BACKGROUND AND OBJECTIVES: Many tools are available for the evaluation of facial motion. They run the gamut from the gross scale proposed by House and May, the regional scale preferred by Adour and Yanagihara and the personal computers used by Neely and Isono. However, more objective and accurate tools of evaluation are still in need. With the aim of establishing a simple, objective evaluation method of facial motion, we devised a computerized image-difference analysis system. MATERIALS AND METHODS: Facial motions of 14 normal volunteers were analyzed utilizing the computerized image-difference analysis system. Techniques such as image capturing, subtraction and thresholding were used to anlayze resting, smiling and eyeclosing motions of face. RESULTS: The subtracted image of a resting-face from an eye-closing face showed a greater movement in the eye area than in the mouth area. The subtracted image of a resting-face from a smiling face showed a greater movement in the mouth area than in the eye area. But there were no statistical differences between the right and the left side of the face of the same subject(p<0.05). CONCLUSION: It is possible to use the image analysis system to access facial motion of subjects with or without the normal facial motion.
Healthy Volunteers ; Microcomputers ; Mouth ; Smiling

OBJECTIVE: To automatically construct lips symmetry reference plane (SRP) based on posed smile, and to evaluate its advantages over conventional digital aesthetic design. METHODS: Eighteen subjects' three-dimensional facial and dentition data were gathered in this study. The lips SRP of experimental groups were used with the standard weighted Procrustes analysis (WPA) algorithm and iterative closest point (ICP), respectively. A reference plane defined by experts based on regional ICP algorithm, served as the truth plane. The angle error values between the lips SRP of WPA algorithm in the experimental groups and the truth plane were evaluated in this study, and the lips SRP of ICP algorithm of the experimental groups was calculated in the same way. The lips SRP based on posed smile as a reference for aesthetic design and evaluate preliminary clinical application. RESULTS: The average angle error between the lips SRP of WPA algorithm and the truth plane was 1.78°±1.24°, which was smaller than that between the lips SRP of ICP and the truth plane 7.41°±4.31°. There were significant differences in the angle errors among the groups (P < 0.05). In the aesthetic design of anterior teeth, automatically constructing the lips SRP of WPA algorithm based on posed smile and the original symmetry plane by re-ference compared with the prosthetic design, the subjects' scores on the lips SRP of WPA algorithm based on posed smile (8.48±0.57) were higher than those on the original symmetry plane (5.20±1.31). CONCLUSION Automatically constructing the lips SRP of WPA algorithm based on posed smile was more accurate than ICP algorithm, which was consistent with the truth plane. Moreover, it can provide an important reference for oral aesthetic diagnosis and aesthetic analysis of the restoration effect. In the aesthetic design of anterior teeth, automatically constructing the lips SRP of WPA algorithm based on posed smile can improve the patients' satisfaction in esthetic rehabilitation.
Esthetics, Dental ; Humans ; Lip ; Smiling ; Tooth ; Workflow

OBJECTIVE: To explore the possibility of the Smile Lite MDP (Smile Lite Mobile Dental Photograph) portable dental photography system applying in anterior teeth aesthetic photography, and to provide the chance to simplify aesthetic photography process and facilitate communication among patients, dentists and dental technitians. METHODS: The Smile Lite MDP photography system combined with the smartphone were used to photograph the front occlusal phase photos of anterior teeth. The photographic conditions including the color temperature parameter, the Smile Lite MDP light position and the intensity settings were explored. The best photographic conditions were chosen by blind evaluation within experienced dentists and technicians through the method of the visual analogue scale/score (VAS) evaluation, which went through statistical analysis to figure out the optimum photograghic conditions. Smile Lite MDP photography system was used to photograph the front occlusal phase photos of anterior teeth under the optimum parameter by different magnifications. The width/height ratio of the central incisor and the front width ratio of the upper anterior teeth in those photos were measured and calculated respectively. The accuracy of the anterior teeth photos taken by Smile Lite MDP photography system was analyzed based on the photographs taken by digital single lens reflex (DSLR) camera. RESULTS: The optimum color temperature parameter of Smile Lite MDP portable camera system was 5 000 K, the optimum magnification was 4 times, the best light position was the side lights of Smile Lite MDP, the optimum intensity of lights was 2 grades. Photos taken by the optimum parameters won the highest score during the VAS evaluation and the result of statistical analysis had significant difference compared with other groups (P<0.05). When comparing the photos of the upper anterior teeth taken by the Smile Lite MDP portable photography system using 4 times magnification or by DSLR using the standard parameters, there was no significant difference neither in the width/hieght ratio of the central incisor nor in the front width ratio of the upper anterior teeth (P>0.05). CONCLUSION The Smile Lite MDP portable dental photography system applying in anterior teeth aesthetic analysis photography was capable to show the color and shape of anterior teeth in an accurate way by using the right photography parameters. Therefore, Smile Lite MDP portable dental photography system was considered to be a simple and easy photographic tool in clinical work.
Esthetics ; Esthetics, Dental ; Humans ; Incisor ; Photography ; Smiling

