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At least 19 recordsLinked to original sources

All smiles are positive, but some smiles are more positive than others.

Disagreement as to whether all smiling or specific types of smiling index positive emotion early in life was addressed by examining when infants produced different types of smiling and other facial expressions. Thirteen infants were observed weekly from 1 to 6 months of age. Smiling alone--without cheek raising or mouth opening--was relatively more likely than periods without smiling both when mothers were smiling and when infants were gazing at their mothers' faces. Cheek-raise (Duchenne) smiling was relatively more likely than smiling alone only when mothers were smiling. Open-mouth (play) smiling was relatively more likely than smiling alone only when infants were gazing directly at mothers' faces. Smiling involving both cheek raising and mouth opening was relatively likely both when mothers were smiling and when infants were gazing at mothers' faces and became increasingly likely with age when both conditions co-occurred. The cheek-raise and open-mouth dimensions of smiling appear to be associated with, respectively, the amplification of processes of sharing positive affect and of visual engagement that are present to a lesser degree in smiling alone.

Affect↗

Reading a smiling face: messages conveyed by various forms of smiling.

This study investigated the effect of various forms of smiling (closed smile, upper smile, or broad smile) on person perception. Brazilian undergraduates (N = 330) judged a photograph of a male or female stimulus person in three age ranges (young, middle-aged, and old) and smiling or not. 7-point scales were used to measure respondents' perception of the stimulus persons on various attributes (attractiveness, happiness, extroversion, sympathy, kindness, submission, ambition, and intelligence). We found that a smile enhanced attractiveness and kindness ratings independently of its form, whereas the influence of the various forms on ratings of happiness was additive. As the neutral face changed to a closed smile and the closed smile became a broad smile, target stimuli were attributed greater rated happiness. We also found a contribution of perceivers' gender to the judgements of extroversion and sympathy, indicating a slightly greater discrimination of facial expressions among women than among men.

Adolescent↗

Smile esthetics: perception and comparison of treated and untreated smiles.

INTRODUCTION: Although orthodontic treatment is based primarily on occlusal relationships, greater attention is now paid to enhancing dentofacial characteristics to produce optimal facial esthetics. The purposes of this study were to compare smile esthetics among extraction and nonextraction patients and a control group, assess certain dentofacial characteristics in those groups, and discuss how these features relate to smile esthetics. METHODS: Panels of orthodontists, plastic surgeons, artists, general dentists, dental professionals, and parents used a 5-point scale to rate smiling photographs of 25 extraction, 25 nonextraction, and 25 untreated control subjects. Dentofacial characteristics of the 3 groups were obtained from lateral cephalometric analyses, direct biometric measurements, and frontal photographs. Smile esthetics and differences among the 3 groups were subjected to 1-way analysis of variance (ANOVA), and Pearson correlation coefficients were calculated to determine the relationship of the variables to the esthetic score. RESULTS: The mean esthetic scores for the extraction, nonextraction, and control groups were 3.15, 3.12, and 3.26, respectively. Visible dentition width relative to the smile width ratio and intercanine distance relative to smile width ratio were significantly different among the groups, with extraction patients showing a slightly wider dental arch relative to the soft tissue (P < .05). There was also a significant difference in the U1-SN angle among the groups (P < .05), and this variable showed a strong correlation with the esthetic score as did maxillary gingival display (P < .05). However, our study groups could not be differentiated in smile esthetics.

Adult↗

The importance of incisor positioning in the esthetic smile: the smile arc.

The smile arc is defined as the relationship of the curvature of the incisal edges of the maxillary incisors and canines to the curvature of the lower lip in the posed smile. The ideal smile arc has the maxillary incisal edge curvature parallel to the curvature of the lower lip. Evaluation of anterior smile esthetics must include both static and dynamic evaluations of profile, frontal, and 45 degrees views to optimize both dental and facial appearance in orthodontic planning and treatment. This article presents the concept of the smile arc and how it relates to orthodontics-from the recognition of its importance, to its impact on orthodontic treatment planning, to how procedures and mechanics are adapted to optimize the appearance of the smile. Three cases are used to illustrate how treatment is directed, emphasizing how facial and smile goal setting go hand in hand.

