Evidence map›Paper›PMID 40001135›Full record

ArticleBMC oral health2025

Histopathological changes of the buccal mucosa and skin after botulinum neurotoxin intramuscular injection in rats (immunohistochemical study).

Gihan S Hassan, Basant H Abouzaid, Reda G Saleh

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Observational
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.

Gihan S HassanOral Biology Department, Faculty of Dentistry, Tanta University, Tanta, Egypt. gehan.hassan@dent.tanta.edu.eg.ORCID http://orcid.org/0000-0003-3688-068X
Basant H AbouzaidOral Biology Department, Faculty of Dentistry, Tanta University, Tanta, Egypt.ORCID http://orcid.org/0000-0003-2503-7136
Reda G SalehOral Biology Department, Faculty of Dentistry, Tanta University, Tanta, Egypt.ORCID http://orcid.org/0000-0002-9271-1816

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA surplus of clinical studies focused mainly on the clinical impacts of botulinum neurotoxin type A disregarding the histopathological changes stemming from its injection. This study was designed to inspect the potential effects of botulinum neurotoxin type A injection on the skin and buccal mucosa in both the injected and non-injected sides after one week and one month as no available studies have addressed its histopathological effects.

methodsTwelve rats were injected with a single injection of 2.5 U of botulinum neurotoxin type A intramuscularly near the angle of the mouth on the right side. After one week, six injected rats were euthanized, and tissue samples were obtained from both the injection (n = 6) and the non-injection (n = 6) sides. After 4 weeks, six injected rats were euthanized, and tissue samples were obtained from both the injection (n = 6) and the non-injection (n = 6) sides. Six rats served as non-injected controls (n = 6). Samples were prepared for histological and immunohistochemical examination with caspase-3.

resultsCaspase-3 expression showed a highly significant increase (P = 0.005) in staining intensity in specimens of one week as compared to one month groups. At the non-injected side, the overall caspase-3 immunostaining score showed a significant elevation (P = 0.03) after one-month of botulinum neurotoxin type A injection.

conclusionBotulinum neurotoxin type A injection was associated with degenerative changes in the buccal mucosa and skin, nevertheless these changes declined after one month in the injected side. More degenerative changes were depicted in the non-injected side and increased after one month. Therefore, botulinum neurotoxin type A injection may affect not only the patient's needs and expectations but also their health.

Indexed as

Botulinum Toxins, Type AMouth MucosaNeuromuscular AgentsSkinAnimalsCaspase 3ImmunohistochemistryInjections, IntramuscularMaleRatsBotulinum Toxins, Type ACaspase 3Neuromuscular AgentsApoptosisBotulinum neurotoxin type ABuccal mucosaCaspase 3DegenerationSkin

Identifiers

PMID40001135
PMCPMC11863455

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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.