Clinical case series: Botulinum toxin and the reversible correction of gingival smile

Author:

Rocha Mayhe Júlia1,Videira Marceliano-Alves Marília Fagury1,Assad Cavalcante Larissa Maria2,Videira Marceliano Eduardo Fagury3,de Carvalho Coutinho Thais Machado1,Figueiredo Dantas Wania Cristina4,Mafra Moreno Adalgiza5,dos Santos Mourão Leila Cristina6

Affiliation:

1. Endodontics Department, Iguaçu University, Nova Iguaçu, RJ, Brazil

2. Department of Restorative Dentistry, School of Dentistry, Federal Fluminense University, Niterói, RJ, Brazil

3. Department of Dental Prosthesis, Belem General Hospital, Belém, Pará, Brazil

4. São Leopoldo Mandic College, São Leopoldo Mandic Research Institute, Endodontics, Campinas, São Paulo, Brazil

5. Physiotherapy Department, Iguaçu University, Nova Iguaçu, RJ, Brazil

6. Department of Periodontology, School of Dentistry, Universidade Veiga de Almeida (UVA), Rio de Janeiro, RJ, Brazil

Abstract

The aim of this study was to evaluate the effect of applying botulinum toxin type A (BTX-A) as a therapeutic alternative for the treatment of gingival smile. Four selected categories of female gender, aged 28–38 years, with gingival smile exposure between 4 and 9 mm, were selected. The evaluation was carried out 15 and 30 days after the initial application. All participants responded to a structured scored interview of initial and final satisfaction. All patients related satisfaction with the final gingival exposure, providing an improvement of their self-esteem. The gingival smile can be treated with botulinum toxin type A as an adjunct to treatments that involve ortho-surgical facial rehabilitation. Although the result is completely reversed after a complete elimination of the product, it can improve the patient’s self-esteem. More clinical trials are important to confirm the results

Publisher

Edorium Journals Pvt. Ltd.

Subject

General Medicine

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