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Gummy Smile Management Using Diode Laser Gingivectomy Versus Botulinum Toxin Injection - A Prospective Study
Aida M Mossaad1, Mostapha A Abdelrahman1, Amr M Kotb2
1Department of Orodental Genetics, National Research Centre, Faculty of Dental Medicine for Girls, Al-Azhar University, and Taibah University, Cairo, Egypt.
Annals of Maxillofacial Surgery
|September 15, 2021
Summary
Diode laser gingivectomy offers a faster, more effective gummy smile treatment than Botox injections for Egyptian females. Both methods improved gummy smiles, but the laser provided superior, immediate results with no complications.
Area of Science:
- Dentistry
- Aesthetic Medicine
Background:
- Gummy smile (GS) is a common aesthetic concern impacting self-confidence.
- This study addresses GS management in Egyptian females.
Purpose of the Study:
- To compare diode dental laser gingivectomy and Botox injections for gummy smile treatment.
- To evaluate the efficacy and outcomes of two distinct GS management approaches.
Main Methods:
- A comparative cohort study involving 24 female patients (25-35 years).
- Group A: Diode dental laser gingivectomy.
- Group B: Botox injection. Clinical measurements of gum exposure during smiles were analyzed pre- and post-treatment.
Main Results:
- Diode laser group (A) showed immediate improvement; Botox group (B) results appeared after 1 week.
- Both groups had statistically significant reductions in gummy smile measurements.
- Group A achieved a significantly greater mean reduction (3.27 ± 0.5 mm) compared to Group B (P < 0.001).
Conclusions:
- Diode laser gingivectomy is a safe, fast, and effective treatment for gummy smiles, yielding superior results compared to Botox.
- Laser treatment offers time and effort savings over conventional methods for gingival hypertrophy.
- Botox provides a less invasive, temporary option for gummy smile therapy.
