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Comparison of smile attractiveness in cases with gummy smile treated with botulinum toxin and maxillary impaction surgery: A retrospective study.
Borba, Daniela Bezerra de Menezes; Fialho, Tiago; Oliveira, Renata Cristina Gobbi de; de Oliveira, Ricardo César Gobbi; Valarelli, Fabricio Pinelli; Pinzan-Vercelino, Célia Regina Maio; Cotrin, Paula; Freitas, Karina Maria Salvatore.
Afiliação
  • Borba DBM; Department of Orthodontics, Ingá University Center UNINGÁ, Maringá, Brazil.
  • Fialho T; Department of Orthodontics, Ingá University Center UNINGÁ, Maringá, Brazil; Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, Brazil. Electronic address: tifialho@hotmail.com.
  • Oliveira RCG; Department of Orthodontics, Ingá University Center UNINGÁ, Maringá, Brazil.
  • de Oliveira RCG; Department of Orthodontics, Ingá University Center UNINGÁ, Maringá, Brazil.
  • Valarelli FP; Department of Orthodontics, Ingá University Center UNINGÁ, Maringá, Brazil.
  • Pinzan-Vercelino CRM; Department of Orthodontics, Ingá University Center UNINGÁ, Maringá, Brazil.
  • Cotrin P; Department of Orthodontics, Ingá University Center UNINGÁ, Maringá, Brazil.
  • Freitas KMS; Department of Orthodontics, Ingá University Center UNINGÁ, Maringá, Brazil.
J Craniomaxillofac Surg ; 52(9): 999-1005, 2024 Sep.
Article em En | MEDLINE | ID: mdl-38871616
ABSTRACT
This study aimed to compare the smile's attractiveness in patients submitted to the treatment of gummy smiles with botulinum toxin or maxillary impaction surgery. The retrospective sample comprised 26 patients divided into two groups Group 1 (BTX) 13 patients (12 females and 1 male) with a mean age of 28.06 years (s.d. = 6.09) and mean gingival exposure during smile of 5.18 mm (s.d. = 1.51) treated with botulinum toxin; Group 2 (SURGICAL) 13 patients (9 females and 4 males) with a mean age of 30.59 years (s.d. = 5.72) and mean gingival exposure during smile of 5.21 mm (s.d. = 1.55) treated with orthognathic maxillary impaction surgery. The group of evaluators comprised 317 participants, divided into 143 orthodontists (85 females and 58 males) with a mean age of 41.40 (s.d. = 9.30); 62 dentists (47 female and 15 male) with a mean age of 35.44 (s.d. = 10.44), and 112 lay people (74 female and 38 male) with a mean age of 46, 91 (s.d. = 10.11) in a questionnaire on Google Forms. Without knowing the therapy used, the evaluators assigned scores to the photographs of the posed smile taken before (T1) and after (T2) treatment. Intergroup comparison of smile attractiveness was performed using the t-independent, one-way ANOVA, and Tukey tests. There was a significant improvement in smile attractiveness with treatment in both groups; however, the improvement was significantly better in the surgical group than in the BTX group. Orthodontists rated smile attractiveness significantly higher than dentists and laypersons for the final phase of the BTX and surgical groups. There was a significant improvement in the smile attractiveness with botulinum toxin application and orthodontic-surgical treatment. However, orthognathic surgery promoted a greater improvement in smile attractiveness than the application of botulinum toxin.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sorriso / Maxila Limite: Adult / Female / Humans / Male Idioma: En Revista: J Craniomaxillofac Surg Assunto da revista: ODONTOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sorriso / Maxila Limite: Adult / Female / Humans / Male Idioma: En Revista: J Craniomaxillofac Surg Assunto da revista: ODONTOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido