

Page 59
Volume 1, Issue 1
Journal of General Dentistry
Euro Dental Market 2017
December 07-08, 2017
DENTAL MARKETING
December 07-08, 2017 | Madrid, Spain
27
th
Global Summit and Expo on
Assessment of the efficiency of Botox and lip reposition in the correction of the gummy smile according to
the patients' satisfaction
Mohammad Osama Makkiah
Tishreen University, Syria
T
his study aims to evaluate the effectiveness of both injection botulinum toxin type A (Botox) and surgical lip reposition in
the correction of the gummy smile due to hyperactive upper lip based on the resulting smile and patients' satisfaction. This is
done to device a less damaging (to tissues) and more stable alternative in giving results with statistical importance and aesthetically
satisfying results. The method was tested on 24 patients: 12 received the BTX-A injection and the remaining 12 underwent surgical
lip reposition. The patients rated their satisfaction according to their gingival display that was defined as the difference between the
lower m¬¬argin of the upper lip and the superior margin of the right incisor. These patients were followed up at 2 weeks, 2 months
and 6 months, post-injection and post-surgery with changes documented by photographs. Both groups answered a questionnaire
addressing the overall appe¬¬¬arance and they were asked to rate the improvement of their smile based on a 5-point aesthetic scale.
BTX-A injection exhibits better results than those of surgery and had given safer and more satisfactory results than lip reposition.
The patients rated the effects of BTX-A as highly favorable, if we take into consideration that BTX-A was temporarily effective but
the surgical procedure (lip reposition) is 80% recurrent surgery as the lip reverted back to its original position with almost complete
relapse after 6 months, containing all the dangers affiliated with the surgical procedures.
Dr.osama.makkia@gmail.comJournal of General Dentistry 2017, 1:1