Common treatment options for this condition include: Orthodontic treatment, such as braces or clear aligners (e.g., Invisalign), is a great option for mild cases of GS caused by a misalignment in the jaws and teeth. Gummy smile or excessive gingival display is a condition when a significant undesirable amount of pink gum shows during a smile. A smile with more than 2 mm exposed gingiva is called gummy smile. You are then able to undergo treatments indefinitely with no risk of long-term side effects. Patients with systemic diseases or neuromuscular disorders. Lip surgery can only fix a gummy smile if the cause is due to a hyperactive upper lip, not jaw issues. Lulu Com, 2012. Non surgical treatment for gummy smile with before and after photos. Majid, Nadim. It can make you self-conscious when you talk or laugh and cause you to hold back from overly expressing yourself. These include: If GS is caused by moderate to severe upper jaw protrusion, orthognathic (jaw) surgery is generally the most effective treatment option available. Twenty-eight patients who had a gummy smile of more than 2 mm were randomly divided into 2 groups. Side Effects of Gummy Smile Botox As long as you go to a professional for injections, you don’t have much to worry about. Some orthodontists also anchor small titanium implants (TADS) into the patient’s bone during orthodontic treatment. However, botulinum toxin (BT or botox) injections can also reduce the visibility of excess gum tissue at rest and while smiling. We may earn a commission if you purchase something using one of our links. Before we discuss possible solutions, let’s first have a look at the causes. Wiley-Blackwell, 2020. This trial will help the practitioners and the patients in taking the convenient decision to correct the gumminess to restore lip-gingival-dental harmony and enhance smile asthetics.  (Clinical Trial), Satisfaction Of Adult Patients With Gummy Smile Treated By Botulinum Toxin A Injection Versus Modified Lip Repositioning Surgery : A Randomized Clinical Trial, Experimental: Botulinum Toxin A Injection, Experimental: Modified Lip Repositioning Surgery, Zeinab mohamed, principal investigator, Cairo University. A Botox gummy smile reduction procedure is very quick and convenient, often taking as little as ten minutes. Fix a Gummy Smile without Surgery. For general information, Learn About Clinical Studies. You have reached the maximum number of saved studies (100). ]. For example, patients with deep nasolabial folds (smile lines) and short upper lips typically receive two to three botox injections per treatment. this group will receive Botulinum Toxin A Injection at doses of 2.5 or 5 IU (depending on the degree of gum exposure) on each side of the nasolabial fold with follow up at at 2,4,8,12 and 24 weeks. Berthold, De Maio Mauricio. This is an unattractive feature that can be easily fixed with little cost, little to no discomfort, and increasing longevity. It may be due to one or more of the following etiologies; altered passive eruption of teeth, dentoalveolar extrusion, vertical maxillary excess, and short or hyperactive lip muscles. After 15 days, the patient was evaluated. Some people are also born with a short upper lip or excess gum tissue, all of which can cause GS. In addition, tooth root exposure can cause the teeth to become sensitive to hot and cold temperatures. If you’re looking to eliminate your gummy smile with a single treatment, surgery may be the best solution for you. Botox works by preventing those muscular contractions, thereby making the face look and feel more relaxed, and ensuring that the lips cover up the gums to allow a more natural-looking smile. If this is something that a person wants to reduce it can be done with the use of Botox Botox is a common cosmetic treatment that reduces the appearance of wrinkles and fine lines. Botulinum Toxins: Cosmetic and Clinical Applications. Side effects of gummy smile surgery may include pain and the risk of causing teeth to loosen over time. Usually, the corrective measures incorporate orthognathic surgery and orthodontic treatment. Park, Jae Hyun. During jaw surgery, an oral surgeon recontours your upper jaw to the correct size and moves it into the correct position. NewMouth is reader supported. People of all ages can get treatment to fix GS. If you have any questions about Gummy Smile, please feel free to contact Sakae Clinic in Naka-ku, Nagoya, right next to Sakae TV Tower. Study record managers: refer to the Data Element Definitions if submitting registration or results information. Talk with your doctor and family members or friends about deciding to join a study. Botox can be used for wrinkle reduction, sweat reduction, and 24 other FDA-cleared indications in the human body. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Braces are indirectly related to gummy smiles through poor dental hygiene. Read our, ClinicalTrials.gov Identifier: NCT03186547, Interventional The treatment of gummy smile … For several patients, this can cause a lot of self-consciousness, and even embarrassment. Botulinum toxin was administered equally to the left and right of the levator labii superioris alaeque nasi muscle of group 1 and the orbicularis oris site of group 2. This is usually minimal and can be covered effectively with make up. A thin upper lip can further contribute to this … John Wiley & Sons Inc., 2017. A gummy smile (GS), which dentists call excessive gingival display, is when too much gum tissue shows above the top teeth when smiling. This will result in a gummy appearance. Adults with age range from 18 - 30 years. By restricting the muscle pull by elevator lip muscles, this procedure reduces excessive gingival display during smiling. If it doesn’t come from anything serious, then it is merely an aesthetic choice. 