Laughter as an epileptic phenomenon is very uncommon. The introduction of the term gelastic epilepsy by Daly and Mulder (1957) may have resulted in less precision in diagnosis. Laughter does not necessarily include Mirth (gelos). Smiling may be volumtary or barely perceptible, whereas the laryngeal and respiratory components of laughter are more likely to be involuntary and are definite. To this time the loction of this epilepsy is said to be related with temporal lobe and hypothalamus. This case which we present with reviewing of the literature has paroxysmally a burst of loud, high-pitched laughter without any emotional expression. It suggests that at the production of this laughter some fasciorespiratory pathways might be involved, and that the start of this epileptic discharge is probably from a lesion of the orbito-frontal area.
Diagnosis ; Epilepsies, Partial* ; Epilepsy ; Hypothalamus ; Laughter ; Smiling ; Temporal Lobe

STATEMENT OF PROBLEM: The meaning of the beauty has a little different nature according to a time, culture, and nation. PURPOSE: This study was undertaken to estimate the geometric esthetic criteria for Korean woman by analysis of facial photograph in a smiling. MATERIAL AND METHODS: The facial photographs of 678 Korean beautiful woman were collected from Miss Korea candidates(from 1971 to 2003 year). The dento-facial composition was measured and analyzed geometrically on computer monitor using Adobe. Photoshop. 7.0. The statistical significance of the differences among the 4 decade groups was estimated by a chi2 test. RESULT: The Korean beautiful woman showed the geometric characteristics such as the 'coincidence'(83.0%) between facial midline and dental midline, the 'normal'(96.9%) alignment and arrangement of upper anterior teeth, the 'average'(79.1%) position and 'upward'(53.4%) curvature of upper lip, the 'parallel'(85.7%) relationship between the lower lip and upper anterior incisal curvature, the 'touching'(49.9%) and 'not-touching'(44.8%) relationship between upper anterior incisor and lower lip, the 'first premolar'(54.1%) and 'second premolar'(38.9%) displayed in a smile, and the 'symmetry'(89.4%) of smile. There was statistical significance among the 4 decades in the respect of the upper lip curvature, the relationship between upper anterior incisor and lower lip, and the most posterior teeth displayed in a smile (p<0.05). CONCLUSION: The Korean beautiful woman showed similar results to the western esthetic criteria in the some respects and the tendency that the Korean woman had more active smiling recently.
Beauty ; Female ; Humans ; Incisor ; Korea ; Lip ; Smiling ; Tooth

