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Case Series
Clinical case series: Botulinum toxin and the reversible correction of gingival smile
1 Endodontics Department, Iguaçu University, Nova Iguaçu, RJ, Brazil
2 Department of Restorative Dentistry, School of Dentistry, Federal Fluminense University, Niterói, RJ, Brazil
3 Department of Dental Prosthesis, Belem General Hospital, Belém, Pará, Brazil
4 São Leopoldo Mandic College, São Leopoldo Mandic Research Institute, Endodontics, Campinas, São Paulo, Brazil
5 Physiotherapy Department, Iguaçu University, Nova Iguaçu, RJ, Brazil
6 Department of Periodontology, School of Dentistry, Universidade Veiga de Almeida (UVA), Rio de Janeiro, RJ, Brazil.
Address correspondence to:
Marília Fagury Videira Marceliano-Alves
DDS, MSc, PhD, Department of Endodontics and Dental Research, Av. Abílio Augusto Távora, 2134, Nova Iguaçu – RJ 26260-045,
Brazil
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Article ID: 101359Z01JM2022
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How to cite this article
Mayhe JR, Marceliano-Alves MFV, Cavalcante LMA, Marceliano EFV, Coutinho TMC, Dantas WCF, Moreno AM, Mourão LCS. Clinical case series: Botulinum toxin and the reversible correction of gingival smile. Int J Case Rep Images 2022;13(2):196–201.ABSTRACT
The aim of this study was to evaluate the effect of applying botulinum toxin type A (BTX-A) as a therapeutic alternative for the treatment of gingival smile. Four selected categories of female gender, aged 28–38 years, with gingival smile exposure between 4 and 9 mm, were selected. The evaluation was carried out 15 and 30 days after the initial application. All participants responded to a structured scored interview of initial and final satisfaction. All patients related satisfaction with the final gingival exposure, providing an improvement of their self-esteem. The gingival smile can be treated with botulinum toxin type A as an adjunct to treatments that involve ortho-surgical facial rehabilitation. Although the result is completely reversed after a complete elimination of the product, it can improve the patient’s self-esteem. More clinical trials are important to confirm the results.
Keywords: Botulinum toxin, Gingival smile, Quality of life, Smile
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Acknowledgments
This study was supported by grants from Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ) and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazilian Governmental Institutions.
Author ContributionsJúlia Rocha Mayhe - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Marília Fagury Videira Marceliano-Alves - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Larissa Maria Assad Cavalcante - Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Eduardo Fagury Videira Marceliano - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Thais Machado de Carvalho Coutinho - Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Wania Cristina Figueiredo Dantas - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Adalgiza Mafra Moreno - Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Leila Cristina dos Santos Mourão - Conception of the work, Design of the work, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Júlia Rocha Mayhe et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
