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American Smiles Raise Eyebrows Globally
5 May
Summary
- The US cosmetic dentistry market is projected to reach $20 billion this year.
- Many international cultures view overly perfect smiles with suspicion.
- Some cultures find slightly imperfect smiles youthful and charming.

The pursuit of the 'American smile'—characterized by extreme whiteness and symmetry—often leads to a cultural disconnect when encountered internationally. While the U.S. cosmetic dentistry market is a multi-billion dollar industry, this aesthetic can evoke suspicion and discomfort in other countries. In the UK, such smiles are colloquially termed 'turkey teeth,' signifying a manufactured look.
Cultures in Australia, Argentina, and the Czech Republic have noted varying reactions, from seeing overly perfect smiles as suspicious or even aggressive, to mistaking a broad smile for an overture. This contrasts sharply with American norms where such expressions are common.
Furthermore, the methods used in the U.S. for achieving these smiles are concerning. Dentists note that American patients are often willing to aggressively alter healthy teeth, and over-the-counter whitening products in the U.S. contain much higher peroxide levels than in the EU, posing risks of chemical burns and enamel damage.
Conversely, some cultures value distinctiveness in smiles. In Japan, a slight tooth gap or minor crookedness is considered youthful and charming. This highlights a global divergence in aesthetic ideals, where what is considered a flaw in one culture can be a desirable trait in another.