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Be Careful Where You Smile: Culture Shapes Judgments of Intelligence and Honesty of Smiling Individuals

Krys K, -Melanie Vauclair C, Capaldi CA, Lun VM, Bond MH, Domínguez-Espinosa A, et al.

Journal of nonverbal behavior, 2015 12 30;40:101-116.
PMID: 27194817

Smiling individuals are usually perceived more favorably than non-smiling ones-they are judged as happier, more attractive, competent, and friendly. These seemingly clear and obvious consequences of smiling are assumed to be culturally universal, however most of the psychological research is carried out in WEIRD societies (Western, Educated, Industrialized, Rich, and Democratic) and the influence of culture on social perception of nonverbal behavior is still understudied. Here we show that a smiling individual may be judged as less intelligent than the same non-smiling individual in cultures low on the GLOBE's uncertainty avoidance dimension. Furthermore, we show that corruption at the societal level may undermine the prosocial perception of smiling-in societies with high corruption indicators, trust toward smiling individuals is reduced. This research fosters understanding of the cultural framework surrounding nonverbal communication processes and reveals that in some cultures smiling may lead to negative attributions.

Matched MeSH terms: Smiling
Fulltext Vertical play of straight wire appliance aids correction of gummy smile and bimaxillary incisor proclination with mini implant anchorage

Mohd Zambri M.M., Wan Nurazreena W.H.

Ann Dent, 2018;25(1):1-10.
MyJurnal

This report aimed to describe an effective biomechanics to control the upper incisors inclination during the
correction of gummy smile with bimaxillary proclinations. A 14-year-old female presented with a Class II
division I incisor relationship complicated with bimaxillary proclination on a Class 2 skeletal base. The lips
were incompetent, showing 7 mm of upper incisors at rest and 5mm maxillary gingival display on smiling
with normal upper lip length. Treatment involved extraction of all first permanent premolars followed by
upper and lower fixed appliances. Intrusion of the upper incisors with controlled labial crown torque was
accomplished with mini-implant anchorage placed bilaterally on the infrazygomatic crests with the retraction
forces above the centre of resistance using 0.019x0.025-in stainless steel archwire in 0.022-in slot. The
0.019x0.025-in stainless steel archwire in 0.022-in slot provided the vertical play to favour lingual crown
tipping despite having forces above the centre of resistance for concurrent anterior segment intrusion.

Matched MeSH terms: Smiling
A comparison between modified and conventional surgical techniques for surgical lip repositioning in the management of the gummy smile

Alammar A, Heshmeh O, Mounajjed R, Goodson M, Hamadah O

J Esthet Restor Dent, 2018 11;30(6):523-531.
PMID: 30412347 DOI: 10.1111/jerd.12433

AIM: The aim of this study was to evaluate and compare conventional and modified lip repositioning surgical techniques used for management of gummy smile involving hyperactive lip elevator muscles.
METHODS AND MATERIALS: A prospective study was conducted between April 2016 and May 2017. Twenty two adult patients aged 18-38 years with gummy smile ranging from 4 to 6 mm because of soft tissue disorders were included in the study. All patients were treated in the oral and maxillofacial department at Damascus University. The sample was divided into two groups of 11 patients. The first group was treated by the conventional standard technique, and the second group treated by a modified study technique. The amount of gingival display in full smile was evaluated in both groups following each intervention.
RESULTS: Both groups exhibited a statistically significant reduction in the measurement of gummy smile at month 1 and 6 postoperatively (P .05). The recent study showed a significant difference in gingival display between 3 and 6 months postoperatively in group 1, but no significant difference in group 2.
CONCLUSION: This study showed that the modified technique utilized in treating gummy smile has less relapse after surgery, shows excellent cosmesis and compared to the conventional technique, greater sustainability.
CLINICAL SIGNIFICANCE: The recent increase in demand for an esthetic smile has led to the development a modification of conventional lip repositioning for correcting gummy smile by myotomy of lip elevator muscles. This modified technique offers less relapse and greater stability post-operatively than the conventional technique.

Matched MeSH terms: Smiling
Fulltext More than meets the smile: facial muscle expression in children with Ochoa syndrome

Ganesan I, Thomas T

Med J Malaysia, 2011 Dec;66(5):507-9.
PMID: 22390114 MyJurnal

The Ochoa syndrome is the association of a non-neurogenic neurogenic bladder with abnormal facial muscle expression. Patients are at risk for renal failure due to obstructive uropathy. We report a family of three siblings, with an emphasis on the abnormalities in facial expression. Careful examination shows an unusual co-contraction of the orbicularis oculi and orbicularis oris muscles only when full facial expressions are exhibited, across a range of emotional or voluntary situations. This suggests a peripheral disorder in facial muscle control. Two thirds of patients have anal sphincter abnormalities. Aberrant organisation of the facial motor and urinary-anal sphincter nuclei may explain these symptoms.

Matched MeSH terms: Smiling/physiology*
Sex differences in smiling and other photographed traits: a theoretical assessment

Ellis L, Das S

J Biosoc Sci, 2011 May;43(3):345-51.
PMID: 21134308 DOI: 10.1017/S0021932010000659

Many studies have shown that females smile more than males do in social situations. The present study extends this research by examining a large sample of high school yearbook photographs. In addition to assessing the degree of smiling, ratings were obtained of the following traits for each photograph: hair length, hair colour, masculine-feminine appearance and physical attractiveness. Results reconfirmed earlier research showing that females smile more than males do while they are being photographed. Other findings were that smiling was positively correlated with hair length, femininity and physical attractiveness for females but not for males. When a multivariate analysis was performed, none of these traits predicted smiling in males, and only femininity was significant in predicting smiling in females. Although social learning theories of smiling can account for some of these findings, a recently proposed neurohormonal theory seems to best explain why femininity is related to smiling in females but not in males.

