BOTULİNUM TOKSİNLE GUMMY SMİLE TEDAVİSİ VE LİTERATÜR DERLEMESİ- OLGU SUNUMU

Amaç: Bu olgu sunumunda, Botulinum Toksinin uygulama yöntemi, avantajları, dezavantajları, endikasyonları ve kontrendikasyonları literatür bilgileri ışığında incelenecektir. Olgu ve Yöntem: 29 yaşında bayan hasta kliniğimize fazladan gingival görünüm şikayetiyle başvurdu. Hasta sistemik olarak sağlıklıydı ve herhangi bir ilaç kullanımı bulunmamaktaydı. Gülümseme esnasında hastada 5 mm dişeti görünümü tespit edildi. Klinik muayeneden sonra, gummy smile sebebinin hiperaktif elevator kaslar sebebiyle olduğu gözlendi. Botulinum Toksin(Botox;Allergan Inc. Westport, İrlanda) üreticinin talimatlarına göre uygulandı. Bulgular: Botulinum Toksin enjeksiyonu sonrasında hastada gingival görünüm 3.5 mm azaldı. Sonuç: Gummy smile(GS) birkaç neden ötürü görülen; ortognatik cerrahi, ortodontik tedavi, gingivoplasti ve kemik rezeksiyonu olmak üzere farklı tedavi seçenekleri mevcut olan estetik bir bozukluktur. Son zamanlarda, Botulinum Toksin gummy smile vakalarında minimal invaziv bir tedavi seçeneği olarak kullanılmaktadır.

Anahtar Kelimeler:

Botulinum Toksin, botoks, gingival görünüm, gummy smile

GUMMY SMILE TREATMENT WITH BOTULINUM TOXIN AND REVIEW OF LITERATURE- A CASE REPORT

Aim: In this case report, Botulinum Toxin’s application methods, advantages, disadvantages, indications and contraindications are discussed at the literacy. Case and Method: A 29-year-old woman came to our clinic with the complain of excessive gingival display on smiling. She was systemically healthy and she had no drug usage. 5 mm of gingival display When smiling was diagnosed. After clinical examination, it was recorded that her gummy smile was due to hyperactive lip elevator muscles. Botulinum Ireland) is applied according to manifacturer’s instructions. Results: After 1 week of the Botulinum Toxin injection the excessive gingival exposure is decreased 3.5 mm at the patient. Conclusion: Gummy smile(GS) is an aesthetic disorder for some patients that is seen due to several factors which has some different treatment options such as orthognatic surgery, orthodontic treatment, gingivoplasty and bone resection. Latterly, Botulinum Toxin,is also being used at gummy smile cases as a minimal invasive treatment alternative to decrease excessive gingival display

Keywords:

Botulinum toxin, botox, gingival exposure, gummy smile,

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