Objective: to evaluate the effect of two gingival smile treatment techniques using botulinum toxin. Materials and methods: The randomized, double-blind clinical trial (patient and examiner) will be conducted by two trained and calibrated dentists. Ten patients will be randomly assigned to each group, in a total of 20 patients with gingiva smile greater than or equal to 3mm. In group 1, 10 patients will receive 2 units/point of botulinum toxin Botulift® (botulinum toxin type A), in the muscles form the face: Levators labii superioris alaeque nasi muscle and Levators labii superioris muscle, totalizing 4 points. In group 2, 2 units/point was injected in the muscles: levators labii superioris alaeque nasi muscle, totalizing 2 points. The amount of exposed gingiva during smile will be measured using a pachymeter and the muscle activity of the region will be evaluated through electromyography, before and after treatment (2, 8, 12, 21 and 25 weeks). Patient satisfaction and discomfort due to treatment will be evaluated in the same periods through questionnaire. The impact of the treatment in life quality will be evaluated through OHIP-14 questionnaire.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
20
2 units/point of botulinum toxin type A
Universidade Ibirapuera
São Paulo, São Paulo, Brazil
Exposed Gingiva during Smile (mm)
Measurement of exposed gingiva during smile using a pachymeter
Time frame: Before Treatment
Exposed Gingiva during Smile (mm)
Measurement of exposed gingiva during smile using a pachymeter
Time frame: After Treatment (2 weeks)
Exposed Gingiva during Smile (mm)
Measurement of exposed gingiva during smile using a pachymeter
Time frame: After Treatment (8 weeks)
Exposed Gingiva during Smile (mm)
Measurement of exposed gingiva during smile using a pachymeter
Time frame: After Treatment (12 weeks)
Exposed Gingiva during Smile (mm)
Measurement of exposed gingiva during smile using a pachymeter
Time frame: After Treatment (21 weeks)
Exposed Gingiva during Smile (mm)
Measurement of exposed gingiva during smile using a pachymeter
Time frame: After Treatment (25 weeks)
Muscles Activity
Muscles activity using electromyography
Time frame: Before Treatment
Muscles Activity
Muscles activity using electromyography
Time frame: After Treatment (2 weeks)
Muscles Activity
Muscles activity using electromyography
Time frame: After Treatment (8 weeks)
Muscles Activity
Muscles activity using electromyography
Time frame: After Treatment (12 weeks)
Muscles Activity
Muscles activity using electromyography
Time frame: After Treatment (21 weeks)
Muscles Activity
Muscles activity using electromyography
Time frame: After Treatment (25 weeks)
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