Does the presence of unilateral gingival recession on maxillary canines influence smile esthetics?

Dental Press J Orthod

Universidade Federal da Bahia, Faculdade de Odontologia, Departamento de Ortodontia (Salvador/BA, Brazil).

Published: March 2020

AI Article Synopsis

  • The study focused on how orthodontists, periodontists, and laypersons perceive smile attractiveness in relation to varying levels of gingival recession on the maxillary left canine.
  • Two digitally altered smile images were evaluated by 135 people across these three groups, using a visual analog scale to rate attractiveness.
  • Results indicated that both orthodontists and periodontists deemed all recession levels unesthetic, while laypersons considered recession unesthetic only beyond specific measurements (1.5 mm frontal, 1.0 mm oblique).

Article Abstract

Objective: The objective of this study was to determine orthodontists', periodontists', and laypersons' perception of smile esthetics, regarding the presence of different levels of gingival recession on the maxillary left canine.

Material And Methods: Two close-up smile images (frontal and oblique) of a white female were selected for this study. The images were digitally altered to create different levels of gingival recession on maxillary left canine, in 0.5-mm increments. They were randomly arranged into a photo album that was shown to 135 evaluators: 45 orthodontists, 45 periodontists, and 45 laypersons. Each evaluator was asked to rate the smile attractiveness, using to a visual analog scale. Data were analyzed statistically using ANOVA, Tukey's post-hoc test, and Student t-test.

Results: According to the orthodontists and periodontists, all levels of recession were considered as unesthetic in both types of images. According to the laypersons, gingival recession > 1.5 mm in the frontal image and > 1.0 mm in the oblique image were considered unesthetic.

Conclusion: The results showed that the presence of unilateral gingival recession on maxillary canines may negatively influence smile attractiveness, depending on the evaluator type and the level of the recession.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077941PMC
http://dx.doi.org/10.1590/2177-6709.25.1.056-063.oarDOI Listing

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