Smile characteristics in children with normal occlusion
DOI:
https://doi.org/10.17533/udea.rfo.v27n1a1Keywords:
Primary dentition, Mixed dentition, SmileAbstract
Introduction: in assessing children’s smile, a gingival smile is usually accepted as normal, but there is no scientific evidence to support this statement. The goal of this research project was to describe the structural characteristics of posed unforced smile in children with normal occlusion in deciduous and mixed dentition. Methods: a cross-sectional study in 122 children aged 3 to 12 years with normal occlusion. Each kid was recorded a video clip and taken a photogram in unforced posed smile, which was used to quantify and describe smile variables. These variables were compared by gender and dentition type: the quantitative variables were analyzed with one-way ANOVA test and Student’s t test, and the qualitative variables with Pearson’s chi-squared test, using a significance level of 0.05. Results: the soft tissues evaluated in smile showed significant differences between deciduous dentition / early mixed dentition and silent mixed dentition / late dentition. These values were lower in females. There was a prevalence of high smile in deciduous dentition and early mixed dentition, and medium smile in silent mixed dentition and late mixed dentition. 89.3% of children had a matching smile arch. The smile rate was proportional among the dentition stages evaluated and between males and females. Conclusions: the high smile is predominant among child patients in early deciduous dentition and mixed dentition, and gingival exposure reduces as kids grow.
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McNamara L, McNamara JA, Ackerman MB, Baccetti T. Hard – and soft-tissue contributions to the esthetics of the posed smile in growing patients seeking orthodontic treatment. Am J. Orthod Dentofacial Orthop 2008; 133(4): 491-499.
Sarver DM, Proffit WR. Aspectos especiales en diagnóstico y planificación terapéutica. En: Graber TM. Ortodoncia principios y técnicas actuales. Madrid: Elsevier; 2006: 3-70.
Tjan AH, Miller GD, GPJ. Some esthetic factors in a smile. J Prosthet Dent 1984; 51: 24-28.
Sarver DM, Ackerman MB. Dynamic smile visualization and quantification: part 2. Smile analysis and treatment strategies. Am J Orthod Dentofacial Orthop 2003; 124(2): 116-127.
Sarver DM, Ackerman MB. Dynamic smile visualization and quantification: Part 1. Evolution of the concept and dynamic records for smile capture. Am J Orthod Dentofacial Orthop 2003; 124(1): 4-12.
Van der Geld P, Oosterveld P, Kuijpers-Jagtman AM. Age-related changes of the dental aesthetic zone at rest and during spontaneous smiling and speech. Eur J Orthod 2008; 30(4): 366-373.
Desai S, Upadhyay M, Nanda R. Dynamic smile analysis: changes with age. Am J Orthod Dentofacial Orthop 2009; 136(3): 310-311.
Zachrisson BU. Esthetic factors involved in anterior tooth display and the smile: vertical dimension. J Clin Orthod 1998; 32(7): 432-445.
Proffit WR, Fields HW. Ortodoncia Contemporánea. 4 ed. España: Elsevier; 2008.
Monaco A, Streni O, Marci MC, Marzo G, Gatto R, Giannoni M. Gummy smile: clinical parameters useful for diagnosis and therapeutic approach. J Clin Pediatr Dent 2004; 29: 19-25.
Mackley RJ. An evaluation of smiles before and after orthodontic treatment. Angle Orthod 1993; 63(3): 183-189.
Maulik C, Nanda R. Dynamic smile analysis in young adults. Am J Orthod Dentofacial Orthop 2007; 132(3): 307-315.
Burdi AR, Moyers RE. Desarrollo de la dentición y la oclusión. En: Moyers RE, Manual de Ortodoncia 4 ed. Buenos Aires: Editorial Médica Panamericana; 1992: 102-150.
Declaración de Helsinki. www.wma.net/es/30publications/10policies/b3/17c_es.pdf
Colombia. Ministerio de Salud. Resolución No 00008430 de 1993 por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Diario Oficial, (1993).
Peck S, Peck L, Kataja M. The gingival smile line. Angle Orthod 1992; 62(2): 91-100.
