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The period of muscle contraction primarily influences the duration of stimulation at the neuromuscular junction (NMJ), the presence of free calcium ions in the sarcoplasm, and the availability of energy or ATP to support contractions.
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Related Experiment Video

Updated: Mar 21, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Dynamic smile evaluation in different skeletal patterns.

Noshi Siddiqui, Pradeep Tandon, Alka Singh

    The Angle Orthodontist
    |May 17, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Skeletal patterns significantly influence dynamic smile characteristics. Increased incisal display during smiling is primarily linked to upper lip elevation, not solely vertical skeletal or dental factors.

    Keywords:
    Dynamic smileSkeletal patternVertical dimension

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    Area of Science:

    • Dentistry
    • Orthodontics
    • Facial Aesthetics

    Background:

    • Skeletal patterns significantly influence facial morphology and smile aesthetics.
    • Understanding the relationship between skeletal patterns and dynamic smile parameters is crucial for orthodontic and aesthetic treatments.

    Purpose of the Study:

    • To evaluate dynamic smile characteristics across different skeletal patterns (horizontal, average, vertical).
    • To correlate vertical smile parameters with underlying skeletal and dental factors.

    Main Methods:

    • 150 participants (16-25 years) were categorized into horizontal, average, or vertical skeletal patterns using cephalometric measurements (SN-MP, FMA, Jarabak ratio).
    • Videographic smile analysis included measurements of upper lip length, maxillary incisal display, interlabial gap, intercommisural width, change in upper lip length, and smile arc.
    • Statistical analyses included two-way ANOVA, post hoc tests, chi-square tests, and correlation analyses.

    Main Results:

    • Vertical skeletal patterns showed significantly increased upper lip length, maxillary incisal display, and interlabial gap compared to horizontal patterns.
    • Intercommisural width was significantly decreased in the vertical pattern. Flat smile arcs were more common in the horizontal pattern.
    • Positive correlations were observed between N-Me, U1-PP, and change in upper lip length with vertical smile parameters.

    Conclusions:

    • Distinct skeletal patterns are associated with characteristic dynamic smile features.
    • Upper lip length does not solely account for increased incisal display during smiling.
    • Increased incisal display during smiling is more strongly associated with upper lip elevation than with vertical skeletal and dental factors.