PURPOSE: Teeth are generally exposed when people smiling. Moreover, the exposed teeth and soft tissue when smiling becomes an important guideline for esthetically prosthetic restoration. This research is to compare and find out differences of Korean young men's smile living in presence and twenty years ago. MATERIALS AND METHODS: Subjects, 100 young men (50 male and 50 female), were required about several aspects; normally developed physical condition, no psychological or genetic disorders, a fine face with no loss of teeth, no experience in orthodontic or prosthetic treatment, relatively normal occlusion, aged between 20 - 29. The photos of the subject at rest position and front face when fully smiled were taken three times. 100 photos (50 male and 50 female) were chosen at random from the 240 university students' smile photos taken by Yoon and his colleagues in 1991. By Hulsey's method of measuring smile, several factors; the change of upper lip curvature, the change of the relation between the upper lip and teeth, parallelism between Mx. incisor and lower lip, contact relation between Mx. incisor and lower lip and teeth displayed in a smile, were measured and analyzed. Meanwhile, ten dentists assessed aesthetic evaluation about men and women's smile for twice and recorded and compared smile score. The -test (P<.05) was used to compare the measured value. The difference of smile score was analyzed by t-test (P<.05). RESULTS: The smile score calculated in 2011 (60.22) was higher than that of 1991 (52.80). Among five measurement categories, the noticeable difference was distinguished from two factors; the change of upper lip curvature and contact relation between Mx. incisor and lower lip. CONCLUSION: The Korean young men's smile has been considerably improved for twenty years. And it is found that the change of upper lip curvature plays an important role, that is, the smile formed with an ascended labial commissure has been increased significantly.
Adolescent ; Aged ; Dentists ; Humans ; Incisor ; Lip ; Male ; Smiling ; Tooth

Smile reconstruction through restorating the movement of the upper and lower lips and the nasolabial fold for facial paralysis, is the one of the most important fields of plastic and reconstructive surgery. It is necessary to understand and analyze the normal smile in planning the surgery for facial paralysis. Fifty volunteers(25 men and 25 women) have been measured using 6-mm digital video camera with various computer programs to get the most spontaneous smile. Stop frames from the cycle of smile were captured in frontal, both lateral, and inferior views and the differences between resting and maximum smiling states were compared. Each subject had ten points marked on the lips and nasolabial creases. The distance and angle between each point of two states were measured and converted into x, y and z components in three dimensional space. Averages of each component were calculated. Average movement, average angle on coronal plane, and average posterior angle were 13.7 mm, 52.2 degrees, and 48.9 degrees at commissure, 10.5 mm, 56.3 degrees, and 31.4 degrees at nasolabial fold, 7.3 mm, 88.1 degrees, and 33.3 degrees at center of upper lip, 10.1 mm, 57.2 degrees, and 30.9 degrees at mid-lateral upper lip, 5.9 mm, -87.5 degrees, and 66.9 degrees at the center of lower lip, and 6.7 mm, -12.7 degrees, and 61.5 degrees at mid-lateral lower lip respectively. This study was tried to define the basis of smile in reconstruction of facial paralysis and to suggest the objective method of assessing preoperative state and postoperative result. Further studies should be followed to establish the standardized useful data for smile reconstruction.
Facial Paralysis ; Humans ; Lip ; Male ; Nasolabial Fold ; Plastics ; Smiling

OBJECTIVE: To analyze the long-term changes in maxillary arch widths and buccal corridor ratios in orthodontic patients treated with and without premolar extractions. METHODS: The study included 53 patients who were divided into the extraction (n = 28) and nonextraction (n = 25) groups. These patients had complete orthodontic records from the pretreatment (T1), posttreatment (T2), and postretention (T3) periods. Their mean retention and postretention times were 4 years 2 months and 17 years 8 months, respectively. Dental models and smiling photographs from all three periods were digitized to compare the changes in three dental arch width measurements and three buccal corridor ratios over time between the extraction and nonextraction groups. Data were analyzed using analysis of variance tests. Post-hoc multiple comparisons were made using Bonferroni correction. RESULTS: Soft-tissue extension during smiling increased with age in both groups. The maximum dental width to smile width ratio (MDW/SW) also showed a favorable increase with treatment in both groups (p < 0.05), and remained virtually stable at T3 (p > 0.05). According to the MDW/SW ratio, the mean difference in the buccal corridor space of the two groups was 2.4 ± 0.2% at T3. Additionally, no significant group × time interaction was found for any of the buccal corridor ratios studied. CONCLUSIONS: Premolar extractions did not negatively affect transverse maxillary arch widths and buccal corridor ratios. The long-term outcome of orthodontic treatment was comparable between the study groups.
Bicuspid ; Dental Arch ; Dental Models ; Esthetics* ; Humans ; Smiling

No abstract available.
Analysis of Variance ; Esthetics ; Facial Expression ; Malocclusion ; Overbite ; Smiling

Esthetics, Dental ; Female ; Humans ; Male ; Malocclusion ; pathology ; therapy ; Orthodontics ; Smiling