come to the edge of the cheek

C

Right Profile

• Mandible

• Ear

• Soft tissue

• Ear tags/pits

• Facial tags/pits

• Subject should look 90 degrees to his left

• Full profile

• Center the shot directly in front of the ear

• The ear canal should be visible, if present

• If the ear canal is not visible from this view, take an additional photograph of the ear canal and label this "View C.2"

D

Left Oblique

• Mandible

• Soft tissue

• Subject should look to his right, 45 degrees from center

• Subject should have a neutral expression

• Both eyes should be visible in the shot

• Do not let chin drop

• The tip of the nose should in line with the edge of the cheek

E

Left Profile

• Mandible

• Ear

• Soft tissue

• Ear tags/pits

• Facial tags/pits

• Subject should look 90 degrees to his right to obtain a full profile

• Center the shot directly in front of the ear

• The ear canal should be visible, if present

• If the ear canal is not visible from this view, take an additional photograph of the ear canal and label this "View E.2"

F

Sub-mental

• Mandible

• Soft tissue

• Zoom half way between 135 & 200 mm

• Shot should be centered on the base on the chin

• Align the chin and nose

• Keep face neutral with mouth closed

• You should be able to see the forehead, eyes, and shape of nose

• The cheekbones need to be seen

• You may need to ask a parent to stand behind you and encourage the subject to look straight up for this shot

• The camera will most likely need to be moved to get the shot

• "Tilt your head back and look at the ceiling."

G

Eyebrows Elevated

• Nerve

• This goal is to assess for movement of the eyebrows

• NOTE: Sometimes participants are inclined to tilt their head back with this expression. Encourage them to face forward.

• "Raise your eyebrows."

• "Look up with your eyes."

• "Look surprised."

H

Eyes Shut Tight

• Nerve

• Subject should be centered and filling the frame

• It is OK if the mouth opens and nose crinkles during this animation

• NOTE: Sometimes participants are inclined to drop their chin with this expression. Encourage them to face forward.

• "Close your eyes as tightly as you can."

I

Smile

• Nerve

• Subject should be centered and filling the frame

• "Big smile."

J

Show Lower Teeth

• Lower lip depressor

• Subject should show their bottom teeth.

• Showing or not showing top teeth is okay.

• "Show me your lower teeth."

K

Tongue Blade

• Occlusal cant

• Subject should show their top and bottom teeth while holding tongue blade in their mouth

• We want to see how their teeth meet the tongue depressor

L*

Tongue Straight Out

• Tongue

• Tongue should be extended as far as possible, and "pointy"

• "Stick your tongue straight out."

Q*

Tongue Down

• Tongue

• Zoom in to 300 mm and move in 1 to 1.2 meters (3 to 4 feet) from subject

• Tongue should be relaxed, not be "pointy"

• NOTE: Check the image to ensure it is in focus.

• "Open your mouth and hang your tongue out as far as you can."

R*

Tongue Up

• Tongue

• Move in 1 to 1.2 meters (3 to 4 feet) from subject and zoom in

• NOTE: Check the image to ensure it is in focus.

• "Try to touch your tongue to your nose."

S*

Tongue to Left

• Tongue

• Move in 1 to 1.2 meters (3 to 4 feet) from subject and zoom in

• NOTE: Check the image to ensure it is in focus.

• "Point your tongue to the left as far as you can."

T*

Tongue to Right

• Tongue

• Move in 1 to 1.2 meters (3 to 4 feet) from subject and zoom in

• NOTE: Check the image to ensure it is in focus.

• "Point your tongue to the right as far as you can."