Evidence map›Paper›PMID 33950373›Full record

Trial reportClinical oral investigations2021

The effect of botulinum toxin A in patients with excessive gingival display with and without zinc supplementation: randomized clinical trial.

Nesma Shemais, Azza Ezz Elarab, Hani ElNahass

3 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03717987 phase3completednot on this map

The Effect of Botulinum Toxin A In Patients With Excessive Gingival Display With And Without Zinc Supplementation

TypeinterventionalSponsorCairo UniversityRan2019 to 2019Enrolled26ConditionsExcessive Gingival DisplayArmsBotulinum toxin type A, Zinc supplementation
NCT05894109 nawithdrawnnot on this mapstarted 2024, after this paper: background citation

Efficacy of Zinc Supplementation on Botox Treated Forehead Rhytids

TypeinterventionalSponsorUniversity of New MexicoRan2024 to 2024Enrolled0ConditionsAdjuvant Zinc May Increase the Efficacy of Botulinum Toxin, Zinc Supplementation for Botulinum Toxin Treatment of the Forehead, Glabellar Frown Lines, Botulinum Toxin, CosmeticArmszinc citrate 50 mg, Placebo Microcrystalline Cellulose
NCT07140874 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of Supplemental Zinc as an Adjunct to Prolong the Duration of Benefit After Botulinum Toxin Injections in Subjects With Cervical Dystonia

TypeinterventionalSponsorUniversity of FloridaRan2026 to 2027Enrolled25ConditionsCervical DystoniaArmsZinc citrate, Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Nesma ShemaisDepartment of Oral Medicine and Periodontology, Faculty of Dentistry Cairo University, Cairo, Egypt.
Azza Ezz ElarabDepartment of Oral Medicine and Periodontology, Faculty of Dentistry Cairo University, Cairo, Egypt.
Hani ElNahassDepartment of Oral Medicine and Periodontology, Faculty of Dentistry Cairo University, Cairo, Egypt. hani.elnahass@dentistry.cu.edu.eg.ORCID http://orcid.org/0000-0001-9101-4851
Cairo University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective is to determine the effect of oral zinc supplement intake on the clinical efficacy and sustained effect of BTXA injection, in patients with excessive gingival display (EGD). MATERIALS AND

methodsTwenty-five participants with excessive gingival display (EGD) were included in this parallel-group RCT, treated with BTXA with and without Zinc supplementation prior to treatment. Participants were assessed for excessive gingival display reduction and results of stability at 2, 6, 12, 18, and 24 weeks. Patient satisfaction questionnaires were filled at 2, 12, and 24 weeks.

resultsThe results of this study revealed that after 6, 12, 18, as well as 24 weeks; The control group (BTXA) showed statistically significantly higher median gingival display than the intervention (Zinc supplement with BTXA). In the intervention group, the median gingival display after 24 weeks showed statistically significantly lower median value compared to the baseline measurement

conclusionsThe use of zinc supplementation prior to BTXA injection prolonged its effect and maintained long-term decreased amount of gingival display, and it did not return to baseline measurements. Patients reported high satisfaction levels and self-confidence. CLINICAL RELEVANCE: Botulinum Toxin A (BTXA) is used to correct gummy smile; however, its main drawback is its short-lasting effect. Oral zinc supplement intake prior to BTXA injection could maintain the effect of BTXA and enhance its clinical efficacy.

Indexed as

Botulinum Toxins, Type ADietary SupplementsEsthetics, DentalGingivaHumansSmilingZincBotulinum Toxins, Type AZincBotulinum toxin AExcessive gingival displayGummy Smile  EstheticsLipZinc

Identifiers

PMID33950373
OpenAlexW3159005683

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.