Type A botulinum toxin application as an alternative for gingival smile correction: A literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i9.17930

Keywords:

Smile; Gum; Botulinum toxins type A.

Abstract

The search for aesthetic excellence is one of the goals of dentistry, as it is part of the aesthetics of the smile, as it directly interferes with the patient's self-esteem and quality of life. Conceptually, the gingival smile is the excessive exposure of the gingiva when smiling, and can be considered from 2mm. One of the correction options is with the use of botulinum toxin. In view of this, the aim of this study was to conduct a literature review on current scientific studies on the correction of gummy smile with botulinum toxin type A. Therefore, a search of the main articles published in the last 5 years in the databases: PubMed, SciELO, LILACS and VHL using English as descriptors “smile”, “gummy smile”, “gingiva” and “Botulinum ToxinsType A”. Based on the search result of the 22 articles found, the treatment of gummy smile with botulinum toxin type A acts on the hyperactivity of the muscles involved in the smile, causing a temporary relaxation, which may be an independent technique or an adjunct to other procedures. Showing efficacy, positive esthetic results and low complication rate. However, the main disadvantage is the temporary effect, with an average duration of 4 to 6 months, requiring reapplications over time. Given this context, it can be concluded that the use of this toxin to reduce gummy smile is a safe, fast, effective and conservative procedure option. However, well-designed randomized controlled trials are needed to strengthen the evidence.

References

Araújo J. P., Cruz J., Oliveira J. X. & Canto A. M. (2018). Botulinum Toxin Type-A as an alternative treatment for gummy smile: a case report. Dermatol Online J, 24 (7), 37-38.

Al-fouzan A. F., Mokeem L. S., Al-Saqat R. T., Alfalah M., Alharbi M. & Al-Samary A. (2017). Toxina botulínica para o tratamento do sorriso gengival. The Journal Of Contemporary Dental Practice, 6 (18), 474-478.

Bonin F. A., Silva R. D. da, Shimizu R. H. & Schimizu I. A.(2019). Avaliação da percepção e da satisfação estética de pacientes que foram tratados com toxina botulínica tipo A para correção do sorriso gengival. Full Dent. Sci, 10 (39), 150- 154.

Brito E. C. D. de, Alves W. de A., Sousa J. N. L. de, Rodrigues R. de Q. F. & Souza M. M. L. de (2016). Gengivectomia: gengiplastia associada à toxina botulínica para correção de sorriso gengival. Revista Sobrape, 26 (3), 50-56.

Chagas T. F., Almeida N. V. de, Lisboa C. O., Ferreira D. M. T. P., Mattos C. T. & Mucha J. N (2018). Duration of effectiveness of Botulinum toxin type A in excessive gingival display: a systematic review and meta-analysis. Brazilian Oral Research, 32 (2), 327-330. 10.1590/1807-3107bor-2018.vol32.0030

Chen G., Oranges C. M., Giordano S., Huang R. & Wang W. (2019). Horizontal animation deformity as unusual complication of neurotoxin modulation of the gummy smile. Dermatol Online J, 25 (8), 34-37.

Delpachitra S. N., Sklavos A. W. & Dastaran M. (2018). Clinical uses of botulinum toxin A in smile aesthetic modification. British Dental Journal, 225 (6), 502-506. doi: 10.1038/sj.bdj.2018.755.

Duruel O., Ataman-Duruel E. T., Berker E. & Tözüm T. F. (2019). Treatment of Various Types of Gummy Smile With Botulinum Toxin-A. Journal Of Craniofacial Surgery, 30 (3), 876-878. doi: 10.1097/SCS.0000000000005298.

Duruel O. (2019). Ideal Dose and Injection Site for Gummy Smile Treatment with Botulinum Toxin-A: a systematic review and introduction of a case study. The International Journal Of Periodontics & Restorative Dentistry, 39 (4), 167-173. 10.11607/prd.3580.