Ackerman MB, Ackerman JL. Smile analysis and design in the digital era. J Clin Orthod 2002; 36(4): 221-236.
Hulsey CM. An esthetic evaluation of lip-teeth relationships present in the smile. Am J Orthod 1970; 57(2): 132-144.
Krishnan V, Daniel ST, Lazar D, Asok A. Characterization of posed smile by using visual analog scale, smile arc, buccal corridor measures, and modified smile index. Am J Orthod Dentofacial Orthop 2008; 133(4): 515-523.
Sarver DM. The importance of incisor positioning in the esthetic smile: the smile arc. Am J Orthod Dentofacial Orthop 2001; 120(2): 98-111.
Van der Geld P, Oosterveld P, Schols J, Kuijpers-Jagtman AM. Smile line assessment comparing quantitative measurement and visual estimation. Am J Orthod Dentofacial Orthop 2011; 139(2): 174-180.
Dickens ST, Sarver DM, Proffit WR. Changes in frontal tissue dimensions of the lower face by age and gender. World J Orthod 2002; 3: 313-320.
Hunt O, Johnston C, Hepper P, Burden D, Stevenson M. The influence of maxillary gingival exposure on dental attractiveness ratings. Eur J Orthod 2002; 24(2): 199-204.
Hashim HA, Sarhan OA, Bukhary MT, Feteih R. Vertical and horizontal linear growth of the maxillary and mandibular lips: a longitudinal study. J Clin Pediatr Dent 1997; 21: 125-129.
Panossian AJ, Block MS. Evaluation of the smile: facial and dental considerations. J Oral Maxillofac Surg 2010; 68(3): 547-554.
Wolford LM, Hilliard FW, Dungan DJ. Surgical treatment objective: a systematic approach to the prediction tracing. St Louis: Mosby Year Book; 1985.
Ackerman MB, Brensinger C, Landis JR. An evaluation of dynamic lip-tooth characteristics during speech and smile in adolescents. Angle Orthod 2004; 74(1): 43-50.
Mamandras AH. Linear changes of the maxillary and mandibular lips. Am J Orthod Dentofacial Orthop 1988; 94: 405-410.
Nanda RS, Meng H, Kapila S, Goorhuis J. Growth changes of the soft tissue facial profile. Angle Orthod 1990; 60(3): 177-190.
Ackerman JL, Ackerman MB, Brensinger CM, Landis JR. A morphometric analysis of the posed smile. Clin Orthod Res 1998; 1: 2-11.
Ackerman JL, Proffit WR, Sarver DM. The emerging soft tissue paradigm in the orthodontic diagnosis and treatment planning. Clin Orthod Res 1999; 2: 49-52.
Parekh S, Fields HW, Beck FM, Rosenstiel SF. The acceptability of variations in smile arc and buccal corridor space. Orthod Craniofacial Res 2007; 10: 15-21.
Dong JK, Jin TH, Cho HW, Oh SC. The esthetics of the smile: a review of some recent studies. Int J Prosthodont 1999; 12: 9-19.
Roden-Johnson D, Gallerano R, English J. The effects of buccal corridor spaces and arch form on smile esthetics. Am J Orthod Dentofacial Orthop 2005; 127(3): 343-350.
Parekh J, Fields H, Beck M, Rosenstiel S. The perception of selected aspects of smile esthetics —smile arcs and buccal corridors. Am J Orthod Dentofacial Orthop 2006; 129(5): 711.
Vig RG, Brundo GC. Kinetics of anterior tooth display. J Prosthet Dent 1978; 39(5): 502-504.
Peck S, Peck L, Kataja M. Some vertical lineaments of lip position. Am J Orthod Dentofacial Orthop 1992; 101: 519-524.
Peck S, Peck L. Selected aspects of the art and science of facial esthetics. Semin Orthod 1995; 1: 105-126.
Bishara SE, Jorgensen GJ, Jakobsen JR. Changes in facial dimensions assessed from lateral and frontal photographs. Part I. Methodology. Am J Orthod Dentofacial Orthop 1995; 108(4): 389-393.
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