Influence of Upper Midline Deviation on Smile Attractiveness

Authors

  • Wanderlúcia Garcia-Costa Faculdade Sete Lagoas
  • Andreanne Galvão-de-Lucena Universidade do Estado do Rio Grande do Norte
  • Eloísa Cesário Fernandes Universidade do Estado do Rio Grande do Norte https://orcid.org/0000-0002-9330-1245
  • Patrícia Bittencourt-Dutra-dos-Santos Universidade do Estado do Rio Grande do Norte

DOI:

https://doi.org/10.21615/cesodon.5866

Keywords:

perception, adolescents, dental aesthetics, dentistry, posed smile

Abstract

Introduction and objective: the analysis of the smile in the face of dental treatment is essential and must always take into account factors such as: age of the patient, anomalies in the size and shape of the teeth, face shape, lips, color, presence of diastema, dental midline deviations, between others. To investigate the possible influence of the deviation of the upper midline on the attractiveness of the smile in adolescents. Materials and methods: six frontal photographs in posed smile were selected from orthodontically treated adolescent volunteers who had an apparently normal occlusion and an upper dental midline coincident with facial and lower midline. Each real photograph was manipulated with the aid of Adobe Photoshop 7.0, in order to obtain photographs with an upper midline deviation of 1 to 4mm, totaling 30 photographs. Such images were analyzed by graduated dentists, dentistry students and lay adolescents, who classified them considering the aesthetics of the smile. To check the attractiveness of the smile, analysis of variance (ANOVA) was used for inter and intra-group evaluation, in addition to Pearson's correlation. Results: the groups of students and dentists showed a negative correlation between the deviation from the midline and the attractiveness of the smile (p ≤0.05). It was possible to observe that there was no statistically significant difference in the assessment made by lay adolescents, regardless of the degree of deviation from the midline. Conclusion: deviations from the upper midline impair the smile attractiveness when evaluated by people who are knowledgeable about the dental field.

Downloads

Download data is not yet available.

Author Biographies

Wanderlúcia Garcia-Costa, Faculdade Sete Lagoas

Especialista em Ortodontia pela Faculdade Sete Lagoas/Centro de Pós-Graduação em Odontologia. Caicó, Rio Grande do Norte, Brasil. 

Andreanne Galvão-de-Lucena, Universidade do Estado do Rio Grande do Norte

Graduada em Odontologia pela Universidade do Estado do Rio Grande do Norte – Caicó, Rio Grande do Norte, Brasil.

Eloísa Cesário Fernandes, Universidade do Estado do Rio Grande do Norte

Graduada em Odontologia e Pós-Graduanda pela Universidade do Estado do Rio Grande do Norte – Caicó, Rio Grande do Norte, Brasil.

Patrícia Bittencourt-Dutra-dos-Santos, Universidade do Estado do Rio Grande do Norte

Doutora em Ortodontia pela Faculdade de Odontologia de Bauru - USP. Professora Adjunto IV de Clínica Infantil da Universidade do Estado do Rio Grande do Norte – Caicó, Rio Grande do Norte, Brasil. 

References

Alhammadi MS, Halboub E, Al-Mashraqi AA, Al-Homoud M, Wafi S, Zakari A, et al. Perception of facial, dental, and smile esthetics by dental students. J Esthet Restor Dent 2018;1-12.

Sharma A, Mathur A, Batra M, Makkar DK, Aggarwal VP, Goyal N, Kaur P. Objective And Subjective Evaluation Of Adolescent’s Orthodontic Treatment Needs And Their Impact On Self-Esteem. Revista Paulista de Pediatria. 2017;35(1):86–91.

Henson ST, Lindauer SJ, Gardner WG, Shroff B, Tufekci E, Best AM. Influence of dental esthetics on social perceptions of adolescents judged by peers. American Journal of Orthodontics and Dentofacial Orthopedics. 2011; 140(3)389–395.

Lopes LVM, Staszak SR, Moro A, Bueno MR. Análise computadorizada do sorriso em ortodontia. RSBO (Imp.) 2006;3(1):7-17.

