Evidence map›Paper›PMID 42339882›Full record

ArticleDental press journal of orthodontics2026

Influence of incisor display and lower lip height on smile esthetics and perceived age.

Juliana do Espírito Santo Russo, Rafael Cunha Bittencourt, Daniella Mascarenhas Calixto Barros, Rebeca Passeri de Almeida, Diego Coelho Lorenzoni, Sergio Luiz Mota-Júnior, Claudia Trindade Mattos

Abstract read
In one paragraph

Article in Dental press journal of orthodontics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Juliana do Espírito Santo RussoUniversidade Federal Fluminense, Dental School, Department of Clinical Dentistry (Niterói/RJ, Brazil).ORCID http://orcid.org/0009-0002-8600-7387
Rafael Cunha BittencourtUniversidade Federal Fluminense, Dental School, Department of Clinical Dentistry (Niterói/RJ, Brazil).ORCID http://orcid.org/0000-0001-8223-2873
Daniella Mascarenhas Calixto BarrosUniversidade Federal Fluminense, Dental School, Department of Clinical Dentistry (Niterói/RJ, Brazil).ORCID http://orcid.org/0000-0002-6729-4897
Rebeca Passeri de AlmeidaUniversidade Federal Fluminense, Dental School, Department of Clinical Dentistry (Niterói/RJ, Brazil).ORCID http://orcid.org/0009-0008-8980-3331
Diego Coelho LorenzoniUniversidade Federal Fluminense, Dental School, Department of Clinical Dentistry (Niterói/RJ, Brazil).ORCID http://orcid.org/0000-0003-0879-5680
Sergio Luiz Mota-JúniorUniversidade Federal Fluminense, Dental School, Department of Clinical Dentistry (Niterói/RJ, Brazil).ORCID http://orcid.org/0000-0003-3601-8264
Claudia Trindade MattosUniversidade Federal Fluminense, Dental School, Department of Clinical Dentistry (Niterói/RJ, Brazil).ORCID http://orcid.org/0000-0001-5975-0680

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study investigated the perception of smile attractiveness and age estimation based on different proportions of maxillary and mandibular incisor exposure, combined with changes in lower lip vermilion height.

methodsSmile photographs were digitally modified to create images with varying proportions of incisor exposure (100%, 80%, 60%, 40%, and 20% maxillary incisor exposure) and reduced or unaltered lower lip vermilion height. A total of 162 evaluators, including orthodontists, dentists, and laypersons, rated attractiveness using a 10-point visual analog scale and estimated the apparent age range (<30, 30-50, >50).

resultsMaxillary incisor exposure significantly affected smile attractiveness, with higher exposure levels (100% and 80%) receiving higher attractiveness scores across all evaluator groups (p < 0.05). Reduction in lower lip vermilion height did not result in statistically significant differences in attractiveness ratings or age estimation (p > 0.05). Orthodontists assigned significantly lower attractiveness scores than dentists and laypersons (p < 0.05). Increased mandibular incisor exposure was significantly associated with the perception of an older apparent age (p < 0.05). Older laypersons demonstrated greater tolerance toward smiles with increased mandibular incisor exposure (p < 0.05).

conclusionsThese findings suggest that the proportion of maxillary and mandibular incisor exposure plays a significant role in the perception of smile attractiveness and age estimation. Furthermore, they highlight the importance of considering individual preferences in dental treatment planning. The results of this study have direct implications for clinical practice in Orthodontics and Esthetic Dentistry, providing valuable guidance for treatment planning and patient communication.

Indexed as

Esthetics, DentalIncisorLipSmilingAdultAge FactorsFemaleHumansMaleMiddle AgedOrthodontistsYoung Adult

Identifiers

PMID42339882
PMCPMC13316878

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.