Farias Neto A., Santos G. C. de O., Galvão L. T., Lemos J. C. & Vilanova L. S. R. (2016). Aplicação da toxina botulínica tipo A na correção do sorriso gengival. Full Dentistry In Science, 29 (8), 55-57.

Gupta N. & Kohli S. (2009). Evaluation of a neurotoxin as an adjunctive treatment modality for the management of gummy smile. Indian Dermatology Online Journal, 10 (5), 560-664. doi: 10.4103/idoj.IDOJ_365_18

Miller J. & Clarkson E. (2016). Botulinum Toxin Type A. Dental Clinics Of North America, 60 (2), 509-521. d10.1016/j.cden.2015.11.007.

Moura L. A., Vasconcelos Neto R, de S., Correa Neto A. de O., Vasconcelos L. K. M. F. & Moura R. R. (2017). Associação de técnica cirúrgica e toxina botulínica para correção de sorriso gengival/ Association of surgical technique and botulinum toxin in gummy smile management case report. Implantnewsperio, 2 (3) 515-520.

Moreira D. C., Possidônio F. S., Souza F. S. de, Kinoshita A. M. O. & Silveira E. M. V. (2019). Application of botulinum toxin type A in gummy smile: case report. Rgo - Revista Gaúcha de Odontologia, 67, 34-37. 10.1590/1981-86372019000133555

Mostafa D. (2018). A successful management of sever gummy smile using gingivectomy and botulinum toxin injection: a case report. International Journal Of Surgery Case Reports, 42 (1), 169-174. doi: 10.1016/j.ijscr.2017.11.055

Nasr M. W, Marwan W., Jabbour S. F., Sidaoui J. A., Haber, R. N. & Kechichian E. G. (2015). Botulinum Toxin for the Treatment of Excessive Gingival Display: a systematic review. Aesthetic Surgery Journal, 36 (1), 82- 88. doi: 10.1093/asj/sjv082

Nunes L., Ferrão Junior J. P., Teixeira S. A. F., Leandro L. F. L. & Guevara H. A. G. (2015). Tratamiento de la sonrisa gingival con la toxina botulínica tipo A: caso clínico. Revista Española de Cirugía Oral y Maxilofacial, 37 (4) 229-232. 10.1016/j.maxilo.2014.03.001

Pedron I. G. & Aulestia-viera P. V. (2016). La toxina botulínica como adyuvante en el tratamiento de la sonrisa gingival. Revista Clínica de Periodoncia, Implantología y Rehabilitación Oral, 10 (2), 24-27. 10.1016/j.piro.2016.06.001.

Pedron I. G. & Mangano A. (2018). Gummy Smile Correction Using Botulinum Toxin With Respective Gingival Surgery. Journal Of Dentistry, 3 (19), 248-252. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092459/

Pedron I. G. (2018) Type A Botulinum Toxin as Complement to Gingivoplasty in the Treatment of Gummy Smile. Case Report. Universitas Odontologica, 37 (78), 33-37, 10.11144/Javeriana.uo37-78.tabt

Qian W., Zhang Y, Lv W., Hou Y., Cao Q. & Fan J (2016). Application of Local Injection of Botulinum Toxin A in Cosmetic Patients with Congenital Drooping Mouth Corner. Aesthetic Plastic Surgery, 40 (6), 926-930. 10.1007/s00266-016-0711-0

Rego R. V., Santos J. E. & Pedron I. G. (2015). Complementação da cirurgia gengival ressectiva pela aplicação da toxina botulínica no manejo do sorriso gengival em paciente ortodôntico. Orthodontics Science And Practice, 8 (29), 74-78.

Published

24/07/2021

How to Cite

GALDINO, L. L. .; BRITO, A. C. M. . Type A botulinum toxin application as an alternative for gingival smile correction: A literature review. Research, Society and Development, [S. l.], v. 10, n. 9, p. e21810917930, 2021. DOI: 10.33448/rsd-v10i9.17930. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/17930. Acesso em: 23 sep. 2021.

Issue

Section

Health Sciences