Gingival depigmentation has been carried out using non. Evaluation of patient response and recurrence of pigmentation. Elimination of these melanotic areas can be done by scraping. Gingival depigmentation is a periodontal plastic surgical procedure where gingival hyperpigmentation is removed or reduced by various techniques.
Gingival pigmentation results from melanin granules which are produced by melanoblasts. Several causes of gingival pigmentation were previously mentioned in text together with the possible techniques of treatment. Gingival melanin pigmentation and its treatment with the. Many techniques have been used to remove the melanin pigmentation such as using surgical blades, diamond or ceramic burs, chemicals, and lasers. Depigmentation is not a clinical indication but a treatment of choice where esthetics is a concern and is desired by the patients. Excessive gingival pigmentation is a major esthetic problem for many people. Case series shilpi s shah department of periodontology and implantology, ahmedabad dental college and hospital, ahmedabad, gujarat, india. Feb 01, 20 before undertaking any of the depigmentation procedures, all the patients underwent a full mouth scaling, following which oral hygiene instructions were given to them. The duration span for the study was 6th month and recordings were taken at baseline, 7th day. Demand for cosmetic therapy of gingival hyperpigmentation is common. The patient asked about lightening her dark gingiva and was treated with a 6tooth gingivectomy and gingival depigmentation.
This paper aims to illustrate the use of a carbon dioxide laser in the removal of the gingival melanic pigmentation for. Naresh thukral demonstrating depigmentation procedure using diode laser. Physiologic gingival pigmentationpgp is the most common type of gingival pigmentation and cosmetic concern particularly in gummy smile patients. Gingival pigmentation definition of gingival pigmentation. Consequently, multiple depigmentation techniques have been employed, including bur abrasion, surgical scraping, and electro surgery 68. Treatment was administered on a weekly basis until a normal pink gingival color was observable in clinical examination and photographs. Out of the several techniques employed for depigmentation, the surgical technique using scalpel is still the first and most popular technique. Recently, various lasers have been introduced for use in depigmentation 9,10 and laser ablation for gingival depigmentation is recognized as one of the most effective, reliable techniques 1114. A regular periodic screening was done to rule out any alteration in color, size, and shape.
Unlimited viewing of the articlechapter pdf and any associated supplements and figures. Gingival pigmentation occurs in all races of man and it varies from one race to another. Diode laser and surgical blade was used for the depigmentation in either of the arches. Diode lasers, gingiva, melanin pigmentation, pathologic, physiologic, scalpel surgery. After 7 days the patient was recalled for the gingival depigmentation procedure, the baseline pigmentation scores were recorded prior to the surgery. A free gingival graft, as described by sullivan and atkins1968 was harvested from the palate to eliminate the high frenum attachment and to augment the width of the ketatinized gingiva. The first and foremost indication for depigmentation is the patients demand for improved aesthetics. Three case reports udatta kher, zeenat khan case report abstract melanin pigmentation of the gingiva is a common occurrence. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Development in techniques for gingival depigmentation an. Treatment of gingival hyperpigmentation with rotary. Excessive gingival pigmentation is a major esthetic concern for many people. Different treatment modalities have been reported for depigmentation of gingiva such as bur abrasion, scraping, partial thickness flap, cryotherapy, electrosurgery and laser.
Volume 3, issue 4, octoberdecember 2012, pages 2221. Gingival depigmentation was performed by applying the laser at 1 w. Gingival depigmentation by free gingival autograft. Aesthetic depigmentation of gingival smokers melanosis using. Therefore, in the present case series, a free gingival autograft was used for treating gingival melanin hyperpigmentation with a followup of six months with no signs of repigmentation. This can be a natural occurrence or can result after certain dental procedures. View the article pdf and any associated supplements and figures for a period of 48 hours. Depigmentation of gingiva using zolar diode laser video. This study was performed to evaluate the effects of the co 2 laser at superpulse mode, applied for gingival depigmentation. Case report aesthetic treatment of gingival hyperpigmentation by er. To assess the gingival pigmentation, a new index was developed by us, the gingival pigmentation index gpi tablefig1. Gingival depigmentation cosmetic gum treatment in chattanooga. Gingival depigmentation is a treatment to remove melanin hyperpigmentation of the gingiva and various methods have been used for this procedure with different degrees of success including gingivectomy, gingivectomy with free gingival autografting, electrosurgery, cryosurgery, chemotherapy with 90% phenol and 95% alcohol and abrasion with. Pdf an insight into gingival depigmentation techniques.
Comparative evaluation of gingival depigmentation using. Gingival depigmentation of a 19yearold male patient was done under local anesthesia with combination of slicing and scraping technique using 15. An insight into gingival depigmentation techniques. Yag laser radiation in a defocused mode was a safe and effective procedure. Depigmentation is a procedure of removing or reducing of gingival hyperpigmentation. Patients were followed for 3, 6, 12, and 18 months. Depigmentation of gingiva using zolar diode laser video part 3.
