Currently, the search for aesthetic excellence has become the main objective in the dental treatment. The gummy smile is one of the complaints from the patients, since this situation may influence their self-esteem and social relationship. The development of new techniques, such as the application of botulinum toxin, may be a therapeutic option more conservative, in the treatment of gummy smile. The purpose of this article is to present a case of a patient with dentogingival discrepancy and severe gummy smile, who was treated with gingivoplasty and application of botulinum toxin in order to optimise the harmony of the smile.
Keywords: Botulinum toxins type A; gingival overgrowth; gingivectomy; gingivoplasty; gummy smile; surgical crown lengthening.
Pedron IG. Toxina botulínica - Aplicações em Odontologia. First Edition. Florianópolis: Ed. Ponto. 2016. 195 pages.
Narayan S, Narayan TV, Jacob PC. Correction of gummy smile: a report of two cases. J Indian Soc Periodontol. 2011;15:421-4.
Pedron IG, Utumi ER, Silva LPN, Moretto EML, Lima TCF, Ribeiro MA. Gingival resective surgery to the treatment of disharmony of smile. Rev Odontol Bras Central. 2010;18:87-91.
Hwang WS, Hur MS, Hu KS, Song WC, Koh KS, Baik HS, et al. Surface anatomy of the lip elevator muscles for the treatment of gummy smile using botulinum toxin. Angle Orthod. 2009;79:70-7.
Mazzuco R, Hexsel D. Gummy smile and botulinum toxin: A new approach based on the gingival exposure area. J Am Acad Dermatol. 2010;63:1042-51.
Polo M. Botulinum toxin type A in the treatment of excessive gingival display. Am J Orthod Dentofacial Orthop 2005;127:214-8.
Indra AS, Biswas PP, Vineet VT, Yeshaswini T. Botox as an adjunct to orthognathic surgery for a case of severe vertical maxillary excess. J Maxillofac Oral Surg 2011;10:226-70.
Pijpe J, Jansma J. The use of botulinum toxin type A in cosmetic facial procedures. Int J Oral Maxillofac Surg 2011;40:127-33.
Sucupira E, Abramovitz A. A simplified method for smile enhancement: botulinum toxin injection for gummy smile. Plast Reconstr Surg 2012;130:726-8.
Niamtu J 3rd. Botox injections for gummy smiles. Am J Orthod Dentofacial Orthop 2008;133:782-3.