Gingival resection surgery complementation through botulinum toxin application at the management of gummy smile

Resumo

The gummy smile is characterized by a marked
gingival exposure on smiling and it has been considered as one
of the main complaints of patients, also influencing on self-esteem
and social relationship. The development of new techniques such as
botulinum toxin application may be a more conservative treatment
option than surgical intervention (myectomy and Le Fort I osteotomy)
in the treatment of gummy smile. Objective: To present the case
of a patient who presented dental-gingival discrepancy and gummy
smile, treated by gingival resection surgery and complemented by
the application of botulinum toxin. Case report: A female patient,
23 years old, presented dental-gingival discrepancy and gummy
smile, treated by gingival resection surgery and complemented by
the application of botulinum toxin. Results: The gingival resection
surgery promoted improvement of dental relationship, caused by
increase of dental zenith and the application of botulinum toxin
caused uniform dehiscence of the upper lip, increasing the harmony
of the smile and improving self-esteem and quality life. Conclusion:
Botulinum toxin is an additional option in the cosmetic improvement
of the smile and gives better results when combined with gingival
resection surgery.