Clinical Photography in Orthodontic Practice: Insights from a Nationwide Survey in Spain

<b>Background/Objectives:</b> Clinical photography is an essential component of orthodontic records, alongside radiographs, dental scanners, and cone beam computed tomography. However, neither the American Association of Orthodontists nor the Spanish Society of Orthodontics provides a standardized protocol for dental photography. This study aimed to evaluate the current practices, challenges, and training needs related to clinical photography among orthodontists in Spain. <b>Methods:</b> A cross-sectional survey was designed using Google Forms^® and distributed to orthodontists practising in Spain. A sample size of 303 participants was calculated (95% confidence level; 0.1 precision). The questionnaire covered photographic practices, equipment usage, self-assessed skills, interest in training, and legal considerations. Descriptive and inferential analyses were performed using R software (significance level 0.05; version 4.4.1). <b>Results:</b> A total of 304 valid responses were analyzed, with a predominance of female participants (77.96%) and a mean age of 37.54 years (SD: 9.08). Digital single-lens reflex (DSLR) cameras with macro lenses and ring flashes were the most used equipment (68.09%). The primary software for cropping and editing images were Windows Photos (28.95%) and MacOS Photos (16.12%). Male participants rated their photography skills higher than female participants (<i>p</i> = 0.003), and those with full-time orthodontic training considered their skills better than those with other types of training (<i>p</i> = 0.014). Photography was most valued for diagnosis in the exclusive orthodontics group (<i>p</i> = 0.019). Additionally, 75.99% of respondents expressed interest in improving their photography skills through specialized courses. <b>Conclusions:</b> This study highlights significant variability in photographic practices among orthodontists in Spain. The findings emphasize the need for standardized photography protocols to enhance diagnostic accuracy, clinical documentation, and professional training.