TITLE:
Dental Precautions for the Golden Thread Lift Procedure
AUTHORS:
Toshiyuki Inou, Keiko Kaneko, Tatsuo Takaya, Toshinobu Tsumura, Emi Oki, Yu Chi Hung, Takuya Iwasaki, Toru Kageyama, Zeng Bo Zhao, Yoshimi Kawahara, Keiichi Uchida
KEYWORDS:
Golden Threads, Computed Tomography, Magnetic Resonance Imaging, Metal Allergy, Foreign Body Granuloma
JOURNAL NAME:
Open Journal of Stomatology,
Vol.14 No.11,
November
22,
2024
ABSTRACT: In cosmetic surgery, golden threads have been used in thread lift procedures, wherein golden threads are placed under the skin of the neck and chin. These are mainly applied in the maxillofacial region adjacent to the sites of dental treatment to achieve cosmetic benefits. However, as dentists typically lack sufficient knowledge about the golden thread lift procedure, it may present a challenge to dental examinations and treatments. It is therefore crucial for dentists to have a comprehensive understanding of the procedure. This case report covers our experience with the dental examination of a patient with golden threads. We emphasize the dental complications and precautions that should be taken for such cases. These golden threads are made of pure gold, nonabsorbable, and can be broken. These can obstruct dental examination, as well as cause metal allergies and foreign body granulomas. Additionally, it is difficult to completely remove these threads when they break apart. In the future, since more patients are expected to undergo this procedure, it is possible to encounter these golden threads as artifacts on imaging. Therefore, it is important to educate dentists about the golden thread lift procedure and its dental implications. It is also imperative to determine whether the patient has undergone the golden thread lift procedure in the medical questionnaire prior to the magnetic resonance imaging examination. Thus, dentists should be able to conduct a detailed interview with the patient, determine the feasibility of examination or treatment, and communicate this assessment to the patient.