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The Anatomy of the Smile

You might have heard the phrase ‘beauty is power and a smile is its sword’ – it’s not a lie! A genuine smile can be infectious – it is a universal language, appreciated worldwide which transcends nations, creed and colour. We use our smiles instinctively; however, do we fully understand what makes it up?

The Anatomy of the Smile

AProportion of upper incisors shown
Ideally you should have four upper incisor teeth which appear in the smile zone. The two larger incisors in the middle are called central incisors while the smaller ones on either side are called lateral incisors. 100% of all four upper incisors should be on display when you smile. It is characteristic of the aging process that people show less of their incisors with time, so a greater amount of incisors shown is usually associated with youthfulness. As a general rule, males show less of their upper incisors and more of their lowers than females. The extent of incisor display is affected by tooth alignment, colour, tooth dimensions and how confident you are when you part your lips.

BAmount of gum on display
A small amount of gum display is acceptable, if your gums are pink and healthy. Your gums can be an indication of healthiness and youth, provided they are not receding, swollen, bleeding or discoloured. An assessment of the relative height of the gum margin and the quantity/quality of the gum tissue is made subconsciously by every person observing your smile - excessive gum display is known as a “gummy smile”, while no gum display is sometimes called a “stiff upper lip”!

CThe smile arc
This is defined as the relationship of the curvature made by the edges of the upper teeth (the curved red line) with the curvature of the lower lip (the curved blue line). The ideal smile arc has the two curves in a close parallel relationship with each other. Careful planning by an orthodontist can allow movement and alignment of the front teeth to create harmony with the lower lip for your ideal smile arc.

DNegative space or buccal corridors
This is the small black space visible at the corner of the mouth, which is primarily dependant on the broadness of the smile and the shape of the mouth. These spaces are supposed to be present in all smiles, however, too little or too much can have a significant effect on the balance of a smile.

E“Broadness of the smile” Dental archform
The broader the smile, the better! A broad smile is determined by the width of the upper arch (when your teeth are in line they form a wide arched shape). Some people have narrow or collapsed arches, so when they smile you can’t see a lot of teeth. In the ideal scenario, you should be able to see the upper pre-molars on both sides of the buccal corridors described earlier. Americans and Africans are known to have broader smiles than Europeans, because of their wider skeletal forms. It’s important to know that jaw expansion using orthodontic devices can produce a broader smile, but only within biological limits!

Other factors that contribute to the balance of a smile are:

Upper lip length, lip shape and size and lip animation – these should all be
in balance.

The slope formed by the teeth when you bite together should be straight. If this slope bends to either side, it is considered to be an unattractive or lopsided feature. The shape of the Incisal edges is important because chipped or worn teeth are considered unfavourable.

The dental and facial midlines are not always coincident (in line with each other) but can be considered harmonious if they are close – you might need plastic surgery and not orthodontics, to make these lines coincident. It is more important for the upper midline to be coincident with the facial midline, because this is more noticeable.



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  • Braces for children - Orthodontic treatment at a suitably young age can be matched to a child’s dental development, to deal with problems that otherwise may result in complex treatment or corrective surgery.
  • Adult orthodontic treatment - Regardless of age, orthodontic treatment will provide straight teeth and a brilliant smile. Aesthetic & invisible braces – there are many different braces designed to be more aesthetically pleasing than the stereotypical braces
  • Teeth whitening & bleaching – Tooth whitening is a method of lightening the colour of teeth with the need to remove any surface tooth material.
  • Implants to replace missing teeth – Dental implants are titanium screws that can be inserted into the jaw bone under local anaesthetic, after which a crown is secured onto the implant.
  • Botox® - Botox® is used to temporarily relax muscles mainly in the upper forehead and around the eyes in order to reduce the appearance of smoker’s lines around the mouth, relax the platysma bands on the neck and improve the appearance of the chest area, preventing premature wrinkles and smoothing out existing wrinkles.
  • Dermal Fillers – Dermal fillers provide gentle volumising and contouring, creating a naturally attractive effect to smooth out and fill lines and wrinkles.
  • Sculptra™ - Sculptra™ is a long-lasting, clinically-proven treatment that can smooth deep lines and wrinkles and restore facial volume lost to the agei ng process.
  • Skin peels – A skin peel is an agent which, when applied to treat acne vulgaris, melasma, sun damage, depressed scars, uneven skin tones and hyper-pigmentation, removes the outer surface revealing fresher layers which ultimately give you a more youthful, healthier appearance
  • Medical microdermabrasion – A powerful exfoliation, effectively and safely removing dead skin cells from the outer layer of the skin. A vacuum is also used to encourage collagen production.
  • Visia skin analysis – Complexion analysis which creates a 3D image of your face, from which it is possible to closely examine and detect specific skin characteristics, as well as produce a customized report with recommendations for treatment regimes to ensure optimum skin health.
  • Hair Removal - Unwanted hair is something that everybody faces, whether you are a man or woman, young or old. Although it is a perfectly natural part of life, it has been indoctrinated into us that it is unattractive. The methods we use for hair removal are: Waxing, Electrolysis Intense Pulse Light and Laser technology.
  • Mesotherapy – The art of using skin prick delivery techniques to supply vitamins, nutrition and homeopathic medicine for facial/ body rejuvenation, relief for under-eye circles and abags, reduction of fat and muscle building.
  • Skin tightening – Skin tightening techniques, such as Endermologie, Accent® radio-frequency and mesotherapy are safe and comfortable solutions for used to sculpting, contouring, tightening and rejuvenating the skin and body. Applications for these treatments include cellulite treatment, skin tightening, complete body contouring and post liposuction smoothing.
  • Laser & IPL therapies - Intense Pulsed Light (IPL) is broadband light energy that enables large areas to be treated with a single discharge. Intense Pulsed Light, in combination with laser, is ideal for the treatment of quick treatment of large areas. It can be used for permanent hair reduction, skin rejuvenation, acne treatment, tattoo removal, thread vein removal.
  • Colonic hydrotherapy - Colonic Hydrotherapy is an effective treatment, which releases accumulated congestion in the bowel, loosening and flushing out toxins and waste. It works by using a combination of warm, purified water introduced into the bowel and gentle abdominal massage. It is, in short, a detoxification of the colon.
  • Laser lipo – Laser lipo is a minimally invasive type of ultrasound lipoplasty technology that is fast replacing Liposuction. With its level of versatility, laser lipo can significantly reduce stubborn areas of fat and precisely sculpt areas of the body with less bruising and downtime than with other lipo treatments.
Dr Peter Ilori High Wycombe Beaconsfield Ealing Denham Buckinghamshire Bucks Berkshire Berks Middlesex London South East