Germani Vieira Marcelo, Rogerio Victor, Roschel Pietra, Rabelo Viviane, Teixeira Thiago, Muñoz-Lora Victor Ricardo Manuel
Dental Research Division, School of Dentistry, Ibirapuera University, São Paulo, Brazil.
Let's Hof Academy, São Paulo, Brazil.
J Oral Biol Craniofac Res. 2022 May-Jun;12(3):376-380. doi: 10.1016/j.jobcr.2022.04.009. Epub 2022 May 4.
Myomodulation (MyoMo) using hyaluronic acid (HA) fillers can be considered as a novel aesthetic treatment for gummy smile (GS). However, literature is still lacking information about this procedure. For this reason, the aim of the present case report was to describe a technique for MyoMo with HA as an efficient alternative for the management of GS. A 36-year-old male patient attended to our clinic complaining about excessive gingival exposure when smiling. After a clinical and digital assessment, poor bone support was observed in the premaxilla area, resulting in an increasing contraction of the levator labii superioris alaeque nasi and levator anguli oris. A multilayer approach with HA filling was performed in order to impair muscle movement and limit excessive lip elevation. As a result, a reduction on the elevation of the upper lip while smiling was achieved, and an improvement on GS was achieved. Thus, it can be proposed that Myomo with HA acid may be an effective treatment for GS, with lasting and satisfactory results. However, high-quality studies are required in order to compare patient's satisfaction with this treatment and any other possible alternative.
使用透明质酸(HA)填充剂进行肌调节(MyoMo)可被视为一种治疗露龈笑(GS)的新型美容方法。然而,关于该手术的文献资料仍然匮乏。因此,本病例报告的目的是描述一种使用HA进行MyoMo的技术,作为治疗GS的有效替代方法。一名36岁男性患者前来我院就诊,主诉微笑时牙龈过度外露。经过临床和数字化评估,发现上颌前部区域骨支持不足,导致提上唇鼻翼肌和提口角肌收缩增强。采用HA填充的多层方法来抑制肌肉运动并限制上唇过度抬高。结果,微笑时上唇抬高程度降低,GS得到改善。因此,可以认为使用HA酸进行Myomo可能是治疗GS的有效方法,效果持久且令人满意。然而,需要高质量的研究来比较患者对这种治疗方法与其他可能替代方法的满意度。