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PubMed1988

Smiles when lying.

Subtle differences among forms of smiling distinguished when subjects were truthful and when they lied about experiencing pleasant feelings. Expressions that included muscular activity around the eyes in addition to the smiling lips occurred more often when people were actually enjoying themselves as compared with when enjoyment was feigned to conceal negative emotions. Smiles that included traces of muscular actions associated with disgust, fear, contempt, or sadness occurred more often when subjects were trying to mask negative emotions with a happy mask. When these differences among types of smiling were ignored and smiling was treated as a unitary phenomenon, there was no difference between truthful and deceptive behavior.

Adult↗
PubMed2005

Influence of sex on the perception of oral and smile esthetics with different gingival display and incisal plane inclination.

This study was designed to determine the esthetic perception of men and women to variations in upper and lower gingival display at smile and speech and to incisal plane tilting. Composed photographs of smile and speech with varying amounts of gingival exposure of the upper and lower teeth and gingiva at smile and at speech and with varying degrees of incisal plane tilting were rated for attractiveness by two groups of lay people. The images were presented as male or female images. A total of 300 questionnaires, including 7500 images, were evaluated by 100 subjects. The results showed that images were scored as less attractive as the amount of upper and lower gingival display was increased during smile and speech. The amount of gingival exposure graded in the esthetic range was up to one mm for the upper incisors and zero mm for the lower incisors. Incisal plane tilting was graded as unesthetic when above two degrees of deviation from the horizontal. Male and female evaluators scored images differently with upper gingival exposure. Female evaluators gave statistically significant higher scores than male evaluators to upper gingival exposure images at smile and speech of both males and females, suggesting that females are more tolerant of upper gingival exposure. Images were scored differently when presented as male or female images. Female images were scored lower by both male and female evaluators, suggesting that additional efforts should be taken in female patients to achieve an esthetic result.

Adult↗
PubMed2005

Teeth and gingival display in the premolar area during smiling in relation to gender and age.

There is limited knowledge concerning tooth and gingival display in the maxillary premolar area during smiling. The purpose of this study was to investigate maxillary premolar and associated gingival display during smiling, and to reveal possible differences related to gender and age. The study consisted of 90 males and 113 females (mean age 38 years, s.d. = 13.83) receiving regular dental care. Two pictures of each subject, one with lips in maximum smile, and the other a retracted frontal view, were made. Clinical crown length, tooth and gingival display were measured for the left maxillary premolars. Central incisors and canines were used as controls. anova with Bonferroni post hoc multiple comparisons tests was used to assess any statistically significant impact of gender and age on tooth and gingival display, and determine differences among gender and age groups (at 5% significance level). Premolars were partially visible in more than 80% of the smiles, and displayed more than 65% of their clinical crown length during smiling. The least display (P < 0.001) was recorded for first and the greatest for second premolars. Tooth display was greater in females, but statistically significant only in central incisors (P < 0.05). No significant differences were revealed between age subgroups. Gingival display was greater for premolars compared with both central incisors (P < 0.001) and canines (P < 0.05). Displayed gingiva was found in first and second premolars in 44 and 49% of subjects, respectively. More gingival display was recorded in females and in younger subjects.

Adult↗
PubMed1997

Esthetic preference of the frontal and profile views of the same smile.

This study has shown that orthodontists and their patients share a common pool of diffuse esthetic values of the same smile. Profile and frontal views of the same smile were not similarly rated for esthetic pleasantness: the profile views were rated higher than the frontal views of the same smile. This finding suggests that orthodontists should consider both frontal and lateral views during evaluation of their patient when planning and assessing orthodontic treatment. More research is needed to determine the generalizability of the finding that orthodontists and patients have similar facial esthetic preferences. Future studies should expand the range of smiles that are evaluated by including both genders, people of different ethnic backgrounds, and people of a variety of ages. Research is also needed to evaluate facial esthetics and smiles in dynamic motion.

Adolescent↗
PubMed2004

Evaluation of "golden proportion" in individuals with an esthetic smile.

