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Botulinum toxin (BT) is a neurotoxin that can be used in various treatments in dentistry, such as in the application in patients with Peripheral Bell Palsy (PBP). In these cases, the facial musculature of the contralateral side can evolve with spasticity, and it is necessary to relax the muscles for the facial harmonization of the patient. Objective: To demonstrate the orofacial harmonization in patient with PBP using type A BT. Case report: A 55-year-old male patient presenting hemifacial paralysis received the application of botulinum toxin in order to rebalance muscle tone and reduce the spasticity of the orbicularis oculi muscles, levator labii superioris alaeque nasi muscle, risorius and orbiculari oris, on the opposite side of the paralysis. Conclusion: In the patient of the current case report, the use of botulinum toxin provided a result of orofacial harmonization, and, according to the patient himself, there was also a positive influence on self-esteem and social interaction.

Aplicação de toxina botulínica tipo A em paciente com paralisia facial periférica de Bell: relato de caso