Adult↗

Learning to smile: the neuroanatomic basis for smile training.

UNLABELLED: This article demonstrates that although any layperson could recognize that the smile manifests mainly in the oral and periorbital regions, a comprehension of the neurologic and musculoskeletal elements lends the clinician insight into the many aspects of a smile. The neurologic control of a smile consists of a complex process involving many facets. As with any other complex neuromuscular activity, repetitions of the act can train the central nervous system, neural network, and muscular network in efficient performance of and correct musculoskeletal activation involved in the act itself. With functional knowledge of muscles dedicated to a pleasing full smile, together with a battery of easy and effortless exercises, the clinician is able to help the patient change behavior intended to camouflage perceived oral flaws. A patient needs reassurance that behind the guidance from the clinician lies medical evidence that such routine movement of muscles will indeed improve the smile. When asked why or how the exercise succeeds, the clinician can reassure the patient based on a working knowledge of the neurologic and muscular anatomy involved. CLINICAL SIGNIFICANCE: A functional knowledge of muscles dedicated to a pleasing full smile, together with a battery of easy and effortless exercises, provides the clinician with the ability to assist the patient in altering years of behavior intended to camouflage perceived oral flaws.

Adolescent↗

What's in a smile?: Quantification of the vertical smile of patients with myasthenia gravis.

Many patients with myasthenia gravis who experience bulbar symptoms show a vertical smile, which may have a considerable, and often underestimated, impact on social life. Peri-oral muscle function can be quantified by calculating lip-length and snout indices, which indicate the degree to which a person is capable of smiling and of pursing the lips, respectively. In the present study patients with bulbar myasthenia gravis were compared to patients with ocular myasthenia gravis, patients now in remission (but previously suffering from bulbar myasthenia gravis), and healthy subjects. The lip-length and snout indices of patients with bulbar myasthenia gravis were significantly lower than those of the other groups. The facial impairments were no longer detectable in patients with bulbar myasthenia gravis in remission and no subclinical impairments in lip-length and snout indices were found in the ocular myasthenia gravis group. These findings were consistent with the patients' reports of impairment of smiling and other oral functions. The patients suffering from a vertical smile or other oral impairments were well aware of their condition, most probably because of the social consequences of being unable to smile. The indices could be of importance in the longitudinal evaluation of therapy in individual patients and in pharmacotherapeutical research. We found a low correlation between the lip-length and snout indices, which reflects the capricious pattern of involvement of separate muscles in myasthenia gravis. Therefore both indices deserve special attention if they are used for monitoring myasthenic symptoms.

Adult↗

The contingent smile: a meta-analysis of sex differences in smiling.

The authors present a meta-analysis of sex differences in smiling based on 448 effect sizes derivedfrom 162 research reports. There was a statistically significant tendency for women and adolescent girls to smile more than men and adolescent boys (d = 0.41). The authors hypothesized that sex differences in smiling would be larger when concerns about gender-appropriate behavior were made more conspicuous, situational constraints were absent or ambiguous, or emotion (especially negative) was salient. It was also predicted that the size of the sex difference in smiling would vary by culture and age. Moderator analysis supported these predictions. Although men tend to smile less than women, the degree to which this is so is contingent on rules and roles.

Adolescent↗

Dynamic smile visualization and quantification: part 1. Evolution of the concept and dynamic records for smile capture.

The "art of the smile" lies in the clinician's ability to recognize the positive elements of beauty in each patient and to create a strategy to enhance the attributes that fall outside the parameters of the prevailing esthetic concept. New technologies have enhanced our ability to see our patients more dynamically and facilitated the quantification and communication of newer concepts of function and appearance. In a 2-part article, we present a comprehensive methodology for recording, assessing, and planning treatment of the smile in 4 dimensions. In part 1, we discuss the evolution of smile analysis and review the dynamic records needed. In part 2, we will review smile analysis and treatment strategies and present a brief case report.

Cephalometry↗

Dynamic smile visualization and quantification: Part 2. Smile analysis and treatment strategies.