BACKGROUND: One of the most important tasks in esthetic dentistry is creating harmonious proportions between the widths of maxillary anterior teeth when restoring or replacing these teeth. The "golden proportion" is a main guideline introduced in this field. PURPOSE: This study aimed to investigate the existence of the golden proportion between the widths of the maxillary anterior teeth in individuals with an esthetic smile. MATERIALS AND METHODS: This study was conducted with 157 dental students (75 women and 82 men), with ages ranging from 18 to 30 years. Students whose natural smile did not develop any visual tension with regard to the study's and their own criteria were selected as having esthetic smile. An image measurement program was used to measure the apparent mesiodistal widths of six maxillary anterior teeth on the scanned photographs of these subjects. The existence of the golden proportion was investigated in the width ratios of maxillary anterior teeth. RESULTS: The golden proportion was not found to exist between perceived maxillary anterior teeth widths of individuals with an esthetic smile. CONCLUSION: The golden proportion is not a common factor in esthetic smiles. CLINICAL SIGNIFICANCE: This article suggests considering the dentofacial specificities of each individual and also the wide variety of natural teeth proportions when restoring or replacing the maxillary anterior teeth. However, individual cultural characteristics and perception of beauty must be considered.

Adolescent↗
PubMed2004

Gummy smile: clinical parameters useful for diagnosis and therapeutical approach.

In the analysis of the characteristics of a pleasant smile, a gummy smile has negative components, which most affect the esthetics of non-verbal communication. For this purpose a proposed classification based upon etiopathogenetic criteria as useful indications for a therapeutical approach is given. The nature of a high smile line can be: dento-gingival, connected to an abnormal dental eruption, which is revealed by a short clinic crown; muscular, caused by an hyperactivity of the elevator muscle of the upper lip; dento-alveolar (skeletal), due to an excessive protuberance or vertical growth of the jawbone (maxillary); lastly, a mixed nature, in the presence of more than one of the above described factors The diagnosis of gummy smile must be precocious and based, with reference to specific parameters, upon a careful analysis of the etiopathogenetic factors and the degree of seriousness of the alteration. A correct treatment plan must contemplate the possibility of an orthognatodontic, orthopedic and/or surgical therapeutic resolution considering the seriousness and complexity of the gums exposures (high smile line) in connection with the age of the subject.

Child↗
PubMed2006

Smiling faces rated more feminine than serious faces in Japan.

It has been reported that women and girls smile more frequently and more effectively than men and boys. It is expected that this correlation between femaleness and smiling affects the processing of faces, and consequently, smiling faces may be perceived to be more feminine. Participants viewed 30 photographs featuring smiling and serious facial expressions of both male and female subjects and rated them for femininity or masculinity. The result indicated that smiling faces significantly more frequently gave the impression of being more feminine. The interaction between the sex of the faces and their expression was not significant.

Adolescent↗
PubMed2000

Smiling of male and female infants to mother vs stranger at 2 and 3 months of age.

The study examined the recognition-assimilation hypothesis of infant smiling. The subjects were 64 (32 female and 32 male) full-term infants who were visited at their home at ages two and three months by a female experimenter. The mother and then the female stranger each interacted face-to-face with the infants for 3 min. All interactions were videotaped and later independent coders recorded the cumulative amount of time that the infants smiled to the mother and to the stranger. The results show that, whereas female infants smiled significantly more to the stranger than to the mother at both ages, male infants smiled more to the mother only at two months. At three months, male infants smiled about the same length of time to both mother and stranger. The results support the recognition-assimilation hypothesis and suggest that females develop faster socially.

Female↗
PubMed2001

Different types of smiles and laughter in preschool children.

The relationship among morphologically different forms of smiling and laughter was examined. The participants were 19 Brazilian preschool children. Each child was observed a total of 60 min. in three 10-min. sessions on the playground and three 10-min. sessions in the classroom. Analysis suggests that the various forms of smiling do not simply express different intensities of a single emotion. A two-dimensional structure was indicated by factorial analysis. The first dimension, which could be called playfulness-mock aggression, consisted of a broad smile and laughter. The second dimension, which could be called friendliness-appeasement, consisted of a closed and upper smile. The pattern of correlation found between expressive behaviors and both teacher's and peers' evaluations gives further support to the interpretation that smiling is an heterogeneous category.

