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Ceilings have frequently been decorated with fresco painting, mosaic tiles and other surface treatments. While hard to execute (at least in place) a decorated ceiling has the advantage that it is largely protected from damage by fingers and dust. In the past, however, this was more than compensated for by the damage from smoke from candles or a fireplace. Many historic buildings have celebrated ceilings. Perhaps the most famous is the Sistine Chapel ceiling by Michelangelo.

Ceiling height may have psychological impacts particularly low ceilings.