Abstract

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.

Highlights

  • The search for aesthetic procedures has grown exponentially

  • The purpose of this article was to report a case of a patient who presented severe gummy smile and was treated by associating gingivoplasty and botulinum toxin

  • Several aetiologies were suggested to the gummy smile, like the vertical excess of maxilla,[1,4,5,6,7,8] delayed passive eruption,[1,4,6,8] hyperfunction of the muscles involved in the smile[1,6,8] and reduced length of the teeth clinical crown,[1,2,3] which may occur singly or in combination, and determine the type of treatment to be applied

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Summary

INTRODUCTION

The search for aesthetic procedures has grown exponentially. Dental procedures, as well as medical, besides craving the principle of promoting health, look for smile aesthetics.[1,2,3]. When gingival exposure is larger than 3 mm, it characterises a non-aesthetic condition called gummy smile, which affects some patients psychologically.[1,5,6,7]. Improvement of Severe Gummy Smile by Botulinum Toxin Application and Gingivoplasty. The botulinum toxin has shown efficiency in the treatment of gummy smile, as well as other disorders such as temporomandibular dysfunction (bruxism, clenching and masseteric hypertrophy) and orofacial pains.[1,4,5,6,7,8,9,10] The purpose of this article was to report a case of a patient who presented severe gummy smile and was treated by associating gingivoplasty and botulinum toxin

CASE REPORT
DISCUSSION
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