Evidence map›Paper›PMID 34652491›Full record

SynthesisClinical oral investigations2022

Effect and longevity of botulinum toxin in the treatment of gummy smile: a meta-analysis and meta-regression.

Aline Cristina Soares Zengiski, Isabela Bittencourt Basso, Bianca L Cavalcante-Leão, José Stechman-Neto, Rosane Sampaio Santos, Odilon Guariza-Filho, Bianca Simone Zeigelboim, Karinna Veríssimo Meira Taveira, Cristiano Miranda de Araujo

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical oral investigations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.1field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Analysis of Lip Pressure and Quality of Life Following Gummy Smile Treatment.Journal of dental research, dental clinics, dental prospects · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
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

9 authors at 3 institutions in 1 country.

Aline Cristina Soares ZengiskiUndergraduate Dentistry Program, Tuiuti University of Paraná, Curitiba, Brazil.ORCID http://orcid.org/0000-0001-8671-3236
Isabela Bittencourt BassoPostgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.ORCID http://orcid.org/0000-0001-9511-047X
Bianca L Cavalcante-LeãoPostgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0002-6170-1914
José Stechman-NetoPostgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0002-0259-2420
Rosane Sampaio SantosPostgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0001-6400-5706
Odilon Guariza-FilhoDepartment of Orthodontics, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.ORCID http://orcid.org/0000-0001-9799-1223
Bianca Simone ZeigelboimPostgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0003-4871-2683
Karinna Veríssimo Meira TaveiraDepartment of Morphology - Center of Biosciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.ORCID http://orcid.org/0000-0001-6978-4083
Cristiano Miranda de AraujoPostgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, Brazil. cristiano.araujo@utp.br.ORCID http://orcid.org/0000-0003-1325-4248
Universidade Tuiuti do Paraná · BRPontifícia Universidade Católica do Paraná · BRUniversidade Federal do Rio Grande do Norte · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this systematic review is to synthesize the evidence on the effectiveness and longevity of the botulinum toxin in the treatment of individuals with excessive gingival exposure.

methodsThe search was adapted to six electronic databases and gray literature. The risk of bias was assessed using the Cochrane Risk of Bias Assessment Tool for Non-Randomized and Randomized Studies of Interventions. Meta-analyses and meta-regression were performed using random effects models.

resultsA total of 5247 articles were collected during the final search in the database, resulting in 17 articles included. There was a mean decrease of 3.42 mm [95% CI = -4.50 to -2.34; I

conclusionBotulinum toxin is an alternative technique considered effective for reducing gummy smile, especially for gummy smiles up to 4 mm, with a longevity of at least 12 weeks, returning close to initial values within 24 weeks after application. CLINICAL RELEVANCE: The knowledge about the longevity and effectiveness of botulinum toxin in the treatment of gummy smile allows for a more adequate clinical planning for these cases, as well as for clinical decisions, as for prognostic factors.

Indexed as

Botulinum Toxins, Type AEsthetics, DentalGingivaHumansSmilingBotulinum Toxins, Type ABotulinum toxins, Type AGummy smileLongevityMeta-analysis

Identifiers

PMID34652491
OpenAlexW3205174308

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.