Surgical stripping for gingival depigmentation remains the gold standard. Laser assisted gingival depigmentation is a single step procedure, with fast healing process and sterilization and without necessity of using periodontal dressing. Gingival pigmentation, depigmentation, repigmentation. The potential of autogenous epithelialized gingival grafts has been established for the management of physiologic gingival pigmentation. Recent methodologies in gingival depigmentation lasers. Recently, laser ablation has been recognized as a most effective, pleasant and reliable technique. The clinical objective was to remove hypertrophic tissue, expose tooth structure, and remove melanin for a more esthetic smile. Listing a study does not mean it has been evaluated by the u. The aim of this study was to evaluate the efficacy of diod laser on the treatment of pgp in. The gingiva is an important intraoral tissue which when affected particularly by. Gingival depigmentation using scalpel wagle sv, agrawal aa. Sep 15, 2015 gingival depigmentation is a treatment to remove melanin hyperpigmentation of the gingiva and various methods have been used for this procedure with different degrees of success including gingivectomy, gingivectomy with free gingival autografting, electrosurgery, cryosurgery, chemotherapy with 90% phenol and 95% alcohol and abrasion with. Pdf gingival depigmentation with scalpel and diode laser. Laser ablation for gingival depigmentation has been recognized as one of the most effective, pleasant, and reliable techniques.
Gingival pigmentation is a major concern for a large number of patients visiting the dentist. Comparative evaluation of gingival depigmentation by diode. In addition, patients were asked to evaluate the procedure by using a selfadministered. Yag laser was performed on the right side, and abrasion with a rotary round bur on the opposite side. Topical anesthetic gel was applied to the operational field. Total procedure time, from start to finish, was 20 minutes. The treatment for gingival depigmentation has many different techniques in vogue which include gingivectomy, mucosal excision by scalpel, abrasion technique, free gingival grafts, chemical methods using escharotic agents, electrosurgery, cryosurgery and more lately lasers 6,7.
Kumar, santhosh and bhat, subraya g and bhat, mahalinga k 20 comparative evaluation of gingival depigmentation using tetrafluoroethane cryosurgery and gingival abrasion technique. There are only a few reports in the literature evaluating the effects of the carbon dioxide co 2 laser on gingival melanin pigmentation gmp. In compliance with fda rules, the patient and staff used special eyeglasses for protection. Pink esthetics in periodontics gingival depigmentation. Gingival depigmentation pdf facial appearance depends on several oral and extraoral factors. Gingival depigmentation by diode laser full text view. Gingival depigmentation by cryosurgery and laser application a comparative clinical study ponaganti venkata narsimha rao 1, gautami s. Tetrafluoroethane was used for the cryosurgical depigmentation and the gingival abrasion technique.
Gingival depigmentation of a 19yearold male patient was done under local anesthesia with combination of slicing. Gingival melanin depigmentation by 810 nm diode laser. A comparative evaluation of the gingival depigmentation by using tetrafluoroethane cryosurgery and the gingival abrasion technique 2 years of follow up. Lasers have become widely used in medicine and surgery since the development of the ruby laser by maiman in 1960. Though, it is not a medical problem, many people complain of dark gums as unesthetic. Dwarakanath 1 1department of periodontics and implontology, vishnu dental college, bhimavaram, andhra pradesh, india. Cureus a unique presentation of gingival melanoacanthoma. Depigmentation of gingival melanin pigmentation by erbium. Introduction gingival hyperpigmentation is increased concern, aggravated in patients with a gummy smile or. Traditionally, gingival depigmentation has been carried out. Depending on the gingival display during smiling, corrective measures may be needed for an esthetic purpose. Gingival depigmentation was assessed using a new index system, gingival pigmentation index, on the day of first depigmentation and at the end of 18 months. A case report ssv prasad, neeraj agrawal, nr reddy department of periodontics, peoples dental academy, peoples campus bhanpur, bhopal462037. Yag laser and co 2 lasers can be effectively used but with distinct differences.
It is influenced not only by the colour, shape and position of the teeth but also by the characteristics of the gingival tissues. Gingival depigmentation is a periodontal plastic surgical procedure whereby the gingival hyperpigmentation is removed or reduced. The purpose of the research is to investigate the advantage of using er. Thukral was the key note speaker at vydehi institute of dental sciences organized by the dr. Caution was also taken near reflective surfaces, since. One of these is the aesthetic treatment is gingival depigmentation. Laser therapy is an effective and noninvasive treatment option. Repigmentation variably occurs with different treatment methods in patients with gingival pigmentation. Surgical esthetic correction for gingival pigmentation.