Brazil↗
PubMed1990

The Duchenne smile: emotional expression and brain physiology. II.

Facial expression, EEG, and self-report of subjective emotional experience were recorded while subjects individually watched both pleasant and unpleasant films. Smiling in which the muscle that orbits the eye is active in addition to the muscle that pulls the lip corners up (the Duchenne smile) was compared with other smiling in which the muscle orbiting the eye was not active. As predicted, the Duchenne smile was related to enjoyment in terms of occurring more often during the pleasant than the unpleasant films, in measures of cerebral asymmetry, and in relation to subjective reports of positive emotions, and other smiling was not.

Adolescent↗
PubMedDate not supplied

Augmentation of the columella-labial angle to prevent the "smiling deformity" in rhinoplasty.

Aesthetic diagnosis of the smiling deformity, which is functional rather than anatomical, is essential to provide the best treatment in rhinoplasty. The nasal tip tends to rotate inferiorly during smiling, and the central upper lip moves superiorly. A posteriorly sloping upper lip with a retrodisplaced columella-labial junction gives an unaesthetic appearance. Downward movement of the tip and a sharper nasolabial angle are usually aesthetically unpleasant. In 28 nasal surgeries, augmentation of the columella-labial angle with cartilage strip grafts has been performed. The augmentation of the angle and additionally cutting of the depressor septi muscle created a wider nasolabial complex, and this angle looks full and more pleasant. This procedure has mainly been used as an additional procedure to standard reduction rhinoplasty in order to improve smiling deformity. Strip cartilage grafts were inserted subcutaneously into the upper lip extending half way to the columella and secured with a transcutaneous suture under the columella-labial angle to prevent misslocation. Augmentation by the cartilage graft together with cutting the depressor septi muscle prevented elevation and shortening of the upper lip, and also drooping of the nasal tip. This procedure provided an aesthetically pleasant appearance both at rest and during smiling.

Adolescent↗
PubMed1987

Cross-facial nerve transplants: why are spontaneous smiles not restored?

The technique of cross-facial nerve transplantation (CFNT), with or without the addition of vascularised muscle, has made it possible to achieve some voluntary movement of the paralysed side of the face in patients with unrecovered facial palsy. If normal faces are studied during conversation, it can be seen that there are two types of movement of the lips--those of emotional expression and those involved in the formation of vowel sounds and labial consonants. Smiles themselves can be classified roughly according to their length of muscle contraction--the longer "definitive" smile, and the shorter "flash" smile. It is the synergistic facial movement of the unpremeditated "flash" smile and the small movements in the formation of the vowel sounds and labial consonants which fail to occur in patients reanimated by revascularised, reinnervated muscle, despite the return of voluntary contraction and resting facial tone. This study was undertaken to try to determine why these synergistic facial movements of short duration are so difficult to achieve.

Adult↗
PubMed1988

Left-sided oral asymmetries in spontaneous but not posed smiles.

To investigate possible facial asymmetries during the production of posed and spontaneous smiles, the displacement of various reference points on the mouth were measured as subjects produced both kinds of smiles. Strobe cameras were used in combination with a computer-based analysis to record the smiles of left- and right-handed males and females. The analysis revealed that the left side of the mouth moved more than the right side during spontaneous but not posed smiles, supporting the notion that the right hemisphere may play a special role in emotional expression. This asymmetry was most apparent in left-handed females and right-handed males. These sex and handedness differences are discussed with reference to apparent inconsistencies in previous research on asymmetries in emotional expression.

Adult↗
PubMed1978

The anatomy of a smile.

