Odovtos - International Journal of Dental Sciences ISSN Impreso: 1659-1046 ISSN electrónico: 2215-3411

OAI: https://www.revistas.ucr.ac.cr/index.php/Odontos/oai
Reshaping Smiles: A Successful Clinical Case with Botulinum Toxin for Gummy Smile Reduction
PDF
HTML
EPUB

Keywords

Gummy smile; Botulinum toxin; Orofacial harmonization.
Sonrisa gingival; Toxina botulínica; Armonización orofacial.

How to Cite

Dall’Magro, A. K., Dallepiane, F. G., Martin, J. C., Nicolini, P., Marques Stefanello, P. R., Spanenberg Führ, M. C., Trentin, M. S., Dall’Magro, E., & De Carli, J. P. (2024). Reshaping Smiles: A Successful Clinical Case with Botulinum Toxin for Gummy Smile Reduction. Odovtos - International Journal of Dental Sciences, 26(2), 20–27. https://doi.org/10.15517/ijds.2024.59407

Abstract

The use of botulinum toxin (BTX) represents an effective and safe approach in treating the gummy smile, reducing excessive gum exposure during smiling. This minimally invasive procedure can yield remarkable aesthetic results and contribute to an increase in the patient's self-confidence. The aim of this study is to report a clinical case of a female patient undergoing treatment to correct a gummy smile. The case study involves a 21-year-old patient with excessive gum exposure (5 mm when smiling) who sought dental treatment. The origin of her gummy smile was mixed, and the treatment involved the application of 6 units of BTX type A at three specific points on the face. No complications were observed during the three-month follow-up period. Based on the case report, it can be concluded that BTX application for gummy smile treatment proved to be effective, safe, and comfortable in terms of recovery. The BTX approach to correcting a gummy smile is considered safe and entails straightforward recovery, producing satisfactory results that contribute to the improvement of aesthetics and the patient's well-being.

https://doi.org/10.15517/ijds.2024.59407
PDF
HTML
EPUB

References

Sabbah A. Smile Analysis: Diagnosis and Treatment Planning. Dent Clin North Am. 2022; 66 (3): 307-341.

Mercado-García J., Rosso P., Gonzalvez-García M., Colina J., Fernández JM. Gummy smile: Mercado-Rosso classification system and dynamic restructuring with hyaluronic acid. Aesthetic Plast Surg. 2021; 45: 1-12.

Pavone A.F., Ghassemian M., Verardi S. Gummy smile and short Tooth SyndromePart 1: Etiopathogenesis, classifications, and diagnostic guidelines. Compend Contin Educ Dent 2016; 37 (2): 102-7.

Abdullah W.A., Khalil H.S., Alhindi M.M., Marzook H. Modifying gummy smile: a minimally invasive approach. J Contemp Dent Pract 2014; 15 (6): 821-826.

Ribeiro F.V., Hirata D.Y., Reis A.F., Santos V.R., Miranda T.S., Faveri M., Duarte P. M. Open- flap versus flapless esthetic crown lengthening: 12- month clinical outcomes of a randomized controlled clinical trial. J Periodontol, 2014; 85 (4): 536-44.

Mossaad A.M., Abdelrahman M.A., Kotb A.M., Alolayan A.B., Elsayed S.A.H. Gummy smile management using diode laser gingivectomy versus botulinum toxin injection-A prospective study. Ann. Maxillofac. Surg 2021; 11 (1): 70.

Rojo-Sanchis C., Montiel-Company J.M., Tarazona-Álvarez B., Haas-Junior O.L., Peiró-Guijarro M. A., Paredes-Gallardo V., Guijarro-Martínez R. Non-Surgical Management of the Gingival Smile with Botulinum Toxin A-A Systematic Review and Meta-Analysis. J Clin Med 2023; 12 (4): 1433.

Parayaruthottam P., Antony V. Midline mini-implant-assisted true intrusion of maxillary anterior teeth for improved smile esthetics in gummy smile. Contemp Clin Dent 2021; 12 (3): 332.

Rizzi R.I., Portes M.I.P., Ertty E., Meloti F., An T.L., De Almeida C.M. Aesthetic perception of smile in long face pattern patients who underwent maxillary impaction with miniplates or orthognathic surgery. J Stomatol Oral Maxillofac. Surg 2022; 123 (5): 498-504.

Haddadi P., Zare H., Azadikhah A. Lip repositioning, a solution for gummy smile. Front Dent 2021; 18.

Horn R.O., Joly J.C. Treatment of Gummy Smile Combining Crown Lengthening, Lip Repositioning and The Use of Polyester Threads. Clin Adv Periodontics 2022; 13 (1): 42-45.

Zengiski A.C.S., Basso I.B., Cavalcante-Leão B.L., Stechman-Neto J., Santos R.S., Guariza-Filho O., Zeigelboim B.S., Taveira K.V.M., de Araujo C.M. Effect and longevity of botulinum toxin in the treatment of gummy smile: a meta-analysis and meta-regression. Clin Oral Investig 2022; 26: 109-117.

Mazzuco R., Hexsel D. Gummy smile and botulinum toxin: A new approach based on the gingival exposure area. J Am Acad Dermatol 2010; 63 (6): 1042-51.

Dym H., Pierre R. Diagnosis and Treatment Approaches to a "Gummy Smile". Dent Clin North Am 2020; 64 (2): 341-49.

Kuhn-Dall’magro A., Calza S.C., Lauxen J., Santos R., Valcanaia T.D.C., Dall’magro E. Tratamento do sorriso gengival com toxina botulínica tipo A: relato de caso. RFO UPF 2015; 20 (1): 81-87.

Duruel O., Ataman-Duruel E.T., Berker E., Tözüm T.F. Treatment of Various Types of Gummy Smile With Botulinum Toxin-A. J. Craniofac. Surg 2019; 30 (3): 876-78.

Razmaite A., Trakiniene G. The effect of botox for the correction of the gummy smile: A systematic review. Stomatologija 2021; 23 (3): 63-8.

Chagas T.F., Almeida N.V., Lisboa C.O., Ferreira D.M.T.P., Mattos C.T., Mucha J.M. Duration of effectiveness of Botulinum toxin type A in excessive gingival display: a systematic review and meta-analysis. Braz Oral Res 2018; 32 (30): 1-11.

Comments

Copyright (c) 2024 CC-BY-NC-SA 4.0

Downloads

Download data is not yet available.