Gummy smile correction with botulinum toxin type A

Authors

DOI:

https://doi.org/10.33448/rsd-v12i8.42851

Keywords:

Botulinum Toxins, Type A; Aesthetic Equipment; Smiling.

Abstract

The harmonious smile is characterized by a balanced facial expression, where the teeth, lips and gums are in proper proportion, creating a natural and pleasing appearance. In contrast, gummy smile (GS) is characterized by excessive gingival exposure when smiling, which can be considered unwanted and cause embarrassment to the patient. Botulinum toxin type A (TXBA) has proven to be an effective and safe therapeutic option to correct GS, reducing gingival exposure while smiling. The procedure is minimally invasive and temporarily blocks the muscle activity responsible for the exaggerated lifting of the upper lip. In addition to improving smile aesthetics, the application of TXBA also contributes to patients' self-esteem and quality of life. The orofacial harmonization approach, focusing on the proper application of TXBA, promotes remarkable results, restoring patients' confidence and improving their well-being, making it a popular option in cosmetic dentistry. The treatment must be carried out by qualified professionals and personalized for each patient, guaranteeing natural and satisfactory results in the correction of the GS. Thus, the objective of the narrative review of the literature is to analyze and synthesize the scientific evidence available on the use of TXBA in the treatment of GS, focusing on reducing excessive exposure of the gingiva during smiling.

References

Bakke M. (2022). Botulinum Toxin, a Drug with Potential Interest for Dentists-An Introduction. Toxins, 14(10), 667.

Biello, A., Oney, R., & Zhu, B. (2022). Botulinum Toxin Treatment of the Upper Face. In StatPearls. StatPearls Publishing.

Bort-Martí, A. R., Rowe, F. J., Ruiz Sifre, L., Ng, S. M., Bort-Martí, S., & Ruiz Garcia, V. (2023). Botulinum toxin for the treatment of strabismus. The Cochrane database of systematic reviews, 3(3), CD006499.

Brizuela, M., & Ines, D. (2023). Excessive Gingival Display. In StatPearls. StatPearls Publishing.

Çetin, M. B., Sezgin, Y., Akıncı, S., & Bakırarar, B. (2021). Evaluating the Impacts of Some Etiologically Relevant Factors on Excessive Gingival Display. The International journal of periodontics & restorative dentistry, 41(3), e73–e80.

Diaspro, A., Cavallini, M., Piersini, P., & Sito, G. (2018). Gummy Smile Treatment: Proposal for a Novel Corrective Technique and a Review of the Literature. Aesthetic surgery journal, 38(12), 1330–1338.

Dimasi, I., Chalhoub, X., & Ng, Z. Y. (2023). Botulinum Toxin A for Gummy Smile - Keep It Simple. Aesthetic surgery journal, sjad138. Advance online publication.

Duruel, O., Ataman-Duruel, E. T., Berker, E., & Tözüm, T. F. (2019). Treatment of Various Types of Gummy Smile With Botulinum Toxin-A. The Journal of craniofacial surgery, 30(3), 876–878.

Dym, H., & Pierre, R., 2nd (2020). Diagnosis and Treatment Approaches to a "Gummy Smile". Dental clinics of North America, 64(2), 341–349.

Fatani B. (2023). An Approach for Gummy Smile Treatment Using Botulinum Toxin A: A Narrative Review of the Literature. Cureus, 15(1), e34032.

Fudim, M., Parikh, K., Ganesh, A., Molinger, J., Ray, N., Coburn, A., Coyne, B. J., Swavely, A. G., Andrews, J., Gray, J. M., Rao, V. N., Felker, G. M., Borges-Neto, S., Hernandez, A. F., & Patel, M. R. (2023). Splanchnic nerve block with botulinum toxin for therapy of chronic heart failure - mechanism of action (SPONGE-HF). European journal of heart failure, 25(4), 594–596.

Gazerani P. (2022). How Does Botulinum Toxin Inhibit Itch?. Toxins, 14(10), 701.

Gong, X., Tang, H. N., Zhang, A. R., Wang, Z., Tang, Z. H., Han, X. F., & Su, J. Z. (2023). Application of botulinum toxin at the Yonsei point for the treatment of gummy smile: A randomized controlled trial. Plastic and reconstructive surgery, 10.1097/PRS.0000000000010623. Advance online publication.

Hexsel, D., Hexsel, C. L., Mosena, G., Dos Santos, A. C. K., & Fabris, V. C. (2023). The long-term resolution of gummy smile with repeated injections of botulinum toxins. Journal of the European Academy of Dermatology and Venereology : JEADV, 10.1111/jdv.19139. Advance online publication.

Kattimani, V., Tiwari, R. V. C., Gufran, K., Wasan, B., Shilpa, P. H., & Khader, A. A. (2019). Botulinum Toxin Application in Facial Esthetics and Recent Treatment Indications (2013-2018). Journal of International Society of Preventive & Community Dentistry, 9(2), 99–105.

Matak, I., Bölcskei, K., Bach-Rojecky, L., & Helyes, Z. (2019). Mechanisms of Botulinum Toxin Type A Action on Pain. Toxins, 11(8), 459.

Muknicka, D. P., Roman-Torres, C. V. G., Marão, H. F., Boaro, L. C., Bassoukou, C. H., Sendyk, W. R., & Pimentel, A. C. (2022). Toxina Botulínica tipo A para Sorriso Gengival por Hipercontração muscular. Research, Society and Development, 11(4), e31811427397.

Padda, I. S., & Tadi, P. (2022). Botulinum Toxin. In StatPearls. StatPearls Publishing.

Penna, C. B., Suguhiara, R. T., & Muknicka, D. P. (2023). A toxina botulínica na harmonização orofacial. Research, Society and Development, 12(7), e4312742506.

Queiroz, T. P., Luvizuto, E. R., Marques, D. O., Santos, V. B. P., Corbi, S. C. T., & Dos Santos, P. L. (2022). Botulinum Toxin Injections as an Adjunct to Surgical Lip Repositioning For Gummy Smile Treatment. The Journal of craniofacial surgery, 33(7), e728–e733.

Rasteau, S., Savoldelli, C., Winter, C., Lerhe, B., Castillo, L., & Kestemont, P. (2022). Botulinum toxin type A for the treatment of excessive gingival display - A systematic review. Journal of stomatology, oral and maxillofacial surgery, 123(6), e717–e723.

Rother, E. T. (2007). Revisão sistemática x revisão narrativa. Acta Paul. Enferm, 20(2).

Sumodjo, P. R. P. A., Suguihara, R. T., & Muknicka, D. P. (2023). O envelhecimento facial e a harmonização orofacial – uma revisão narrativa da literatura. Research, Society and Development, 12(5), e15312541591.

Published

11/08/2023

How to Cite

MOGROVEJO, H. R. M. .; SUGUIHARA, R. T. .; MUKNICKA, D. P. . Gummy smile correction with botulinum toxin type A. Research, Society and Development, [S. l.], v. 12, n. 8, p. e3412842851, 2023. DOI: 10.33448/rsd-v12i8.42851. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/42851. Acesso em: 22 dec. 2024.

Issue

Section

Health Sciences