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Treatment of gummy smile using botulinum toxin: a review

Other Titles
 보툴리눔 독소를 이용한 치은과다노출증의 치료 고찰 
 Yangho Myung  ;  Keoncheol Woo  ;  Seong Taek Kim 
 Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지), Vol.37(2) : 61-72, 2021-06 
Journal Title
Journal of Dental Rehabilitation and Applied Science(구강회복응용과학지)
Issue Date
gummy smile ; lip ; botulinum toxin ; cosmetic ; aesthetic ; gingivectomy
A beautiful smile is made when it is symmetrical and gums are displayed less than 2 - 3 mm. Excessive gingival display also known as "gummy smile" is often recognized to be unaesthetic. Causes of gummy smile can be caused by delayed eruption, vertical maxillary excess, hypermobile upper lip, or a short upper lip. Meanwhile botulinum toxin which is an exotoxin produced from Clostridium botulinum, works by blocking the release of acetylcholine from the cholinergic nerve end plates leading to inactivity of the muscles. The application site and weakens the muscle tone is drawing attention as a gummy smile treatment caused by hypermobile upper lip. There have been many studies about the method of injecting botulinum toxin into muscles around the lips, but there is still no standardized research method and treatment method, so there is controversy over the therapeutic effect. The aim of this study is to review the previous studies about the predictors of indication and effects of gummy smile treatment using botulinum toxin injection. Especially we tried to propose a protocol for optimal dose and efficient injection point through the anatomical considerations for gummy smile treatment using botulinum toxin.
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Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Orofacial Pain and Oral Medicine (구강내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seong Taek(김성택)
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