Botulinum toxin type A in the treatment of excessive gingival display

“…This field expanded rapidly as it strongly affects psychological status, and many people believe that cosmetic procedures increased their self-esteem. 1 Recently, these cosmetic procedures have been introduced to dentistry, with many patients seeking minimally invasive cosmetic procedures. 2 The smile is considered the most pleasant and complex of all the facial expressions.…”

Section: Introductionmentioning

confidence: 99%

“…Many have studied the components of an attractive smile; most studies concluded that the perfect amount of maxillary gingival tissue shown during smiling is 3 mm. 4 Gummy smile, or excessive gingival display in the maxillary arch on smiling, is known as the difference between the lower margin of the upper lip and the superior margin of the incisors 1,4,5 and is considered one of the…”

Section: Introductionmentioning

confidence: 99%

“…3,5 Botox or Botulinum toxin type I is used as a temporary treatment for gummy smile when it is caused by muscular hyperfunction. 1 Botulinum is a Gram-positive bacterium that was isolated from Bacillus botulinum by a microbiologist in 1897. In 1990, a dermatologist and ophthalmologist reported its cosmetic effect, which they noticed while treating patients for blepharospasm.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Botulinum Toxin for the Treatment of Gummy Smile

Alfouzan

Mokeem

Al-Saqat

et al. 2017

The Journal of Contemporary Dental Practice

View full text Add to dashboard Cite

Aim:The aim was to evaluate the effect of botulinum toxin (Botox) injections as a conservative treatment for gummy smile. Materials and methods:An experimental in vivo study was conducted at a dermatology clinic in Riyadh in January 2016. The study included 23 female patients who ranged from 20 to 50 years and were treated with Botox injections due to excessive maxillary gingival display. The patients with short clinical crowns or long maxilla, those who were pregnant or breastfeeding, and patients with neuromuscular disorders were excluded. Patients received Botox type I, injected 3 mm lateral to the alar-fascial groove at the level of the nostril opening at the insertion of the levator labii superioris alaeque nasi muscle. Photos were taken of the patient's smile before and after the treatment and were then uploaded to the SketchUp program to calculate improvements in gingival display. The distance from the lower margin of the upper lip to the gingival margin was calculated pre-and posttreatment. The amount of improvement was calculated as (pre-Botox treatment -post-Botox treatment/pre-Botox treatment × 100). The mean percentage of the total improvement was analyzed.Results: A total of 23 female patients received treatment to improve their gummy smile. Improvement was clear 2 weeks after Botox injection. The mean percentage of improvement in the gingival display was 99.6%. Conclusion:

show abstract

“…Quando a exposição gengival é maior do que 3 mm, caracteriza-se a condição não estética denominada sorriso gengival, que afeta psicologicamente alguns pacientes [3][4][5][6][8][9][10][11] . Diversas modalidades terapêuticas foram propostas para a correção do sorriso gengival, dentre elas, a gengivectomia ou gengivoplastia 1,2,8,9,11 , a miectomia 9,11 e a cirurgia ortognática (osteotomia Le Fort I) 9,11,12 , sendo os dois últimos procedimentos mais invasivos e apresentando elevada morbidade 10 . Em contrapartida, a utilização da toxina botulínica pode ser considerada uma opção terapêutica ao procedimento cirúrgico, sendo um método mais conservador, efetivo, rápido e seguro, quando comparado aos procedimentos cirúrgicos mais invasivos [3][4][5][6]8,13 .…”

Section: Introductionunclassified

Aplicação da toxina botulínica associada à cirurgia gengival ressectiva no manejo do sorriso gengival

Pedron¹

2015

Rev. da Fac. de Odontologia, UPF

View full text Add to dashboard Cite

IntroduçãoAtualmente, a procura por procedimentos esté-ticos cresce exponencialmente. Os procedimentos odontológicos, bem como os médicos, além de almejarem o princípio de promoção de saúde, buscam a estética do sorriso. Portanto, o sorriso é considerado uma forma de comunicação e socialização que exprime diversos sentimentos [1][2][3][4][5][6] . A harmonia estética facial correlaciona-se diretamente com o sorriso, e esse, por sua vez, é formado pela união de três componentes: os dentes, a gengiva e os lábios [1][2][3][4][5][6][7] . O sorriso torna-se agradável esteticamente quando esses elementos estão dispostos em proporção adequada, com a exposição do tecido gengival limitada a 3 mm. Quando a exposição gengival é maior do que 3 mm, caracteriza-se a condição não estética denominada sorriso gengival, que afeta psicologicamente alguns pacientes [3][4][5][6][8][9][10][11] . Diversas modalidades terapêuticas foram propostas para a correção do sorriso gengival, dentre elas, a gengivectomia ou gengivoplastia 1,2,8,9,11 , a miectomia 9,11 e a cirurgia ortognática (osteotomia Le Fort I) 9,11,12 , sendo os dois últimos procedimentos mais invasivos e apresentando elevada morbidade 10 .

show abstract

Botulinum toxin type A in the treatment of excessive gingival display

Cited by 166 publications

References 13 publications

Gummy smile: orthodontic or surgical treatment?

Gummy smile: orthodontic or surgical treatment?

Botulinum Toxin for the Treatment of Gummy Smile

Aplicação da toxina botulínica associada à cirurgia gengival ressectiva no manejo do sorriso gengival

Contact Info

Product

Resources

About