Needle vs. needle: botox and filler go Head-to-Head for gummy smile fix

NCT ID NCT07715331

First seen Jul 20, 2026 · Last updated Jul 22, 2026 · Updated 2 times

Summary

This trial tests two non-surgical injectable treatments for a gummy smile, where too much gum shows when smiling. Twenty adults with a gummy smile of 3 mm or more received either botulinum toxin (Botox) or a hyaluronic acid filler. The study measures how much the gum exposure is reduced and how satisfied patients are with their smile over six months.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
botulinum toxin type A (Refinex) or cross-linked hyaluronic acid filler (Juvéderm Voluma with lidocaine)
What this could lead to
If successful, this could provide a non-surgical, office-based option for people bothered by a gummy smile, improving confidence and quality of life.
What could go wrong
This is a small, early-stage trial with only 20 participants, so results may not apply to everyone. The effects of botulinum toxin may wear off within months, requiring repeat treatments.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Faculty of Dental Medicine for Girls, Al-Azhar University

    Cairo, Cairo Governorate, Egypt

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