Cleft Photo Mirror Combining Self-Retraction, Scaling, and Antifogging Features for Cleft Palate Documentation.

Abstract

Summary: Documentation of patients with cleft lip and palate presents a significant challenge due to the necessity for consistent, high-quality imaging throughout the extended treatment period. The use of traditional intraoral mirrors typically necessitates an assisting person for retraction of the lips and cheeks, as well as mirror fog cleaning. This results in variable fields of view and requires extensive resources. Distance measurements are not possible on conventional photographs, limiting their use for objective treatment analysis. To address these 3 challenges at once, the authors developed a customized intraoral mirror incorporating self-retraction, a reference scale, and an antifogging option. The mirror design features lateral extensions for effective lip and cheek retraction and 2 small laser-engraved black triangles, spaced 2 cm apart at the end of the mirror, to measure the width of the cleft, enabling a single operator to capture clear images independently. The mirror is designed in 4 sizes to accommodate patients from newborn babies to adults. Clinical implementation demonstrated that the mirror allows the acquisition of high-quality standardized images without additional assistance, enhancing workflow efficiency and consistency in documentation. By overcoming the limitations of traditional mirrors, the authors' mirror provides a practical and efficient solution for cleft lip and palate documentation and facilitates accurate follow-up of treatment progress beyond orthodontic and surgical evaluation.