Gummy Smile Correction Using Botulinum Toxin With Respective Gingival Surgery
Journal Title: Journal of Dentistry, Shiraz University of Medical Sciences - Year 2018, Vol 19, Issue 3
Abstract
The pursuit of esthetic excellence has become a major goal in the dental treatment and orthodontic treatment. The beauty of the smile is not only constituted by the shape, position, and size of the teeth, but also based on the characteristics of the gingival tissue and conformation of the lips, which should be as harmonious as teeth. Gummy smile is one of the complaints of the patients, since such a situation can influence self-esteem and social relationships. The development of new more conservative techniques may provide a better therapeutic option than surgical procedures, such as the application of botulinum toxin, in the treatment of gummy smile. The purpose of this article is to present the case of a patient who presented dentogingival discrepancy and gummy smile, treated by resective gingival surgery and by application of botulinum toxin, optimizing smile harmony, and achieving improved self-esteem and quality of life. The application of botulinum toxin is an alternative less invasive, faster, safer, and more effective. Moreover, it produces harmonics and pleasing results when applied in target muscles, respecting the appropriate dose and type of smile. Therefore, the technique is a useful adjunct in the esthetic improvement of the smile and provides better results when combined with resective gingival surgery.
Authors and Affiliations
Irineu Gregnanin Pedron, Alessandro Mangano
Clinicopathologic Study of Intra- Osseous Lesions of the Jaws in Southern Iranian Population
Statement of the Problem: It is necessary for surgeons and practitioners to know about relative incidence and clinicopathologic features of lesions for accurate diagnosis and approach of pathologic lesions. Data are limi...
A Rare Condition of Bimaxillary Primary Molar Taurodontism
Taurodontism is a relatively rare variance with a very low incidence in primary dentition and only a few cases have been reported in the literature. It stands a challenge when these teeth require pulp therapy. This case...
Orofacial Pathological Lesions in Children and Adolescents: A 25-year survey in Iran
Statement of the Problem: Oral pathological conditions presented in children are various and often different from those of adults. There is considerable variation in the prevalence of these lesions among different region...
Relation between Periodontitis and Prediabetic Condition
Statement of the Problem: Prediabetic condition, which is characterized by impaired glucose tolerance, impaired fasting blood glucose, and hemoglobin A1c (HbA1c) higher than normal might be associated with periodontitis....
Assessment of the Capability of Bone Density Contrast Dissociation in Cone Beam Computed Tomography Compared to Digital Periapical Radiography by Using a Phantom
Statement of the Problem: Assessment of bone density changes plays an important role in diagnosis, treatment, and follow-up procedures. The feasibility of cone-beam computed tomography (CBCT) for assessment of bone densi...