{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T19:26:17Z","timestamp":1775244377409,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T00:00:00Z","timestamp":1701907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The objective of the present article was to evaluate the \u0131mpact of dental midline angulation in asymmetrical faces.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A full\u2010portrait image was used to create a set of digitally modified images with a different degree of facial asymmetry, towards the right and the left side of the face respectively. Half of the images were designed with an equivalent angulation of the dental midline in respect to the curve of the lower third of the face and half of them without. Through a web survey, 250 laypeople and 250 orthodontists were asked to assess the attractiveness of each image separately.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>As the asymmetry of the face was increased, facial attractiveness was further decreased both for laypersons and orthodontists. For each one of the modified images, when the dental midline was following the curve that was formed from the inclination of the simulated asymmetry of the face, the smile attractiveness scores were significantly higher compared to a straight dental midline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Facial asymmetries derived from the inclination of the nose, the chin and the commissural line of the lips can significantly affect the smile attractiveness. An orientation of the dental midline towards the facial asymmetry in order to follow the facial curve, can be beneficial for the smile attractiveness compared to a perpendicular to the face dental midline. During the design of a smile, clinicians have to take into consideration deviations in facial midline, in order their restorations to be in harmony with the rest of the face.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>During the design of a smile, clinicians have to take into consideration deviations in the facial midline, in order their restorations to be in harmony with the rest of the face.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.13177","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T02:48:32Z","timestamp":1702003712000},"page":"778-784","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The impact of dental midline angulation towards the facial flow curve on the esthetics of an asymmetric face: Perspective of laypeople and orthodontists"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1349-2548","authenticated-orcid":false,"given":"Panagiotis","family":"Ntovas","sequence":"first","affiliation":[{"name":"ITI Scholar Implant Program, Department of Prosthodontics Tufts University School of Dental Medicine  Boston Massachusetts USA"},{"name":"Department of Stomatology and Maxillofacial Surgery Comenius University in Bratislava  Bratislava Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frantzeska","family":"Karkazi","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Dental School University of Turin  Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elvan\u2010Onem","family":"Ozbilen","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry Marmara University  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juraj","family":"Lysy","sequence":"additional","affiliation":[{"name":"Department of Stomatology and Maxillofacial Surgery Comenius University in Bratislava  Bratislava Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Gogolas","sequence":"additional","affiliation":[{"name":"Department of Operative Dentistry University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanife\u2010Nuray","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry Marmara University  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Efstratios","family":"Papazoglou","sequence":"additional","affiliation":[{"name":"Department of Operative Dentistry University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Coachman","sequence":"additional","affiliation":[{"name":"Department of Preventive and Restorative Sciences University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,7]]},"reference":[{"issue":"2","key":"e_1_2_9_2_1","first-page":"113","article-title":"Satisfaction with dental care and its role in dental health\u2010related behaviour among lithuanian university employees","volume":"13","author":"Sakalauskien\u0117 Z","year":"2015","journal-title":"Oral Health Prev Dent"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2016.06.022"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.29271\/jcpsp.2019.03.210"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jerd.12526"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2006.04.017"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1098\/rspb.1995.0124"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3913(88)90382-4"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3913(79)90065-9"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3913(73)80013-7"},{"issue":"3","key":"e_1_2_9_11_1","first-page":"273","article-title":"A multicenter interracial study of facial appearance. 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