Evidence map›Paper›PMID 42149127›Full record

ArticleOrthodontics & craniofacial research2026

Comparing Facial Attractiveness and Professional Acceptance Between Real and AI-Generated Orthodontic Treatment Outcome Images.

Gil Guilherme Gasparello, Otso Tirkkonen, Sergio Luiz Mota-Júnior, Felipe Calgaro Martins, Marco Antonio Dias da Silva, Orlando Motohiro Tanaka

Abstract readComparative Study
In one paragraph

Article in Orthodontics & craniofacial research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Gil Guilherme GasparelloPontifícia Universidade Católica Do Paraná - PUCPR School of Medicine and Life Sciences, Dentistry Department, Curitiba, PR, Brazil.ORCID https://orcid.org/0000-0002-8955-6448
Otso TirkkonenResearch Unit of Population Health University of Oulu, Oulu, Finland.ORCID https://orcid.org/0009-0005-9654-7100
Sergio Luiz Mota-JúniorUniversidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0003-3601-8264
Felipe Calgaro MartinsPontifícia Universidade Católica Do Paraná - PUCPR School of Medicine and Life Sciences, Dentistry Department, Curitiba, PR, Brazil.
Marco Antonio Dias da SilvaResearch Unit of Population Health University of Oulu, Oulu, Finland.ORCID https://orcid.org/0000-0002-2774-4769
Orlando Motohiro TanakaPontifícia Universidade Católica Do Paraná - PUCPR School of Medicine and Life Sciences, Dentistry Department, Curitiba, PR, Brazil.ORCID https://orcid.org/0000-0002-1052-7872

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFacial attractiveness influences social and professional perceptions, including competence and employability. With the increasing use of artificial intelligence (AI) to generate photorealistic faces, it is important to understand how these images compare to real orthodontic treatment outcomes.

objectiveTo compare perceptions of real versus AI-generated orthodontic treatment results in terms of attractiveness, employability, and distinguishability.

methodsA cross-sectional online survey included 288 Brazilian adults.

participantsDentists (n = 76), dental students (n = 63), and laypeople (n = 149). Each evaluated three sets of images (pre-treatment, post-treatment, and AI-generated post-treatment) for three patients. Participants rated facial attractiveness (VAS 0-100), assessed employability, and identified whether the image was AI-generated.

resultsAI-generated images were rated significantly more attractive than real post-treatment ones (mean VAS: AI = 68.8; Real = 54.4; p < 0.001). Dentists, students, and laypeople all rated AI images higher. Employability was also greater for AI images (50.4%) than real ones (39.1%) (p = 0.007). Misclassification was common, with dental students achieving the highest accuracy (66.8%).

conclusionParticipants showed limited ability to accurately distinguish between real and AI-generated images. AI-generated images were perceived as more attractive and had a greater positive impact on employability judgements compared to real post-treatment images.

Indexed as

Artificial IntelligenceBeautyEsthetics, DentalFaceOrthodontics, CorrectiveAdultAttitude of Health PersonnelBrazilCross-Sectional StudiesDentistsFemaleHumansMaleMiddle AgedOrthodonticsStudents, Dentalartificial intelligencedigital aestheticsemployabilityfacial attractivenessorthodonticsperception AI‐generated images

Identifiers

PMID42149127
PMCPMC13543177

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.