Myomodulation using hyaluronic acid fillers as an efficient and innovative treatment for gummy smile: A case report

Vieira, Marcelo Germani; Rogerio, Victor; Roschel, Pietra; Muñoz-Lora, Victor Ricardo Manuel

doi:10.1016/j.jobcr.2022.04.009

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…It is a minimally invasive procedure performed in-office, often requiring only topical anesthesia. It presents a promising option for the treatment of gummy smiles, offering patients a safe, effective, and customizable solution with minimal downtime and natural-looking results [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…The use of HA for both gummy smiles and chin augmentation underscores its versatility and effectiveness in addressing various aesthetic concerns. With its biocompatibility, long-lasting results, and low risk of adverse effects, HA remains a popular choice among patients and practitioners [ 31 - 35 ]. HA’s role extends beyond conventional treatments by addressing oxidative stress and inflammation associated with periodontal disease.…”

Section: Discussionmentioning

confidence: 99%

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Botulinum Toxin Type A and Hyaluronic Acid Dermal Fillers in Dentistry: A Systematic Review of Clinical Application and Indications

Maci,

Fanelli,

Lorusso

et al. 2024

J Clin Med Res

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Background Botulinum toxin type A (BoNT-A) and hyaluronic acid (HA) dermal fillers are increasingly utilized in dentistry for therapeutic and aesthetic purposes. However, a comprehensive synthesis of their clinical applications and indications in dentistry is lacking. This systematic review aimed to analyze the clinical application and indications of BoNT-A and HA dermal fillers in dentistry, providing insights into their efficacy, safety profiles, and limitations. Methods A systematic search was conducted in PubMed/MEDLINE databases to identify relevant studies published between 2018 and 2024. Medical Subject Headings (MeSH) terms and keywords related to BoNT-A, HA dermal fillers, dentistry, clinical applications, and indications were used. Study selection criteria included randomized controlled trials (RCTs) and non-RCTs involving human participants of any age group. Data extraction and synthesis followed established guidelines, focusing on study characteristics, participant demographics, intervention details, outcome measures, and key findings related to BoNT-A and HA dermal fillers’ clinical application in dentistry. Results Systematic searches across electronic databases and grey literature identified 857 records, with an additional 73 from hand searches. After screening titles and abstracts, 542 records were excluded, leaving 374 full-text publications for evaluation. Ultimately, 12 RCTs and 13 non-RCTs were included. The systematic review encompassed diverse geographic locations: Brazil, Italy, Spain, Syria, India, Egypt, Korea, and the Netherlands, involving samples sizes ranging from 14 to 143 participants. The review synthesized findings on HA’s efficacy in various areas, including bone repair, gingivitis management, temporomandibular joint disorders, postoperative swelling reduction, periodontal defect treatment, chin and check projection and lips augmentation. BoNT-A exhibited promising efficacy in managing orofacial pain conditions, gummy smile treatment and neuromodulation of the lower third muscles. Safety profiles varied among studies, with some reporting minimal adverse effects while others noted dose-related concerns. Conclusion BoNT-A and HA dermal fillers offer a wide array of clinical applications in dentistry, ranging from therapeutic interventions to aesthetic enhancements. Despite promising efficacy, careful consideration and monitoring of safety outcomes are essential when integrating these interventions into clinical practice. Further research addressing methodological limitations and safety concerns is warranted to optimize their utilization and improve patient care in dentistry.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Botulinum Toxin Type A and Hyaluronic Acid Dermal Fillers in Dentistry: A Systematic Review of Clinical Application and Indications

Maci,

Fanelli,

Lorusso

et al. 2024

J Clin Med Res

View full text Add to dashboard Cite

show abstract

“…It was concluded that lip augmentation can be an efficient method of treatment with durable and pleasant results. However, literature does not offer enough information regarding this subject, thus further research on this can be carried out [33]. Ozone therapy has been reported to be a safe and efficient method of treatment in the first three weeks after the gingivectomy and gingivoplasty procedures.…”

Section: Discussionmentioning

confidence: 99%

Clinical and practical aspects of the gingival smile. A questionnaire-based survey.

Vlasiu,

Friciu,

Lazăr

et al. 2023

Acta Stomatologica Marisiensis Journal

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Introduction: One of the main elements of facial esthetics is represented by the smile. A harmonious proportion between the elements of facial esthetics is an important subject of interest in dentistry. Aim of the study: This research aims to evaluate the impact of the gummy smile on future dental practitioners. Materials and Methods: A survey containing 16 questions was designed to find out the students’ perceptions about the ideal smile and if the gingival smile is considered youthful or unpleasing. The impact on their self-esteem, their willingness to change the gummy smile or not, the nonsurgical and surgical methods of treatment were also evaluated. Results: 212 answers were recorded and analyzed. Nearly three quarters (70.3%) of the respondents believe that having a gummy smile is unesthetic, while only 29.3% considered it to be a sign of youth. Self-esteem can be affected by having a gingival smile, but, according to the results, most of the students (45.8%) said that their daily lives have not been affected by it, 40.6% said that in a small amount, 10.4% said that their self-assurance has been very affected and only 3.3% admitted that the gummy smile distressed their confidence. When asked if they were willing to correct their gingival smile, 51.4% were open to improving it while 48.6% would not change it. Conclusions: Among dentistry students, excessive showing of the gums is believed to be unesthetic rather than a sign of youthfulness. The respondents are generally not affected in their daily life by having a gummy smile. Education regarding the methods of correcting it still needs to be addressed amongst future dental practitioners.

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Contemporary treatment techniques for excessive gingival display caused by altered passive eruption or lip hypermobility

Tatakis,

Silva

2023

Journal of Dentistry

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Myomodulation using hyaluronic acid fillers as an efficient and innovative treatment for gummy smile: A case report

Cited by 4 publications

References 9 publications

Botulinum Toxin Type A and Hyaluronic Acid Dermal Fillers in Dentistry: A Systematic Review of Clinical Application and Indications

Botulinum Toxin Type A and Hyaluronic Acid Dermal Fillers in Dentistry: A Systematic Review of Clinical Application and Indications

Clinical and practical aspects of the gingival smile. A questionnaire-based survey.

Contemporary treatment techniques for excessive gingival display caused by altered passive eruption or lip hypermobility

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