Menezes Filho PF, Barros CHO, Noronha JAA, Melo Júnior PC, Cardoso RM. Avaliação crítica do sorriso. Int J Dent 2006;1(1):14-9.

Normando ADC, Azevedo LA, Paixão PN. Quanto de desvio de linha média dentária superior ortodontistas e leigos conseguem perceber? Rev. Dent. Press Ortodon. Ortopedi. Facial. 2009; 14(2):73-80.

Kim E, Gianelly A. A. Extraction vs nonextraction: arch widths and smile esthetics. Angle orthod. 2003; 73(4):354-8.

Conceição, EN. Dentística: Saúde e Estética. 2ª ed. Porto Alegre: Artmed; 2007.

Cavalcanti SM, Valentim FB, Guerra SMG, Rosetti EP. Aesthetic perception of gingival smiles. Revista de Odontologia Da UNESP. 2018;47(1):45–50.

Ferreira JB, Silva LE da, Caetano MT de O, Motta AFJ da, Cury-Saramago A de A, Mucha JN. Perception of midline deviations in smile esthetics by laypersons. Dental Press Journal of Orthodontics. 2016;21(6):51–57.

Durigon M, Alessi BP, Neves M, Trentin MS. Perception of dentists, dental students, and patients on dentogingival aesthetics. Revista de Odontologia Da UNESP. 2018;47(2):92–97.

Pithon MM, Santos AM, Couto FS, da Silva Coqueiro R, de Freitas LMA, de Souza RA, et al. Perception of the esthetic impact of mandibular incisor extraction treatment on laypersons, dental professionals, and dental students. The Angle Orthodontist. 2012;82(4):732–738.

de Paula Junior DF, Santos NCM, da Silva ET, Nunes MF, Leles CR. Psychosocial impact of dental esthetics on quality of life in adolescents. Angle Orthod 2009;79:1188-93.

O’Brien K, Wright J, Conboy F, Appelbe P, Davies L, Connolly I,et al. Early treatment for Class II Division 1 malocclusion with the Twin-block appliance: a multi-center, randomized, controlled trial. Am J Orthod Dentofacial Orthop 2009;135:573-9.

Amaral BA, Filgueira ACG, Silva-Neto JP da, de Lima KC. Relationship between normative and self-perceived criteria for orthodontic treatment need and satisfaction with esthetics and mastication in adolescents. American Journal of Orthodontics and Dentofacial Orthopedics. 2020; 157(1):42-48.

Kokich JRVO, Kiyak HA, Shapiro PA. Comparing the perception of dentistis and lay people to altered dental esthetics. J. esthet. dent. 1999; 11(6):311-24.

Richards MR, Fields HW Jr, Beck FM, Firestone AR, Walther DB, Rosenstiel S, et al. Contribution of malocclusion and female facial attractiveness to smile esthetics evaluated by eye tracking. Am J Orthod Dentofacial Orthop. 2015;147(4):472-82.

Cardash HS, Ormanier Z, Laufer BZ. Observable deviation of the facial and anterior tooth midlines. J. prosthet. dent. 2003; 89(3):282-5.

Jørnung J, Fardal, Ø. Percepções dos sorrisos dos pacientes. The Journal da American Dental Association. 2007;138(12):1544-1553.

Janson G, Branco NC, Fernandes TMF, Sathler R, Garib D, Lauris JRP. Influence of orthodontic treatment, midline position, buccal corridor and smile arc on smile attractiveness. The Angle Orthodontist. 2011; 81(1):153–161.

Published

2022-09-06

How to Cite

1.
Garcia-Costa W, Galvão-de-Lucena A, Fernandes EC, Bittencourt-Dutra-dos-Santos P. Influence of Upper Midline Deviation on Smile Attractiveness. CES odontol. [Internet]. 2022 Sep. 6 [cited 2024 May 10];35(1):5-16. Available from: https://revistas.ces.edu.co/index.php/odontologia/article/view/5866

Issue

Section

Artículo de Investigación Científica y Tecnológica
Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views

Some similar items: