GINGIVAL DEPIGMENTATION PDF

Gingival melanin pigmentation occurs in all races of mankind. Although clinical melanin pigmentation does neither present itself as a medical problem nor a disease entity, it is a major esthetic concern for many people, especially Asians. Esthetic gingival depigmentation procedures can be performed in such patients with excellent results. This case series presents a split mouth de-epithelization procedure using popular surgical techniques such as scalpel, bur abrasion or electrosurgery.

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Aim: The present study was undertaken to evaluate patient response and recurrence of pigmentation following gingival depigmentation carried out with a surgical blade and diode laser. Materials and Methods: Twenty patients who were esthetically conscious of their dark gums and requested treatment for the same were selected for this study. Complete phase I therapy was performed for all the patients before performing the gingival depigmentation procedures with laser and scalpel on a split-mouth basis.

Patients were evaluated for pain 1 day, 1 week , wound healing and melanin repigmentation Melanin Pigmentation Index immediately and at 1 week, 1 month and 3 months, respectively. Results: The final results were statistically analyzed and significance was evaluated. The results of this study indicated that both scalpel and laser were efficient for gingival depigmentation.

Conclusion: Both the procedures did not result in any post-operative complications and the gingiva healed uneventfully. When compared, both the techniques were found to be equally efficacious. Care must be taken to assess the gingival biotype and the degree of pigmentation in deciding which technique is to be used. Clinical Significance: Various methods of depigmentation are available with comparable efficacies. Depigmentation is not a clinical indication but a treatment of choice where esthetics is a concern and is desired by the patient.

Users Online: Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique: A clinical study. J Indian Soc Periodontol ; Materials and methods. Figure 1: Pre-operative Click here to view. Figure 2: Segment 1 - Scalpel side with blade Click here to view.

Figure 3: Segment 1 - Scalpel side procedure complete Click here to view. Figure 4: Segment 1 - Slice of pigmented tissue removed Click here to view. Figure 5: Segment 2 - Laser tip placed Click here to view. Figure 6: Segment 2 - Laser side procedure complete Click here to view. Figure 8: One day post-operative Click here to view.

Figure 9: 1 week post-operative Click here to view. Figure One month post-operative Click here to view. Figure Three months post-operative Click here to view. Table 1: Difference in pain after 1 day and 1 week in individuals treated with laser and scalpel Click here to view.

Table 2: Difference in melanin reappearance in the laser group at 1 month and 3 months Click here to view. Table 3: Difference in melanin repigmentation between 1 month and 3 months Click here to view.

Table 4: Difference in melanin reappearance after 1 month in individuals treated with laser and scalpel Click here to view. Table 5: Difference in melanin reappearance after 3 months in individuals treated with laser and scalpel Click here to view.

Treatment of gingival pigmentation: A case series. Indian J Dent Res ; Management of gingival pigmentation with diode laser: Is it a predictive tool? Int J Laser Dent ; Pink esthetics in periodontics-gingival depigmentation: A case series.

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The normal and pathological pigmentation of oral mucous membrane: A review. Gingival depigmentation: A case report with review of literature. J Nepal Dent Assoc ; Treatment of melanin-pigmented gingiva and oral mucosa with CO2 laser.

Vaporization of melanin in oral tissues and skin with carbon dioxide laser: A canine study. J Oral Maxillofac Surg ; Gingival depigmentation by erbium: YAG laser: Clinical observations and patient responses.

J Periodontol ; Management of gingival hyperpigmentation using surgical blade and diode laser therapy: A comparative study. J Oral Laser Applications ; Estimating the epidemiology of oral pigmentation. J Natl Med Assoc ; Pain assessment using a visual analog scale in patients undergoing gingival depigmentation by scalpel and nm diode laser surgery. J Laser Dent ; Impact of the laser on dental caries. Nature ; Laser inhibition of dental caries suggested by first tests in vivo.

J Am Dent Assoc ; The Academy of Laser Dentistry. Featured wavelength: Diode-the diode laser in dentistry Academy report. Wavelengths ; A comparison of diode laser and Er: YAG lasers in the treatment of gingival melanin pigmentation. Melanin repigmentation after gingivectomy: A 5-year clinical and transmission electron microscopic study in humans. Int J Periodontics Restorative Dent ; Perlmutter S, Tal H. Repigmentation of the gingiva following surgical injury. J Periodontol Post surgical clinical repigmentation of the gingiva.

A clinical study on the removal of gingival melanin pigmentation with the CO 2 laser. Lasers Surg Med ; Surgical removal of gingival pigmentation.

Gingival melanin pigmentation: A study on its removal for esthetics. J Indian Soc Periodontol. Lasers Med Sci [In press]. Related articles Diode lasers gingiva melanin pigmentation pathologic physiologic scalpel surgery. Access Statistics.

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Pink esthetics in periodontics – Gingival depigmentation: A case series

Smile expresses a feeling of joy, success, sensuality, affection, and courtesy, and reveals self-confidence and kindness. The harmony of the smile is determined not only by the shape, the position, and the color of the teeth, but also by the gingival tissues. Thus, perio-esthetic treatment modalities strive to achieve a harmonious inter-relationship of the pink with white, which is imperative of all treatment procedures. For depigmentation of gingival, different treatment modalities have been reported, such as bur abrasion, scraping, partial thickness flap, cryotherapy, electrosurgery, and laser. In the present case series, scraping, electrosurgery, and diode laser have been tried for depigmentation, which are simple, effective, and yield good results, along with good patient satisfaction. Esthetic or cosmetic dentistry strives to merge function and beauty with the values and individual needs of every patient.

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Gingival depigmentation: A split mouth comparative study between scalpel and cryosurgery

Aim: The present study was undertaken to evaluate patient response and recurrence of pigmentation following gingival depigmentation carried out with a surgical blade and diode laser. Materials and Methods: Twenty patients who were esthetically conscious of their dark gums and requested treatment for the same were selected for this study. Complete phase I therapy was performed for all the patients before performing the gingival depigmentation procedures with laser and scalpel on a split-mouth basis. Patients were evaluated for pain 1 day, 1 week , wound healing and melanin repigmentation Melanin Pigmentation Index immediately and at 1 week, 1 month and 3 months, respectively. Results: The final results were statistically analyzed and significance was evaluated. The results of this study indicated that both scalpel and laser were efficient for gingival depigmentation. Conclusion: Both the procedures did not result in any post-operative complications and the gingiva healed uneventfully.

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