Craniofacial enhancement using a biomimetic oral appliance.

INTRODUCTION Patient expectations are increasingly including enhancements to their overall facial macroaesthetics as well as their dental microaesthetics. 1 Treatment options to address these issues include the use of a paralyzing material such as Botulinum toxin type A (Botox). Indeed, cosmetic injection around the lips and perioral area is thought to be a way to provide aesthetic improvement of age changes around the mouth as well as lip augmentation. 2 It has also been suggested that intramuscular injection of Botox is an effective way of preventing damage to dental hard tissues and restorations by deprogramming the muscles responsible for the destructive forces. 3 But, despite the invasive nature of these procedures , injection of dermal fillers has also been deployed for facial soft-tissue augmentation. 4 Unfortunately, there have been some adverse reports on injectable, non-biodegradable fillers. 5 Therefore, noninva-sive, natural methods of craniofacial enhancement might be preferred. This case study reports clinical changes that are consistent with increased craniofa-cial symmetry and volume.