The use of botulinum toxins in masseteric hypertrophy treatment – integrative review

Vol. 1 – Number 1 – 2019 Literature review Page 96 The use of botulinum toxins in masseteric hypertrophy treatment – integrative review Cristiane Caram Borgas Alves¹ Noemi Borgas de Góes Cavalcanti² Livia Eisler Hoffman³ ABSTRACT Introduction: Masseteric hypertrophy is a common condition in some ethnicities and clinical interventions for functional and aesthetic improvements are frequent. Objective: To compile important findings in the literature about the indication of botulinum toxin in the treatment of masseteric hypertrophy. Method: An integrative review of the literature of the past 25 years, available in the LILACS, MEDLINE/PubMed and Scielo electronic bases, using the terms “botulinum toxins” AND “masseteric hypertrophy”, and equivalents in Portuguese language. Results: The initial search resulted in 65 papers, which, after filtered and selected, resulted in 12 articles fully read. In general, the articles included in this study reported many benefits and few adverse effects related to toxin therapy. Conclusion: With the constant increase in the use of botulinum toxin for the most diverse medical applications, it is necessary to reflect on the professional responsibility regarding the knowledge of the technique and the capacity to indicate the treatment. Descriptors: Botulinum toxins, hypertrophy, bruxism. ¹ Specialist in Orthodontics, Specialist in Facial Harmonization ² Specialist in Orthodontics, Specialist in Facial Harmonization, Master’s Student in Facial Harmonization. ³ Master in Dental Clinic, PhD student in Dental Clinic.