Health, general gingiva physiological aspects gums pigmentation disorders care and treatment causes of. May 21, 2014 gingival depigmentation by diode laser the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Gingival depigmentation is a periodontal plastic surgical procedure whereby the gingival. Gingival pigmentation is presented as a diffuse deep purplish discoloration or as irregularly shaped brown and light brown or black patches, striae or strands. Gingival depigmentation with scalpel and diode laser article pdf available in world journal of dentistry 3.
Different lasers have been used for gingival depigmentation, including carbon dioxide co 2. Melanin, a nonhemoglobinderived brown pigment, is the most common of the endogenous pigments and is produced by. Melanic pigmentation results from melanin produced by the melanocytes present in the basal layer of the oral epithelium. Pdf gingival depigmentation using scalpel researchgate. Four systemically healthy patients who were aged 2128 years were selected for the study and were treated with different gingival depigmentation techniques. Gingival depigmentation can be defined as a periodontal plastic surgical procedure whereby the gingival hyperpigmentation is removed or reduced by various techniques. It results from melanin granules, which are produced by melanoblasts. This article offers a retrospective case series of gingival depigmentation by epithelial excision using scalpel. To our knowledge, this case report presents a first.
Case report aesthetic treatment of gingival hyperpigmentation. Jun 17, 2016 the potential of autogenous epithelialized gingival grafts has been established for the management of physiologic gingival pigmentation. Kumar, santhosh and bhat, subraya g and bhat, mahalinga k 2012 development in techniques for gingival depigmentation an update. Gingival hyperpigmentation is removed by using different procedures of gingival depigmentation.
Development in techniques for gingival depigmentation an update. Two patients with melanin pigmentation of gingiva were treated with different gingival depigmentation techniques. The first and foremost indication for depigmentation is patient demand for improved esthetics. Current methods for gingival depigmentation, including mechanical surgery, cryosurgery, laser treatments, and radiosurgery, create significant patient discomfort and risk of complications, thereby reducing attractiveness of the depigmentation procedure for many patients. Gingival depigmentation by surgical technique in 1 min.
Clinical repigmentation after gingival depigmentation is an outcome of histologic changes in the melanocyte activity and density of the melanin pigments. Gingival depigmentation chattanooga gum hyper pigmentation. Gingival depigmentation of a 19yearold male patient was done under local anesthesia with combination of slicing and scraping technique using 15 no. One of the most common causes of oral pigmentation is smoker melanosis, a condition associated with the melanocyte stimulation caused by cigarette smoke. Gingival depigmentation is a periodontal aesthetic surgical procedure by which the gingival hyperpigmentation is removed or reduced by a range of techniques. Melanin pigmentation of the gingiva is not a medical problem. Gingival depigmentation by cryosurgery and laser application. Patient satisfaction was evaluated by using a simple questionnaire. A comparative evaluation of the gingival depigmentation by using a surgical blade and a diode laser. Treatment of gingival hyperpigmentation by diode laser for. Cryosurgical procedure of depigmentation is complicated by the necessity of providing special containers for liquid nitrogen saving and the requirement for fast 20 30 sec. Diode laser is a minimally invasive treatment option for the.
Nov 12, 20 gingival depigmentation procedure using diamond bur. Gingival pigmentation cause, treatment and histological. Gingival pigmentation is presented as a diffuse deep purplish discoloration or. Gingival pigmentation is a discoloration of oral mucosa or gingiva due to the wide variety of lesions and conditions. The esthetic results were pleasing and healing was uneventful. Recurrence of pigmentation is seen to be associated with gingival melanin. This study is comparing the results of three lasers er, cr, ysgg 2780 nm, diode 940 nm, and 445 nm in the removal of melanin gingival depigmentation. Both procedures were equally effective in depigmentation. Contents introduction historical aspects physiology of pigmentation normal racial variations classification of oral pigmentation pigmented lesions of the oral mucosa methods of depigmentation conclusion references 3. Abnormal coloring of persons skin, typically resulting from diseases. Gingival depigmentation using scalpel technique nepal journals.
Gingival depigmentation procedure using diamond bur. Gingival depigmentation is a periodontal plastic surgical procedure, whereby the hyperpigmentation is removed or reduced by various techniques. Gingival depigmentation can be considered a periodontal plastic procedure whereby the gingival hyperpigmentation is removed by various techniques and the technique selection should primarily be based on clinical experiences and individual preferences with primary indication of demand for improved esthetics. Ten systemically healthy patients who were aged 18 to 36 years were selected for the study. The patients were randomly selected for the treatment. Yag laser than liquid nitrogen in case of gingival depigmentation. The colour of gingival tissues is an esthetic concern for many patients.
1021 828 1069 1455 813 827 56 454 713 1033 333 685 531 521 1177 711 236 1012 1259 675 703 406 134 692 440 1331 266 73 1194 922 799 813 948 483 1070 453 384 1171 1176 919 1414 1446 46 604 660 740 1039 1157