Published May 30, 2025 | Version v1
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Comparison of Variations in Golden Proportion, Golden Percentage, and Recurring Esthetic Dental Percentage in Natural Smiles across Two Age and Gender Groups: An in-Vivo Study

  • 1. International Journal of Medical Science and Advanced Clinical Research (IJMACR)

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Abstract

Background and Objectives: Creating geometric or mathematical proportions to relate the mesiodistal length of anterior teeth is one of the key components of aesthetic dentistry. In this sector, notions like the “Golden Proportion”, “Golden Percentage”, and “Recurring Esthetic Dental Percentage” have been introduced with wide variations. Hence, the primary objective of this research was to compare the variations in the Golden Proportion, Golden Percentage, and Recurring Esthetic Dental (RED) Percentage with natural smiles across two age and gender groups of front teeth in the upper arch.

Materials and Methodology: Two hundred participants standardized frontal photographs were taken, of which 100 were in the age groups of 20 to 25 and 40 to 45 years, respectively, with 50 males and 50 females in each. Using a digital vernier caliper, the mesiodistal length of the right central incisor11 was measured. Then, using the software application, the anterior maxillary tooth was digitally measured. After recording the measurements, the three theories were used to analyze the data.

Results: In natural dentition, the anterior maxillary teeth’s length did not follow the golden proportion. The value of the RED percentage increased as one went distally. Additionally, the findings showed that, in terms of relative tooth length, the golden % remained steady. When six anterior maxillary teeth were measured from the front, the central incisor made up 23%, the lateral incisor 15.5%, and the canine 11.5% of the total length.

Conclusion: Neither the golden proportion nor the RED percentage is appropriate for relating the consecutive length of the anterior maxillary teeth in the natural dentition. However, if percentages are changed to account for the ethnic makeup of the population, the golden percentage hypothesis can be used.

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References

  • 1. Schein SS, Langlois JH. Unattractive infant faces elicit negative affect from adults. Infant Behav Dev. 2015; 38:130-4. 2. Davis NC. Smile design. Dent Clin North Am. 2007;51(2):299-318. 3. Beder OE. Esthetics--an enigma. J Prosthet Dent. 1971;25(6):588-91. 4. Mahshid M, Khoshvaghti A, Varshosaz M, Vallaei N. Evaluation of "golden proportion" in individuals with an esthetic smile. J Esthet Restor Dent. 2004;16(3):185-92. 5. Lombardi RE. The principles of visual perception and their clinical application to denture esthetics. J Prosthet Dent. 1973;29(4):358-82. 6. Levin EI. Dental esthetics and the golden proportion. J Prosthet Dent. 1978;40(3):244-52. 7. Ricketts RM. The biologic significance of the divine proportion and Fibonacci series. Am J Orthod. 1982;81(5):351-70. 8. de Castro MV, Santos NC, Ricardo LH. Assessment of the "golden proportion" in agreeable smiles. Quintessence Int. 2006;37(8):597-604. 9. Wolfart S, Quaas AC. Subjective and objective perception of upper incisors. J of Oral Rehab 2006;33(7):489-95. 10. Preston JD. The golden proportion revisited. J Esthet Dent. 1993;5(6):247-5. 11. Rosenstiel S F, Ward D H, Rashid R G. Dentists' preferences of anterior tooth proportion – a web-based study. J Prosthodont 2000; 9: 123–136. 12. Ward DH. Proportional smile design using the recurring esthetic dental (red) proportion. Dent Clin North Am. 2001;45(1):143-54. 13. Snow SR. Esthetic smile analysis of maxillary anterior tooth breadth: the golden percentage. J Esthet Dent. 1999;11(4):177-84. 14. Dong JK, Jin TH, Cho HW, Oh SC. The esthetics of the smile: a review of some recent studies. Int J Prosthodont. 1999;12(1):9–19. 15. Morley J, Eubank J. Macroesthetic elements of smile design. J Am Dent Assoc. 2001;132(1):39-45. 16. Naylor CK. Esthetic treatment planning: the grid analysis system. J Esthet Restor Dent. 2002; 14(2):76-84. 17. Bishara SE, Jakobsen JR, Treder J, Nowak A. Arch breadth changes from 6 weeks to 45 years of age. Am J Orthod Dentofacial Orthop. 1997;111(4):401-9. 18. Yilmaz H, Bilgic F, Akinci Sozer O. Recent Photography Trends in Orthodontics. Turk J Orthod. 2016;28(4):113–21. 19. A guide to accreditation photography. American Academy of cosmetic dentistry 2013. 20. Patnaik, VVG, Singla RK, Bala S. Anatomy of 'A Beautiful Face & Smile.' J Anat. Soc. India 2003;52(1):74-80. 21. Beall AE. Can a new smile make you look more intelligent and successful? Dent Clin North Am. 2007;51(2):289–97. 22. Ali Fayyad M, Jamani KD, Agrabawi J. Geometric and mathematical proportions and their relations to maxillary anterior teeth. J Contemp Dent Pract. 2006;7(5):62–70. 23. Gillen RJ, Schwartz RS, Hilton TJ, Evans DB. An analysis of selected normative tooth proportions. International Journal of Prosthodontics. 1994; 7(5):410-417. 24. Hasanreisoglu U, Berksun S, Aras K, Arslan I. An analysis of maxillary anterior teeth: facial and dental proportions. J Prosthet Dent. 2005;94(6):530–8. 25. Basting RT, da Trindade R de CS, Flório FM. Comparative study of smile analysis by subjective and computerized methods. Oper Dent. 2006; 31(6):652–9. 26. Calçada D, Correia A, Araújo F. Anthropometric analysis of anterior maxillary teeth with digital photography - a study in a Portuguese sample. Int J Esthet Dent. 2014; 9(3):370-80. 27. Kalia R. An analysis of the aesthetic proportions of anterior maxillary teeth in a UK population. British Dental Journal 2020; 228(6):449-455. 28. Ward DH. Proportional Smile Design: Using the Recurring Esthetic Dental Proportion to Correlate the Breadths and Lengths of the Maxillary Anterior Teeth with the Size of the Face. Dent Clin North Am. 2015;59(3):623–38. 29. Methot A. M Proportions. The new golden rules in dentistry. Canadian Journal of Cosmetic Dentistry 2006: 34-40. 30. Maharjan, A.; Joshi, S. Clinical evaluation of maxillary anterior teeth in relation to golden proportion, RED proportion and golden percentage. J. Nepal Health Res. Counc. 2018,16, 11–15. 31. Aziz M, Hossain MZ. Validity of mathematical proportions in maxillary anterior teeth among Bangladeshi population. APOS Trends Orthod 2017;7:41-8. 32. Jain S, Sharma P, Shetty D, Kumar A. Golden Proportion in Different Types of Smile: A Photographic Evaluation. Acta Scientific Dental Sciences 2019; 12(3):75-80. 33. Ahmed N, Halim MSB, Ghani AZ, Khan ZA, Abbasi MS, Jamayet BN, Alam MK. A 2D Photographic and 3D Digital Dental Model Analysis of Golden Percentage in Maxillary Anterior Teeth. Hindawi BioMed Res. Int. 2021, 6674400. 34. Ahmed N, Khalid S, Ghani AZ, Jamayet BN. Evaluation of golden percentage in natural maxillary anterior teeth breadth: A systematic review. J Prosthet Dent 2022;6:845.e1-945.e9 35. Castro MVM De, Santos NC, Ricardo LH. Assessment of the golden proportion in agreeable smiles. Quintessence Int 2006;37(8):597-604.