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Table 2 Characteristics of included studies

From: The effect of orthodontic treatment on smile attractiveness: a systematic review

No

Study ID

Design; Setting; Country

Patient number (M/F) *; Type of malocclusion; Type of treatment (tx)

Age

Method for rating facial attractiveness

Rated image

Raters (M/F)

Evaluation tool

1

Almutairi et al., 2015

Observational; University and private clinics; Saudi Arabia

14 (0/14);

Class II malocclusion/ Bimaxillary protrusion

Tx1: 7; 4Ex + FA

C: 7; No tx

Adults ≥ 16yrs

Smile photo (frontal and ¾)

50 laypeople (25/25)

50 general dentists (25/25)

50 orthodontists (25/25)

100-point scale

2

Havens et al., 2010

Retrospective; University; USA

48 (0/48);

Not specified

T0: 48 pre-tx

T1: 48 post-tx

13.0–17.6 yrs

Smile photo and Smiling face photo

20 laypersons

20 orthodontists

8-point scale

3

Hulsey et al., 1970

Observational; Japan

40 (20/20)

Not specified

Tx: 20 Tx

C: 20 No Tx

15–25 yrs

Smile photo

20 laypersons (10/10)

5-point scale

4

Janson et al., 2014

Retrospective; University; Brazil

66 (22/44);

Class II division 1

Tx1: 23; 1Ex + FA

Tx2: 23; 4Ex + FA

Tx3: 20; 3Ex + FA

Group 1: 24.04 (4.97)

Group 2: 25.40 (6.70)

Group 3: 21.63 (5.27)

Smile photo

46 laypeople (18/28)

70 orthodontists (47/23)

10-point scale

5

Kumar et al., 2016

Retrospective; University; India

72 (N/A);

Not specified

T0: 72 pre-tx

T1: 72 post-tx

Not specified

Smile photo

6 laypeople (3/3)

6 general dentists (3/3)

6 orthodontists (3/3)

10-point scale

6

Meyer et al.,

2014

Retrospective; Dental Hospital; Australia

57 (24/33);

Class II malocclusion

Tx1: 30; 4Ex + FA

Tx2: 27; Non-Ex + FA

Pre-treatment mean age:

14.87 (2.99)

Smiling face photo

20 laypeople (10/10)

20 general dentists (10/10)

20 orthodontists (16/4)

10-point-scale

7

Negreiros et al., 2020

Retrospective; University; Brazil

62 (31/31);

Class I malocclusion

Tx1: 20 self-ligating FA

Tx2: 22 conventional FA + RME

C: 20 conventional FA

Group 1: 19.4 yrs

Group 2: 25.5 yrs

Group 3: 21.8 yrs

Smile photo

55 laypersons (18/37)

70 orthodontists (26/44)

10-point scale

8

Reis et al., 2021

Retrospective; Private clinics; Brazil

30(13/17);

Class III malocclusion

Tx1:15; FA

Tx2:15; OS + FA

Group1:

Initial mean age: 21.26 (7.39)

Final mean age: 24.52 (7.10)

Group 2:

Initial mean age:

23.12 (7.37)

Final mean age:

25.82 (7.14)

Smile photo

44 laypeople (10/34)

67 orthodontists (27/40)

10-point scale

9

Rizzi et al. 2022

Retrospective; Private clinics; Brazil

16 (0/16)

Gummy smile

Tx1: 8 FA + MP

Tx2: 22 OS + Le Fort I osteotomy

No specified

Smile photo

56 orthodontists (22/34)

56 Maxillo-facial Surgeons (44/12)

56 laypersons (19/37)

10-point scale

10

Thiruvenkatachari et al., 2017

Retrospective; Dental Hospital; UK

48 (16/32);

Class II malocclusion

Tx1: 14; 1CEx + FA

Tx2: 10; 2CEx + FA

C: 24; 2Ex + FA

Adolescents

Smile photo and Smiling face photo

10 laypeople

10 general dentists

10 orthodontists

10-point scale

  1. *: Treatment group: Tx/Control group: C; 4Ex: 4 premolar extractions/3Ex: 3 premolar extractions/2Ex: 2 premolar extractions/1Ex: 1 premolar extractions/1CEx: 1 canine extractions/2CEx: 2 canine extractions/Non-Ex: No extractions; FA: fixed pre-adjusted appliance/RME: rapid maxillary expansion/OS: Orthognathic surgery / MP: miniplates