Related Experiment Video
Updated: Oct 12, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Evaluating upper lip changes during smiling and at rest in Indian population
Sagar Dahiya1, Gunjan Negi2, Kirti Dahiya3
1Dental Officer and Orthodontist, Department of Orthodontics and Dentofacial Orthopedics, Army Dental Corps., Tezpur, Assam, India.
Smile aesthetics are influenced by upper lip changes with age and gender. This study quantifies these changes, revealing distinct smile patterns in males and females that evolve horizontally over time.
Area of Science:
- Orthodontics
- Dentofacial Orthopedics
- Aesthetic Dentistry
Background:
- Smile aesthetics are crucial post-orthodontic treatment.
- Orthodontic retainers maintain occlusion and soft tissue function.
- Understanding age-related smile changes enhances treatment stability and aesthetics.
Purpose of the Study:
- Quantify upper lip vertical dimension changes at repose and smile.
- Evaluate smile index and upper lip changes with age and sex in Indian subjects.
Main Methods:
- Observational study involving 160 Indian volunteers (80 males, 80 females).
- Subjects divided into 4 age groups and 2 gender sub-groups.
- Thirteen direct measurements of relaxed and smiling upper lips recorded.
Main Results:
- Significant age and gender variations observed in smile index, upper lip elevation, and smile patterns.
- Statistically significant differences found between age and gender groups.
Conclusions:
- Females exhibit high smile patterns with more vertical smiles; males show low smile patterns.
- Smiles tend to become more horizontal with increasing age in both genders.
Related Concept Videos
Assessment of the Mouth
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Muscles for Facial Expressions
Facial Feedback Hypothesis
Assessment of the Cardiovascular System II: Inspection
Head and Neck
Assessment of apical radial pulse
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation

