Influence of the Vertical Position of Maxillary Central Incisors on the Perception of Smile Esthetics Among Orthodontists and Laypersons

Machado, André Wilson; McComb, Ryan W.; Moon, Won; Gandini, Luiz Gonzaga

doi:10.1111/jerd.12054

Cited by 57 publications

(146 citation statements)

References 26 publications

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“…In contrast, the key aspect found in this research was that minimal maxillary incisor exposure was extremely unattractive. Although a similar study evaluating the aesthetic perception at repose was not found in the literature, Machado et al [2] evaluated the perception of smile aesthetics with respect to different vertical positions of the maxillary central incisors and found that slightly extruded incisors were more attractive than slightly intruded incisors.…”

Section: Discussionmentioning

confidence: 95%

“…Those examples could not only decrease the maxillary incisor exposure leading to the appearance of premature aging but also create a reverse smile arc, which is considered very unattractive [2,10,17,27].…”

Section: Discussionmentioning

confidence: 99%

“…Because the amount of maxillary central incisors exposure highly affected dentofacial aesthetics, it is of paramount importance to focus on clinical situations that may lead to an decrease of maxillary incisors exposure, such as (a) increased anatomic upper lip length; (b) decreased maxillary skeletal length; (c) attrition of the maxillary central incisors without restoration of the incisal edges; (d) improper bracket positioning during orthodontic treatments; and (e) indiscriminate leveling of the maxillary arch during orthodontic treatments, thus flattening the smile arc [2,10,27]. Those examples could not only decrease the maxillary incisor exposure leading to the appearance of premature aging but also create a reverse smile arc, which is considered very unattractive [2,10,17,27].…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, several studies was conducted to assess ideal characteristics for these teeth to optimize smile aesthetics [1,2,10e13,17e19]. Among all characteristics related to the maxillary centrals, their vertical positioning is one of the most important aspects [2].…”

Section: Discussionmentioning

confidence: 99%

“…This aspect is of fundamental importance when discussing dentofacial aesthetics, as it is closely related to beauty and youth [2,25,26].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Influence of maxillary incisor level of exposure on the perception of dentofacial aesthetics among orthodontists and laypersons

Caramello

Bittencourt

Machado

2015

Journal of the World Federation of Orthodontists

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…This aspect is of fundamental importance when discussing dentofacial aesthetics, as it is closely related to beauty and youth [2,25,26].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Influence of maxillary incisor level of exposure on the perception of dentofacial aesthetics among orthodontists and laypersons

Caramello

Bittencourt

Machado

2015

Journal of the World Federation of Orthodontists

Self Cite

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Esthetic and functional rehabilitation of peg‐shaped maxillary lateral incisors: Practical recommendations

Omeish

Nassif

Feghali

et al. 2022

Clinical Case Reports

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Peg‐shaped maxillary lateral incisors cause many functional and esthetic major consequences in affected patients. Their esthetic and functional rehabilitations are often multidisciplinary, involving different clinical procedures like periodontal, orthodontic, or prosthodontic procedures. No exhaustive protocol has been established to improve their comprehensive management by general dentists or specialists. The aim of this article is to elaborate a simplified clinical protocol of complete management of peg‐shaped maxillary lateral incisors by a multidisciplinary team (general practitioners, orthodontists, and prosthodontists). A clinical case of two peg‐shaped maxillary lateral incisors completely rehabilitated with multidisciplinary approaches including orthodontic treatment and restoration by veneers and direct composite resin, according to the established protocol. Extraoral, intraoral, and smile clinical analysis are crucial to ensure optimal rehabilitation. Treatment results previsualization via wax‐up and/or mock‐up play a key role in the communication between practitioner and patient to help the latter make decision. These options also facilitate the achievement of a multidisciplinary approach by accurately estimating the number of dental movements and the type of restorations that are most suitable to the presenting clinical situation.

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Rating of smile attractiveness of patients finished to the American Board of Orthodontics standards

et al. 2020

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Influence of the Vertical Position of Maxillary Central Incisors on the Perception of Smile Esthetics Among Orthodontists and Laypersons

Abstract: The upper central incisors are the key determinant in evaluating smile esthetics, and thus, the assessment of their ideal vertical positioning is an aspect of paramount importance.

Cited by 57 publications

References 26 publications

Influence of maxillary incisor level of exposure on the perception of dentofacial aesthetics among orthodontists and laypersons

Influence of maxillary incisor level of exposure on the perception of dentofacial aesthetics among orthodontists and laypersons

Esthetic and functional rehabilitation of peg‐shaped maxillary lateral incisors: Practical recommendations

Rating of smile attractiveness of patients finished to the American Board of Orthodontics standards

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