The "art of the smile" lies in the clinician's ability to recognize the positive elements of beauty in each patient and then create a strategy to enhance the attributes that fall outside the parameters of the prevailing esthetic concept. New technologies have enhanced our ability to see our patients more dynamically and facilitated the quantification and communication of newer concepts of function and appearance. In a 2-part article, we present a comprehensive methodology for recording, assessing, and planning treatment of the smile in 4 dimensions. In part 1, we discussed the evolution of smile analysis and reviewed the dynamic records needed. In part 2, we review smile analysis and treatment strategies and present a brief case report.

Aging↗

The SMile Card: a computerised data card for multiple sclerosis patients. SMile Card Scientific Board.

The SMile Card was developed as a means for computerising clinical information for the purpose of transferability, accessibility, standardisation and compilation of a national database of demographic and clinical information about multiple sclerosis (MS) patients. In many European countries, centres for MS are organised independently from one another making collaboration, consultation and patient referral complicated. Only the more highly advanced clinical centres, generally located in large urban areas, have had the possibility to utilise technical possibilities for improving the organisation of patient clinical and research information, although independently from other centres. The information system, developed utilising the Visual Basic language for Microsoft Windows 95, stores information via a 'smart card' in a database which is initiated and updated utilising a microprocessor, located at each neurological clinic. The SMile Card, currently being tested in Italy, permits patients to carry with them all relevant medical information without limitations. Neurologists are able to access and update, via the microprocessor, the patient's entire medical history and MS-related information, including the complete neurological examination and laboratory test results. The SMile Card provides MS patients and neurologists with a complete computerised archive of clinical information which is accessible throughout the country. In addition, data from the SMile Card system can be exported to other database programs.

Europe↗

What's in a "smile?" Intra-operative observations of contralateral smiles induced by deep brain stimulation.

OBJECTIVE: To describe smiling and euphoria induced by deep brain stimulation (DBS). BACKGROUND AND SIGNIFICANCE: The brain systems inducing emotional experiences and displays are not entirely known, but the ventral striatum including the nucleus accumbens has been posited to play a critical role in mediating emotions with positive valence. DBS has been successfully employed for the treatment of movement disorders, and most recently obsessive compulsive disorder (OCD). The purpose of this report is to describe the emotional changes associated with stimulation of the ventral striatum. METHODS: A single patient with intractable OCD had electrode arrays placed in the right and left anterior limbs of the internal capsule and region of the nucleus accumbens. Changes in facial movement during stimulation were quantified by video recording. Ten video segments, time locked to the onset of stimulation, were digitized and changes in pixel intensity that occurred over both sides of the lower face, on a frame by frame basis, following stimulation onset were computed. These summed changes in pixel intensity represented the dependent variable of "entropy" and directly corresponded to changes in light reflectance that occur during facial movement. RESULTS: During stimulation on both the right and left side, the patient consistently developed a half smile on the side of the face contralateral to the stimulating electrode, and also became euphoric. The effect ceased when DBS was discontinued. CONCLUSIONS: DBS in the region of the nucleus accumbens produced smile and euphoria suggesting that alterations in the ventral striatum may result in emotional experience and displays. We hypothesize the existence of a limbic-motor network responsible for such changes. This observation suggests that DBS may be useful as a therapy for mood disorders.

Adult↗

Smile showcase--redesigning the narrow smile.

This article describes how creative manipulation of tooth dimensions and color can cause a drab, narrow smile to expand by illusion and "come alive." Though many areas of restorative dentistry will be utilized, the unifying element will be the broad application of adhesive dentistry. The case description presented here will help to enhance the ability of the dental practitioner and the laboratory technician to design and produce more aesthetically harmonious, cosmetically appropriate smiles. In addition, it will provide technical guidance in integrating time-honored restorative principles, state-of-the-art dental materials, innovative clinical procedures, and relevant academic research.

Color↗

Smile architecture: beyond smile design.

Successful cosmetic dental treatment is both functional and aesthetic. It requires evaluation of a patient's expectations, diagnosis of pre-existing problems and careful planning of treatment to eliminate or control the causes of existing conditions. The use of mounted diagnostic casts and a diagnostic wax-up allows visualization of the expected result. Provisional restorations offer a "dress rehearsal" to preview functional and aesthetic results before completion of the final restorations. The term "smile architecture" is used to describe the process that guides a patient and dentist from initial complaint through to final case acceptance.

Adult↗