Avaliação dos efeitos da Toxina Botulínica na correção do sorriso gengival 32 semanas pós-aplicação
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Resumo
Introdução: A toxina botulínica tipo A (BTX-A) tem se tornado popular na correção do sorriso gengival nos últimos anos. Objetivo: Avaliar os efeitos da aplicação de BTX-A na correção do sorriso gengival 2 e 32 semanas após a aplicação. Métodos: A amostra compreendeu 35 pacientes (30 mulheres, 5 homens) com uma idade inicial média 25,51 anos (±5,59) portadores de sorriso gengival devido à hiperfunção muscular. Em cada paciente foi aplicado 2U de BTX-A no músculo elevador superior da asa do nariz, 2 mm a partir da dobra nasolabial. Foram feitas fotografias dos sorrisos espontâneos dos pacientes em 3 fases: antes, 2 e 32 semanas após a aplicação de BTX-A. As medidas da exposição gengival foram feitas com o Software Radioface Studio 2, e a calibração utilizou o tamanho real do incisive central superior direito. A comparação das 3 fases foi feita com ANOVA de medidas repetidas e teste de Tukey. Resultados: A exposição gengival diminuiu significantemente 2 semanas após a aplicação e aumentou novamente após 32 semanas, mas não retornando aos valores iniciais. Conclusão: Houve uma melhora significante no sorriso gengival 2 semanas após a aplicação de toxina Botulínica, e uma recidiva significante após 32 semanas, mas não retornando aos valores iniciais.
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Referências
Moon JH, Lee E, Lee J-A, Choi TR, Sung Y. The role of narcissism in self-promotion on Instagram. Personal Indiv Differenc. 2016;101:22-5. https://doi.org/10.1016/j.paid.2016.05.042
Sharma PK, Sharma P. Dental smile esthetics: the assessment and creation of the ideal smile. Semin Orthodontics. 2012;18(3):193-201. https://doi.org/10.1053/j.sodo.2012.04.004
Rohrich RJ. The increasing popularity of cosmetic surgery procedures: a look at statistics in plastic surgery. Plast Reconstr Surg. 2000;106(6):1363-5. https://doi.org/10.1097/00006534-200011000-00023
Silva Neto JMA, Silva JLV, Mendonça AJPC, Duarte IKF, Tenório Neto JF. O uso do ácido hialurônico na harmonização facial: Uma revisão de literatura. Rev Eletron Acervo Saúde. 2019;32(Supl):e1269-e. https://doi.org/10.25248/reas.e1269.2019
Pascali M, Quarato D, Carinci F. Filling procedures for lip and perioral rejuvenation: A systematic review. Rejuvenation Res. 2018;21(6):553-9. https://doi.org/10.1089/rej.2017.1941
Ribeiro F, Steiner D. Quality of life before and after cosmetic procedures on the face: A cross-sectional study in a public service. J Cosmet Dermatol. 2018;17(5):688-92. https://doi.org/10.1111/jocd.12723
Maisel A, Waldman A, Furlan K, Weil A, Sacotte K, Lazaroff JM, et al. Self-reported Patient Motivations for Seeking Cosmetic Procedures. JAMA Dermatol. 2018;154(10):1167-74. https://doi.org/10.1001/jamadermatol.2018.2357
Ferrandis JFB, Soriano FM, Veja MIR, Ferrandis JJF. Assessment of facial harmony among Caucasian Spaniards 18 to 60 years of age and its relationship with the golden ratio. Eur J Plast Surg. 2018;41:189-206. https://doi.org/10.1007/s00238-017-1348-1
Garber DA, Salama MA. The aesthetic smile: diagnosis and treatment. Periodontol 2000. 1996;11:18-28. https://doi.org/10.1111/j.1600-0757.1996.tb00179.x
Springer NC, Chang C, Fields HW, Beck FM, Firestone AR, Rosenstiel S, et al. Smile esthetics from the layperson's perspective. Am J Orthod Dentofacial Orthop. 2011;139(1):e91-e101. https://doi.org/10.1016/j.ajodo.2010.06.019
Chang CA, Fields Jr HW, Beck FM, Springer NC, Firestone AR, Rosenstiel S, et al. Smile esthetics from patients' perspectives for faces of varying attractiveness. Am J Orthod Dentofacial Orthop. 2011;140(4):e171-80. https://doi.org/10.1016/j.ajodo.2011.03.022
Suzuki L, Machado AW, Bittencourt MAV. An evaluation of the influence of gingival display level in the smile esthetics. Dental Press J Orthod. 2011;16(5):37e1-10. https://doi.org/10.1590/S2176-94512011000500005
Nomura S, Freitas KMS, Silva PPC, Valarelli FB, Cançado RH et al. Evaluation of the attractiveness of different gingival zeniths in smile esthetics. Dental Press J Orthod. 2018;23:45-47. http://dx.doi.org/10.1590/2177-6709.23.5.047-057.oar
Hunt O, Johnston C, Hepper P, Burden D, Stevenson M. The influence of maxillary gingival exposure on dental attractiveness ratings. Eur J Orthod. 2002;24(2):199-204. https://doi.org/10930.1/ejo/24.2.199
Silberberg N, Goldstein M, Smidt A. Excessive gingival display-etiology, diagnosis, and treatment modalities. Quintessence Int. 2009;40(10):809-18.