The anatomy of the smile is an integral part of dentistry. Its understanding involves close scrutiny of all elements of the oral region. It is not enough to establish the size of teeth based on the high and low lip lines, size of the mouth, and a shade to blend with the age and complexion. To create a harmonious smile the dentist must maintain or create the normal curvature of the lips, proper exposure of the red zone of the lips, an undistorted philtrum, and undisturbed nasolabial grooves. These entities, maintained in harmony with the exposed teeth, constitute the anatomy of a smile. In order that patients may be served properly, the smile must be understood, recorded, and analyzed so that desirable aspects may be preserved and graceless components returned to attractiveness.

Age Factors↗
PubMed1995

Smile esthetics after orthodontic treatment with and without extraction of four first premolars.

Standardized frontal photographs were taken of the face during smiling for 60 retention patients; 20 from each of three different private orthodontic practices. Thirty patients had been treated with extraction of four first premolars, and 30 with full edgewise appliances but no extractions. Smile esthetics were judged by a panel of 10 laypersons. There were no significant differences in the mean esthetic score of extraction and nonextraction patients. The only variable that strongly predicted the esthetics of extraction patients was the office in which they were treated, indicating that there may be a significant difference among practitioners in the esthetic outcome of four premolar extraction treatment. Variables related to the "buccal corridor" or other measures of the relationship between the width of the dentition and the width of the mouth during a smile showed no relationship to extraction esthetics. The results indicate that there is no predictable relationship between the extraction of premolars and the esthetics of the smile.

Adolescent↗
PubMed2003

Happy affect and smiling: is their relation moderated by interpersonal power?

Three studies examined the hypothesis that the relation between self-rated happy affect and overall smiling during dyadic interactions is moderated by one's relative power. In all 3 studies, interpersonal power was experimentally manipulated, and smiling and self-reported happy affect were measured during and after the interaction, respectively. Happy affect was positively correlated with overall smiling for both low-power and high-power participants. Moreover, the correlations for both low- and high-power participants were comparable to those found when power roles were not unequal or made salient, based on analysis of the present studies as well as comparison with the previously published literature. Happy affect and overall smiling had a positive relation that was not moderated by interpersonal power.

Adult↗
PubMed1992

The gingival smile line.

A comparative study was performed to examine the nature of the gingival smile line (GSL), a specific dentolabial configuration characterized by the exposure of maxillary anterior gingiva during a full smile. Five soft-tissue, three dental and three skeletal variables were selected, measured and reported for a GSL sample (n = 27) and a reference sample (n = 88), both consisting of North American white orthodontic patients with a median age of 14.4 years. The results indicated that the capacity to project a gingival smile was related to: anterior vertical maxillary excess and the muscular ability to raise the upper lip significantly higher than average when smiling. Other variables significantly associated with GSL were greater overjet, greater interlabial gap at rest, and greater overbite. Factors that did not appear associated with the GSL phenomenon were upper-lip length, incisor clinical crown height, mandibular plane angle, and palatal plane angle. Clinical aspects of GSL were discussed.

Adolescent↗
PubMed2003

Extraction vs nonextraction: arch widths and smile esthetics.

Dental casts of 30 patients treated with extraction and 30 patients without extraction of four first premolars were randomly selected to determine changes in arch width as a result of treatment. Arch widths were measured from the cusp tips of the canines, premolars, and molars. Posttreatment arch widths were also measured in the midline at a constant arch depth from the most labial surfaces of the incisors. Standardized frontal photographs of the face taken during smiling of 12 extraction- and 12 nonextraction-treated subjects were evaluated. Fifty laypersons judged the esthetics of the smiles. Intercanine width increased less than one mm in both groups, and there was no difference between the two groups. The interpremolar and intermolar distance in both arches decreased significantly from 0.53 to 0.95 mm in the extraction sample, whereas the interpremolar and intermolar widths increased significantly from 0.81 to 2.10 mm in the nonextraction sample. When arch widths of both groups were measured from the most labial surfaces of the teeth at a constant depth, the average arch width of both arches was significantly wider in the extraction sample (1.8 mm wider in the mandible and 1.7 mm wider in the maxilla). The mean esthetic score and the number of teeth displayed during a smile did not differ between the groups. The results indicate that arch width is not decreased at a constant arch depth because of extraction treatment, and smile esthetics are the same in both groups of patients.

Adolescent↗