Botulinum Toxin Type A For Gummy Smile By Muscle Hyperfunction

Authors

DOI:

https://doi.org/10.33448/rsd-v11i4.27397

Keywords:

Botulinum Toxin, Type A; Smile; Gingiva.

Abstract

Objective This study aimed to evaluate the action of botulinum toxin type A for mixed gingival smile due to muscle hyperfunction in a female and male sample (n=5) who had 3mm or more of keratinized gingival tissue exposure in a habitual smile. Materials and Methods The protocol used was the application of 8 units of Botulifit® brand Botulinum toxin type A, 2 units in each point, totaling 4 points and 8 units bilaterally. Photographic protocol was established, before and after the procedure, to exemplify the quantitative improvement of gingival exposure and the results of the work. Results The results were evaluated after 30 days (T1) and 5 months (T2) of application, indicating, for the whole sample, a decrease in gingival exposure by the protocol used, even 5 months after the application of botulinum toxin. Conclusion It was concluded from this work that the application of 8 units of botulinum toxin type A is an efficient therapeutic method for the clinical correction of mixed gingival smile due to muscle hyperfunction, presenting little risk of adverse reactions, low pain sensation to puncture and high acceptability of the patient, as its action is temporary and atraumatic.

References

Al-Fouzan, A. F. Mokeem, L. S. Al-Sagat, R. T. Alfalah, M. A. Alharbi, M. A. & Al-Samary, A. E. (2017) Botulinum Toxin for the Treatment of Gummv Smile. The Journal of Contemporary Dental Practice. 18(6):474-478.

Amantéa, D. V. Novaes, A. P. Campolongo, G. D., & Pessoa de Barros, T. (2003). A utilização da toxina botulínica tipo a na dor e disfunção temporomandibular. JBA. 3(10):170–3.

Beltrão, L. M. P. (2017). Sorriso Gengival: Toxina Botulínica como Recurso Terapêutico. Tese de Mestrado Universidade Fernando Pessoa.

Cobo, P. Z. et al. (2008). Toxina Botulínica na prática clínica. Atlas de pontos musculares. ARTMED.

Fiszbaum, G. A. (2008). A toxina botulínica tipo A no tratamento das rugas dinâmicas da face.

Gonçalves, B. M. (2013) Uso da toxina botulínica em odontologia. Universidade Federal de Santa Catarina.

Gupta, N. & Kohli, S. (2019) Evaluation of a Neurotoxin as an Adjunctive Treatment Modality for the Management of Gummy Smile. Indian Dermatology Online Journal.

Lima, K. T. B. Bezerra, Q. P. & Pereira, M. C. (2014). O uso da toxina botulínica no tratamento do sorriso gengival – relato de caso. Caderno de Ciências Biológicas e da Saúde.

Magne, P. Belser, U. (2004). Plan de Tratamiento inicial y Método Diagnóstico Restauraciones de Porcelana Adherida en los Dientes Anteriores. Método Biomimético. p. 179-238.

Mostafa, D. (2018). A successful management of sever gummy smile using gengivectomy and botulinum toxin injection: A case report. Internation Journal of Surgery Case Reports.

Pedron, I. G. & Mangano, A. (2018) Gummy Smile using Botulinum Toxin with Respective Gingival Surgery. J Dent Shiraz Univ Med Sci. 19(3).

Santos, T. J. (2013). Aplicação da toxina Botulínica em Dermatologia e estética e suas complicações: Revisão da Literatura. Trabalho de obtenção de título de pós-graduação em Dermatologia – Núcleo Alfenas.

Silva, J. F. N. (2009). A aplicação da toxina botulínica e suas complicações: revisão bibliográfica. 2009. 134f. [dissertação] Instituto de Ciências Biomédicas de Abel Salazar da Universidade do Porto.

Sposito, M. M. M. (2009). Toxina Botulínica do tipo A: mecanismo de ação. Acta Fisiatr. 16(1):25-37.

Suber, J. S. Dinh, T. P. Prince, M. D. & Smith, P. D. (2014). OnabotulinumtoxinA for the Treatment of a “Gummy Smile”. Aesthetic Surgery Journal, 34(3), 432–437.

Sucupira, E. & Abramovitz, A. (2012). A Simplified Method for Smile Enhancement: Botulinum Toxin Injection for Gummy Smile. PRS Journal. Volume 130, Number 3.

Sudeeptha, D. Anitha, A. Sorake, A. & Kumar, K. (2014). Management of gummy smile with Botulinum Toxin Type-A: A case report. J Int Oral Health. 6(1):111-5.

Tjan, A. H. Miller, G. D. & The, J. G. (1984). Some esthetic factors in a smile. J Prosthet Dent. 51:248.

Van der Geld, P. Osterveld, P. Van Waas, M. A. J. & Kuijers-Jagtman, A. M. (2007). Digital Videographic Measurement of Tooth Display and Lip Position in Smilling and Speech: Reliability and Clinical Application. Am J Orthod. 131(3):301-9.

Zangrando, M. S.R. Veronesi, G. F. Cardoso, M. V. Michel, R. C. Damante, C. A. Sant’Ana, A. C. P. Rezende, M. L. R. & Greghi, S. L. A. (2017). Altered Active and Passive Eruption: A Modified Classification. Clinical Advances in Periodontics. 7(1).

Published

19/03/2022

How to Cite

MUKNICKA, D. P. .; ROMAN-TORRES, C. V. G.; MARÃO, H. F. .; BOARO, L. C. .; BASSOUKOU, C. H. .; SENDYK, W. R. .; PIMENTEL, A. C. . Botulinum Toxin Type A For Gummy Smile By Muscle Hyperfunction. Research, Society and Development, [S. l.], v. 11, n. 4, p. e31811427397, 2022. DOI: 10.33448/rsd-v11i4.27397. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/27397. Acesso em: 17 nov. 2024.

Issue

Section

Health Sciences