Monaco A, Streni O, Marci MC, Marzo G, Gatto R, Giannoni M. Gummy smile: clinical parameters useful for diagnosis and therapeutical approach. J Clin Pediatr Dent. 2004;29(1):19-25. https://doi.org/10.17796/jcpd.29.1.y01l3r4m06q3k2x0
Mazzuco R, Hexsel D. Gummy smile and botulinum toxin: a new approach based on the gingival exposure area. J Am Acad Dermatol. 2010;63(6):1042-51. https://doi.org/10.1016/j.jaad.2010.02.053
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(1):70-7. https://doi.org/10.2319/091407-437.1
Govindaraju P, Sadand S, Gopal SV, Ramaiah SK, Mathew M, Parashuram SC, et al. Botulinum toxin-An Innovative Treatment Approach in Dental Practice. J Young Pharmacists. 2016;8(1):2-5. https://doi.org/10.5530/jyp.2016.1.2
Al-Fouzan AF, Mokeem LS, Al-Saqat RT, Alfalah MA, Alharbi MA, Al-Samary AE. Botulinum Toxin for the treatment of Gummv Smile. J Contemp Dent Pract. 2017;18(6):474-8. https://doi.org/10.5005/jp-journals-10024-2068
Pedron IG, Mangano A. Gummy Smile Correction Using Botulinum Toxin With Respective Gingival Surgery. J Dent (Shiraz). 2018;19(3):248-52.
Archana MS. Toxin yet not toxic: Botulinum toxin in dentistry. Saudi Dent J. 2016;28(2)63-9. https://doi.org/10.1016/j.sdentj.2015.08.002
Niamtu J. Botulinum toxin A: a review of 1,085 oral and maxillofacial patient treatments. J Oral Maxillofac Surg. 2003;61(3):317-24. https://doi.org/10.1053/joms.2003.50069
Nasr MW, Jabbour SF, Sidaoui JA, Haber RN, Kechichian EG. Botulinum Toxin for the Treatment of Excessive Gingival Display: a systematic review. Aesthet surg J. 2016;36:82-8. https://doi.org/10.1093/asj/sjv082
Hexsel D, Dal’Forno T, Camozzato F, Valente I, Soirefmann M, Silva AF, et al. Effects of different doses of abobotulinumtoxinA for the treatment of anterior gingival smile. Arch Dermatol. 2020. https://doi.org/10.1007/s00403-020-02096-9
Chagas TF, Almeida NV, Lisboa CO, Tavares DM, Ferreira P, Mattos CT, et al. Duration of effectiveness of Botulinum toxin type A in excessive gingival display: a systematic review and meta-analysis. Braz Oral Res. 2018;32:e30. https://doi.org/10.1590/1807-3107bor-2018.vol32.0030
Polo M. Botulinum toxin type A (Botox) for the neuromuscular correction of excessive gingival display on smiling (gummy smile). Am J Orthod Dentofacial Orthop. 2008;133(2):195-203. https://doi.org/10.1016/j.ajodo.2007.04.033
Dahlberg G. Statistical methods for medical and biological students. Br Med J. 1940; 2(4158):358-9.
Houston W. The analysis of errors in orthodontic measurements. Am J Orthodontics. 1983;83(5):382-90. https://doi.org/10.1016/0002-9416(83)90322-6
Midtgard J, Bjork G, Linder-Aronson S. Reproducibility of cephalometric landmarks and errors of measurements of cephalometric cranial distances. Angle Orthodontist. 1974;44(1):56-61. https://doi.org/10.1043/0003-3219(1974)044<0056:ROCLAE>2.0.CO;2
Ishida LH, Ishida LC, Ishida J, Grynglas J, Alonso N, Ferreira MC. Myotomy of the levator labii superioris muscle and lip repositioning: a combined approach for the correction of gummy smile. Plast Reconstr Surg 2010;126(3):1014-9. https://doi.org/10.1097/PRS.0b013e3181e3b6d4
Gracco A, Tracey S. Botox and the gummy smile. Prog Orthod. 2010;11(1):76-82. https://doi.org/10.1016/j.pio.2010.04.004
Sucupira E, Abramovitz A. A simplified method for smile enhancement: botulinum toxin injection for gummy smile. Plast Reconstr Surg. 2012;130(3):726-8. https://doi.org/10.1097/PRS.0b013e31825dc32f
Dastoor SF, Misch CE, Wang HL. Botulinum toxin (Botox) to enhance facial macroesthetics: a literature review. J Oral Implantol. 2007;33(3):164-71. https://doi.org/10.1563/0-835.1
Polo M. Botulinum toxin type A in the treatment of excessive gingival display. Am J Orthod Dentofacial Orthop. 2005;127(2):214-8. https://doi.org/10.1016/j.ajodo.2004.09.013
Prendergast TI, Ong'uti SK, Ortega G, Khoury AL, Onwuka E, Bolorunduro OB, et al. Differential trends in racial preferences for cosmetic surgery procedures. Am Surgeon. 2011;77(8):1081-5.
Broer PN, Levine SM, Juran S. Plastic surgery: quo vadis? Current trends and future projections of aesthetic plastic surgical procedures in the United States. Plast Reconstr Surg. 2014;133(3):293e-302e. https://doi.org/10.1097/01.prs.0000438053.21634.84
Peck S, Peck L, Kataja M. Some vertical lineaments of lip position. Am J Orthod Dentofacial Orthop. 1992;101(6):519-24. https://doi.org/10.1016/0889-5406(92)70126-U
Suber JS, Dinh TP, Prince MD, Smith PD. On a botulinum toxin A for the treatment of a "gummy smile”. Aesthet Surg J. 2014;34(3):432-7. https://doi.org/10.1177/1090820X14527603
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(3):266-70. https://doi.org/10.1007/s12663-011-0178-0