Botulinum Toxin in the Treatment of Gingival Smile

NCT ID: NCT03812965

Last Updated: 2019-06-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-01

Study Completion Date

2019-04-08

Brief Summary

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Objective: to evaluate the effect of two gingival smile treatment techniques using botulinum toxin. Materials and methods: The randomized, double-blind clinical trial (patient and examiner) will be conducted by two trained and calibrated dentists. Ten patients will be randomly assigned to each group, in a total of 20 patients with gingiva smile greater than or equal to 3mm. In group 1, 10 patients will receive 2 units/point of botulinum toxin Botulift® (botulinum toxin type A), in the muscles form the face: Levators labii superioris alaeque nasi muscle and Levators labii superioris muscle, totalizing 4 points. In group 2, 2 units/point was injected in the muscles: levators labii superioris alaeque nasi muscle, totalizing 2 points. The amount of exposed gingiva during smile will be measured using a pachymeter and the muscle activity of the region will be evaluated through electromyography, before and after treatment (2, 8, 12, 21 and 25 weeks). Patient satisfaction and discomfort due to treatment will be evaluated in the same periods through questionnaire. The impact of the treatment in life quality will be evaluated through OHIP-14 questionnaire.

Detailed Description

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Conditions

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Smiling

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Group 1 - Botulinum Toxin type A (4 points of application)

4 points of Botulinum Toxin application in the muscles: Levators labii superioris alaeque nasi muscle and Levators labii superioris muscle (n=10 Patients)

Group Type EXPERIMENTAL

Botulinum toxin type A

Intervention Type DRUG

2 units/point of botulinum toxin type A

Group 2 - - Botulinum Toxin type A (2 points of application)

2 points of Botulinum Toxin application in the muscles: Levators labii superioris alaeque nasi muscle (n=10 Patients)

Group Type EXPERIMENTAL

Botulinum toxin type A

Intervention Type DRUG

2 units/point of botulinum toxin type A

Interventions

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Botulinum toxin type A

2 units/point of botulinum toxin type A

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients of both genders exhibiting gingival exposure greater than or equal to 3 mm above the central incisor during smile
2. Patients with good general health and good oral hygiene.

Exclusion Criteria

1. Patients with Botulinum Toxin allergy or albumin, or who have previously performed botulinum toxin facial treatment previously.
2. Patients with Amyotrophic Lateral Sclerosis, Neuropathy, Myasthenia Gravis or Lambert-Eaton Syndrome, women who are pregnant or planning to become pregnant, are breastfeeding women.
3. Patients who are participating in other research involving other drugs.
4. Patients who use drugs that interfere with neuromuscular transmission
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universidade Ibirapuera

OTHER

Sponsor Role lead

Responsible Party

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Karen Müller Ramalho

Full Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Aline B Costa, DDS

Role: STUDY_CHAIR

Ibirapuera University

Dinete Romansina, MSc

Role: STUDY_CHAIR

University of Sao Paulo

Juliana Ramalho, DDS

Role: STUDY_CHAIR

Ibirapuera University

Karen M Ramalho, PhD

Role: PRINCIPAL_INVESTIGATOR

Ibirapuera University

Susana Morimoto, PhD

Role: STUDY_CHAIR

Ibirapuera University

Locations

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Universidade Ibirapuera

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

Other Identifiers

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80103617.0.0000.5597

Identifier Type: -

Identifier Source: org_study_id

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