Intercorrências em harmonização orofacial: uma revisão de literatura

Abstract

The orofacial harmonization (HOF) is increasingly modern, bringing possibilities to achieve facial symmetry; solve functional issues such as pain and masticatory dysfunction; assuaging aging. Among the most performed procedures, one can recognize the use of botulinum toxin and fillers (with hyaluronic acid and polymethylmethacrylate), bichectomy and collagen biostimulation procedures with sustentation threads. It was highlighted in the literature that the main complications in HOF procedures are: erythema, bleeding, nodules and necrosis. The professional must be familiar with these complications and the specifications of each product, as they must be able to identify and classify their origin and know how to treat them. The objective of this work is to clarify about the main intercurrences that HOF can entail in the face of patients and the appropriate management to to avoid them and troubleshoot them. The work was carried out by consulting scientific articles published in the main databases such as the Virtual Health Library (VHL), Medline, Google Academic, Scielo and PubMed, using the following descriptors: “Dentistry”; “Dental Ethics”; “Type A Botulinum Toxins”; “Hyaluronic Acid”. There are many intercurrancesin orofacial harmonization, however, the most common are originated by the application of botulinum toxin and facial fillers, the possible complications that can cause the patient are: edema, persistent intermittent late edema, hematoma, tyndall effect, nodules, granulomas, infections, ptosis, necrosis, paresthesia, anaphylactic reaction, amaurosis (blindness), meningitis, complications in bichectomy and arteriovenous lesions. It is necessary for the professional to know how to diagnose in a way quickly and conduct the treatment of each intercurrance, bringing comfort and safety to the patient.