Why is Smile a fitting title for this graphic novel? Is the title meant to be positive or cynical? Consider Raina’s personal journey in the story beyond her dental operations. 

Examine how Telgemeier uses graphic storytelling to depict Raina’s dental operations. What techniques does she use to describe the procedures and her experiences? In what ways may this approach be more effective for a younger audience than a traditional novel?

How do Raina’s teeth influence her self-esteem? Outline how Raina reacts to the different stages of her treatment and how they influence her daily life. Does the condition of her teeth ultimately determine her happiness?