2018. Side effects. Information provided by (Responsible Party): The aim of the proposal study is to answer the question of how to manage gummy smiles due to hypermobile upper lip with less invasive and low risk level procedure . Patients in traditional braces often find brushing and flossing more troublesome as the braces cause an obstruction. it will be assessed using Digital ruler on DSS software, it will be assessed using Digital ruler and angle measurement on DSS software, it will be assessed using Digital angle measurement on DSS software, Procedure: Modified Lip Repositioning Surgery. Gummy smile is an esthetic problem for some patients and a frequent finding that can occur as a result of various intraoral or extraoral etiologies.1–5 Thus, proper diagnosis and treatment are important. Bacteria then builds up in and around the gums, causing inflammation and a gummy smile. Gummy smile is a state where gums appear when you laugh. Excessive gingival display more than 3 mm during smiling. ‘Gummy smile’ constitutes a relatively frequent esthetic disadvantage characterized by excessive display of the gums during upper lip smiling. It could be that your teeth didn’t erupt completely during oral development. When you smile the appearance of excessive gum tissue is known as ‘Gummy Smile’. Choosing to participate in a study is an important personal decision. adult patients with gummy smile due to hypermobile upper lip will receive Botulinum Toxin A Injection with a single injection1 cm lateral to the ala horizontally and 3 cm above the lip line vertically. The clinical effect of botulinum toxin application remained for 6 months. ZOCDOC WILL HELP YOU FIND ONE IN YOUR AREA, Clear Aligners: How They Work, Popular Brands & Costs, Tooth Abscess Stages, Symptoms & Treatment, Common Causes of Bad Breath & Treatment Options, What Is Oral Health? Orthodontic devices move the teeth into the correct position and fix a patient’s bite, resulting in less gum tissue showing above the upper teeth. Severly long face (VME) patients. For patient, this procedure is safe, less invasive with minimal side effects and an alternative to orthognathic surgery in the correction of gummy smile. Gummy smiles often make people feel self-conscious, and they end up seeking treatment electively for cosmetic reasons. Colgate’s HUM Smart Toothbrushes deliver personalized care that guide you to brush better. In this randomized clinical trial , two groups will be included to compare the effectiveness of a treatment modality of botulinum toxin-A injection , in the first group , on gingival display during smiling ,patient satisfaction , lower face esthetics ( upper lip length , upper lip vermillion length , interlabial gap , nasolabial angle) and the postoperative side effects . Many people go around with gummy smiles, meaning their gum shows when they smile and their upper lip curls upwards. It can be due to jaw deformities, altered passive eruption, or tooth malpositioning. Some people have overactive smile muscles. Pregnant or lactating female patients. If jaw misalignment is the cause of your gummy smile, surgery is necessary to improve your oral health. Botulinum Toxin in Aesthetic Medicine. Gummy smile with gingival display more than 8 mm during smiling. It doesn’t mean that your doctor did a bad job. Several dentists who are not experts in gummy smile surgery offer procedures they advertise will improve the appearance of a gummy smile. 13) and reported no side effects or complaints. Asymmetric — when excess gum tissue shows on just one side of the mouth in the upper jaw. Jaw surgery is always used in combination with orthodontic treatment, such as braces. During the eruption of permanent teeth, sometimes there’s an overgrowth of gum tissue that covers much of the teeth. How many injections are needed and where they will be injected depends on the type of gummy smile you have. Why Should I Register and Submit Results? Several etiologies of gummy smile have been suggested, such as vertical excess of the maxilla, 42 Pedron IG. When treating a gummy smile, BT is injected in smaller doses to limit the over-contraction of your upper lip muscles. There are a few causes of GS. If a gummy smile is characterized by overgrowth of anterior vertical maxillary excess, the outcome may not always be successful with conventional orthodontic therapy alone. Botox injections are an ongoing gummy smile treatment. Common causes of GS include, but are not limited to: Genetic … For example, teeth can appear too short or remain partly covered by your gums if a tooth erupts improperly. There is no recovery period needed, and any side effects are minimal, so this procedure is ideal for … Individual Participant Data (IPD) Sharing Statement: Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: Product Manufactured in and Exported from the U.S.: Patient satisfaction and postoperative side effects [ Time Frame: at 4 weeks ], Improvement of gingival display upon smiling [ Time Frame: at 4,8 and 12 weeks ], Lower face esthatics: a) upper lip length b) upper lip- vermillion length c) interlabial gap [ Time Frame: at 4,8 and 12 weeks ], Lower face esthatics: d)nasolabial angle [ Time Frame: at 4,8 and 12 weeks ], stability of gummy smile correction. You will also be asked to smile at full capacity before the BT is injected to ensure the treatment is effective. There are many reasons a gummy smile can happen including genetics, poor oral hygiene, the use of drugs that cause hyperplastic effects, hormonal imbalances, hematological conditions, and sometimes even the way you age. They must be completed every three to six months. If you do not want to undergo jaw surgery, lip repositioning surgery may be a better option. This type of surgery may result in tighter lips or speech impediments, although these side effects are generally rare. the comparator group will receive treatment by modified lip repositioning surgery ,to compare the results of the intervention group that can possibly obtained without undergoing surgery. Patients with … A smile with more than 2 mm exposed gingiva is called gummy smile. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. You must mention to your practitioner if you are taking any blood thinning medications ie.

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