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cosmetic dentistry_ beauty & science

26 I I industry report _ new concept of aesthetic restoration Figs. 1a & b _Case 1: gummy smile (a) – treatment with application of botulinum toxin on the levator labii superioris muscle. Result obtained one week after treatment (b). Figs. 2a & b_Before (a) and one week after (b) treatment of a gummy smile (Case 2). cosmeticdentistry 1_2013 _Introduction Sinceancienttimes,humanityseemstofocuson the characterization of aesthetics standards which modulate the individuals and make them being noted and appreciated by the society in which they live. For this reason, trends in aesthetics are always established by standards determined by society as awhole.Indentistry,thisappliestoo,hencethepur- suit of oral aesthetics using the best technological and human resources in the various specialties. Nowadays, any oral restoration procedure is initi- ated from a detailed plan, which aims to satisfy the patient’s wishes. In general, the intended result of treatment is healthy, well-aligned, whitened teeth with an ideal occlusion and with a harmonious in- tegration of orofacial aesthetics. The time when the work of a dental surgeon en- tailedonlyexodontia,aggravatedbythefearcaused bythenoisecomingfromthehigh-rotationsystem, belongstopast.Fortunately,whether owing to the evolution of the mate- rials we use or formation improve- ment,todaywearerecognisedforthe excellence of our work, which unites science and art to provide safe and comfortable treatments, combining function and aesthetics in one of the regions of the body that most requires care, the face. In the new area of orofacial aes- thetics, as with other areas of den- tistry, diagnosis and planning are indispensable for excellent dentofacial aesthetics. For the feasibility of these treatments, a multidisciplinary approach, employingnewtechniquessuchasbotulinumtoxin, filling materials and phototherapy, is an essential therapeutic approach for treating many dysfunc- tions. Therefore, in addition to dental procedures, new and efficient procedures, which are aimed at not only oral restoration but also orofacial restora- tion, are used for treating a gummy smile, dystonia, mandibular spasms, temporomandibular joint dys- function syndrome, hypertrophy of the masseter, orofacial pain, loss of support of the lips, short in- terdental papillae or black space between the teeth, and other epidermal dysfunctions. The aim of this article is to present new concepts in orofacial dentistry in order to promote new sup- porting therapies in the pursuit of multidisciplinary treatment. Using botulinum toxin for therapeutic purposes, filling dynamic wrinkles resulting from facial expressions with filling mate- rials, and the application of photo- therapytoorofacialaestheticswillbe considered. _Discussion The botulinum toxin commer- cialisedinBrazilbydifferentpharma- ceutical companies originates from a Gram-positive bacterium called Clostridium botulinum. There have been many reports on the action of Fig. 1a Fig. 1b Fig. 2a Fig. 2b Restorationoforofacialaesthetics: Anew multidisciplinary concept Authors_Drs Hermes Pretel, Jackson Lins & Ismael Drigo Cação, Brazil