Botox as an Adjunct to Orthognathic Surgery For A Case of Severe Vertical Maxillary Excess

Indra, Adarsh S; Biswas, P. P.; Vineet, V. T.; Yeshaswini, T.

doi:10.1007/s12663-011-0178-0

Cited by 39 publications

(62 citation statements)

References 13 publications

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“…Many have studied the components of an attractive smile; most studies concluded that the perfect amount of maxillary gingival tissue shown during smiling is 3 mm. 4 Gummy smile, or excessive gingival display in the maxillary arch on smiling, is known as the difference between the lower margin of the upper lip and the superior margin of the incisors 1,4,5 and is considered one of the…”

Section: Introductionmentioning

confidence: 99%

“…5 Over time, different solutions were proposed to treat this disorder that ranged from complicated to simple. Orthognathic surgeries, such as LeFort I osteotomy and bone resection, orthodontic treatment by incisor intrusion, crown lengthening, gingivoplasty, and botulinum toxin (Botox) injections are all different methods of treating a gummy smile depending on the patient's situation.…”

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confidence: 99%

“…Orthognathic surgeries, such as LeFort I osteotomy and bone resection, orthodontic treatment by incisor intrusion, crown lengthening, gingivoplasty, and botulinum toxin (Botox) injections are all different methods of treating a gummy smile depending on the patient's situation. 3,5 Botox or Botulinum toxin type I is used as a temporary treatment for gummy smile when it is caused by muscular hyperfunction. 1 Botulinum is a Gram-positive bacterium that was isolated from Bacillus botulinum by a microbiologist in 1897.…”

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confidence: 99%

“…For example, LeFort I could affect nasal airway function in severe cases. 5 In addition, orthodontic treatment was provided to treat a gummy smile caused by intruding incisors. 3,5 The introduction of Botox type I to cosmetic dentistry was of great value.…”

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confidence: 99%

“…5 In addition, orthodontic treatment was provided to treat a gummy smile caused by intruding incisors. 3,5 The introduction of Botox type I to cosmetic dentistry was of great value. 14 Multiple types of Botox exist that are produced by different strains of Clostridium botulinum (Botox A, B, C, D, E, F, and G).…”

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confidence: 99%

See 4 more Smart Citations

Botulinum Toxin for the Treatment of Gummy Smile

Alfouzan

Mokeem

Al-Saqat

et al. 2017

The Journal of Contemporary Dental Practice

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Aim:The aim was to evaluate the effect of botulinum toxin (Botox) injections as a conservative treatment for gummy smile. Materials and methods:An experimental in vivo study was conducted at a dermatology clinic in Riyadh in January 2016. The study included 23 female patients who ranged from 20 to 50 years and were treated with Botox injections due to excessive maxillary gingival display. The patients with short clinical crowns or long maxilla, those who were pregnant or breastfeeding, and patients with neuromuscular disorders were excluded. Patients received Botox type I, injected 3 mm lateral to the alar-fascial groove at the level of the nostril opening at the insertion of the levator labii superioris alaeque nasi muscle. Photos were taken of the patient's smile before and after the treatment and were then uploaded to the SketchUp program to calculate improvements in gingival display. The distance from the lower margin of the upper lip to the gingival margin was calculated pre-and posttreatment. The amount of improvement was calculated as (pre-Botox treatment -post-Botox treatment/pre-Botox treatment × 100). The mean percentage of the total improvement was analyzed.Results: A total of 23 female patients received treatment to improve their gummy smile. Improvement was clear 2 weeks after Botox injection. The mean percentage of improvement in the gingival display was 99.6%. Conclusion:

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