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Effect of Catha edulis Chewing on the Efficacy and Stability of Botulinum Toxin Type A Treatment for Gummy Smile: A Prospective Clinical Study

Effect of Catha edulis Chewing on the Efficacy and Stability of Botulinum Toxin Type A Treatment for Gummy Smile: A Prospective Clinical Study

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
TCTR
Registry ID
TCTR20260108006
Enrollment
40
Registered
2026-01-08
Start date
2024-01-01
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Clinical measurements were obtained at baseline (pre-treatment), two weeks after BTX-A injection, and subsequently at monthly intervals for four months. anterior gingival display , posterior gingival display.

Interventions

20 khat chewers presented with a gingival display of 3 to 8 mm upon smiling, and received BTX-A injections. The initial injection point was administered perpendicular to the skin, achieving a penetrat
Experimental Other,No Intervention No treatment
Khat chewers,non-Khat chewers

Sponsors

Hospital of Stomatology of Sanaa University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
20 Years to 45 Years

Inclusion criteria

Inclusion criteria: 1- the presence of gingival display of 3 to 8 mm upon smiling. 2- attributed to hyperactive upper lip musculature. 3- good oral hygiene and were free from systemic diseases or parafunctional habits. 4- participants khat chewers, who had been chewing khat for at least two years and non-khat chewers.

Exclusion criteria

Exclusion criteria: 1-Pregnant or lactating. 2- had an infection or inflammation at the injection site. 3-reported hypersensitivity or allergy to Botulinum toxin or its protein components. 4-presented with motor neuropathy or neuromuscular disorders. 5-were taking medications known to interfere with BTX-A efficacy. 6- had received a BTX injection within the preceding four months.

Design outcomes

Primary

MeasureTime frame
anterior and posterior gingival display Clinical measurements were obtained at baseline (pre-treatment), two weeks after BTX-A injection, and subsequently at monthly intervals for four months anterior and posterior gingival display

Secondary

MeasureTime frame
anterior and posterior gingival display Clinical measurements were obtained at baseline (pre-treatment), two weeks after BTX-A injection, and subsequently at monthly intervals for four month anterior and posterior gingival display

Countries

Yemen

Contacts

Public ContactManal Abdullah

Stomatology hospital of sanaa university

Manal662025@gmail.com738320482

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026