This form is intended for those who cannot do an in-office follow up due to distance or other circumstances.
In the next couple of questions, we are asking you to rate your infant or child's pain and discomfort at rest. As you can imagine, this can be challenging to determine since infants cannot tell us how they feel. Therefore, we must rely on visual cues to determine this. Feeding refusal, poor sleep, crying that is not comforted quickly, and grunting noises are some signs of infant discomfort.
What you will need:
1. Camera or smart phone
2. Two people (One to take pic and other to lift lip and tongue)
3. Good lighting
4. Swaddle or blanket may be needed to help keep your infant still.
Step 1: Wrap your baby up.
For younger babies, wrapping up in a swaddle helps keep arms out of way and minimizes any unwanted movement.
For older infants it’s best to secure body with a larger blanket.
Step 2: Everyone take your positions
You may lay baby flat on a bed, changing table, floor, lap, etc, whichever seems most comfortable. The person doing the lifting of lip and tongue needs to be positioned behind baby’s head (just like you’re a dentist) so when they look down, the baby is upside-down. The photographer needs to be forward facing with camera as perpendicular to the baby’s face as possible. Avoid really low, high or slanted angles.
Tip 1: The most challenging part of getting a high quality and diagnostic photo is to get the area of interest to focus. Less movement of BOTH camera AND baby will help allow the area to focus. If you get too close it won't focus well. In most cases taking the image from a couple or few feet away will get the best image. The images below have been zoomed in AFTER the picture was taken.
Tip 2: Use the focus lock feature by holding finger on the desired area of focus for several seconds.Therefore, the camera won’t try to re-focus when the baby moves.Tip 3: Take a video and freeze a frame to use as a screen shot.
How to take a picture of the lip:
Using both index fingers, pull the lip up to the nosrils. You may find it easier to use a “pinching grasp” by using your thumbs. Use your other fingers to help stabilize the jaw and chin to minimize head movement. Please make sure you expose the entire diamond.
How to take take a picture of the tongue:
Using both index fingers, press deeply into the squishy part under the tongue and lift up as high as you can. Your two fingers will be no more than an inch apart. While holding the tongue up, use your remaining fingers to push down on chin. This helps keep mouth open and minimize head movement. Make sure you expose the entire underside of tongue shown below.
Please upload your best photos. You may upload up to 4 photos if needed.