Is the quality of manipulated images adequate?

We congratulate Batra et al for addressing a relevant topic: the impact of gingival alterations on smile esthetics (Batra P, Daing A, Azam I, Miglani R, Bhardwaj A. Impact of altered gingival characteristics on smile esthetics: Laypersons' perspectives by Q sort methodology. Am J Orthod Dentofacial Orthop 2018; 154:82-90). The authors used a reliable method (Q sort) and concluded that asymmetric gingival alterations and optical color changes have the greatest negative impacts on laypersons' perceptions.

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