Matched MeSH terms: Smiling/psychology*
Smile attractiveness related to buccal corridor space in 3 different facial types: A perception of 3 ethnic groups of Malaysians

Nimbalkar S, Oh YY, Mok RY, Tioh JY, Yew KJ, Patil PG

J Prosthet Dent, 2018 Aug;120(2):252-256.
PMID: 29551374 DOI: 10.1016/j.prosdent.2017.10.021

STATEMENT OF PROBLEM: Buccal corridor space and its variations greatly influence smile attractiveness. Facial types are different for different ethnic populations, and so is smile attractiveness. The subjective perception of smile attractiveness of different populations may vary in regard to different buccal corridor spaces and facial patterns.
PURPOSE: The purpose of this study was to determine esthetic perceptions of the Malaysian population regarding the width of buccal corridor spaces and their effect on smile esthetics in individuals with short, normal, and long faces.
MATERIAL AND METHODS: The image of a smiling individual with a mesofacial face was modified to create 2 different facial types (brachyfacial and dolicofacial). Each face form was further modified into 5 different buccal corridors (2%, 10%, 15%, 22%, and 28%). The images were submitted to 3 different ethnic groups of evaluators (Chinese, Malay, Indian; 100 each), ranging between 17 and 21 years of age. A visual analog scale (50 mm in length) was used for assessment. The scores given to each image were compared with the Kruskal-Wallis test, and pairwise comparison was performed using the Mann-Whitney U test (α=.05).
RESULTS: All 3 groups of evaluators could distinguish gradations of dark spaces in the buccal corridor at 2%, 10%, and 28%. Statistically significant differences were observed among 3 groups of evaluators in esthetic perception when pairwise comparisons were performed. A 15% buccal corridor was found to score esthetically equally within 3 face types by all 3 groups of evaluators. The Indian population was more critical in evaluation than the Chinese or Malay populations. In a pairwise comparison, more significant differences were found between long and short faces and the normal face; the normal face was compared with long and short faces separately.
CONCLUSIONS: The width of the buccal corridor space influences smile attractiveness in different facial types. A medium buccal corridor (15%) is the esthetic characteristic preferred by all groups of evaluators in short, normal, and long face types.

Matched MeSH terms: Smiling*
Fulltext Blending the appearance of all-ceramic crowns in fluo-rosis condition with direct chair-side technique

Siti Mariam Ab Ghani, Ahmad Syahir Ahmad Zu Saifudin, Muhammad Aliff Ikram Noor Zari, Teh Adilla Mustaza

Compendium of Oral Science, 2015;2(1):47-51.
MyJurnal

Dental fluorosis incidence had been reported to be affecting children widely, especially in water-fluoridated ar-ea. As these children grow into young adults, perceived aesthetic problems arise mainly due to their concern with generalized mottled and stained teeth appearance. Fixed prosthodontics treatment involving single anterior tooth in patients with generalized fluorosis condition had been found challenging due to aesthetic restorability to blend with fluorosis condition. Clinical considerations: A simplified procedural direct chair-side technique of mimicking fluorosis condition onto anterior all-ceramic crowns are discussed in this paper. The mimicked fluoro-sis is reversible and has the opportunity to be adjusted according to the patient’s fluorosis condition thus hinder-ing the need to redo the crown in the future. Conclusions: The appearance of anterior all-ceramic crowns with direct chair-side staining technique provided blended and harmonized well with the dental fluorosis condition in both patients thus, giving natural looking smile.

Matched MeSH terms: Smiling
Psychological impacts of dental fluorosis among malaysian school children

Mohd Nor, M., Sheiham, A., Tsakos, G.

Malaysian Dental Journal, 2008;29(1):20-24.
MyJurnal

The objectives were to assess the prevalence, severity, the psychological and social impacts of fluorosis among school children and their parents in the Kuala Pilah area, Negeri Sembilan, Malaysia. Methods: A convenience sample of 431 students aged 16-17 years old from 3 secondary schools in Kuala Pilah, Negeri Sembilan were selected. The students were assessed for presence of dental fluorosis using Dean’s Index and to assess impacts. Questionnaires were administered to all the dental fluorosis students and selected matched students with no fluorosis. They constituted a control group for the case control study. Questionnaires were sent to the parents of dental fluorosis and control non fluorosis cases. Results: The prevalence of dental fluorosis was 27.8%; 82% of the fluorosis cases were questionable to mild and 18% moderate to severe fluorosis. 16.1% of students with dental fluorosis and 8.5% of non-fluorosis students had psychological impacts. 12.8% of the parents of children with fluorosis reported that their child had an impact. More girls with fluorosis (35.7%) had psychological impacts compared than boys (25.0%). In the 16.1% of fluorosis cases who had psychological impacts, difficulty smiling and showing teeth, affected 35.7% of girls and 25 % of boys. The percentage of students with dental fluorosis who had psychological impacts on carrying out school work was 2.7%, and 3.6% had impacts related to going out with friends. Conclusions: There were considerable psychological impacts on smiling and showing teeth among Malaysian teenagers with dental fluorosis and some of their parents were concerned about the fluorosis. But the impacts were mild and do not have a major impact on students’ lives. Dental fluorosis is not aesthetically displeasing to most subjects but does have psychological and social impacts on a small percentage with fluorosis.

Matched MeSH terms: Smiling