Gingival hyperpigmentation is removed by using different procedures of gingival depigmentation. Gingival melanin depigmentation by 810 nm diode laser. This can be a natural occurrence or can result after certain dental procedures. The potential of autogenous epithelialized gingival grafts has been established for the management of physiologic gingival pigmentation.
It results from melanin granules, which are produced by melanoblasts. Melanin, a nonhemoglobinderived brown pigment, is the most common of the endogenous pigments and is produced by. Patients were followed for 3, 6, 12, and 18 months. Case series shilpi s shah department of periodontology and implantology, ahmedabad dental college and hospital, ahmedabad, gujarat, india. Traditionally, gingival depigmentation has been carried out. Laser assisted gingival depigmentation is a single step procedure, with fast healing process and sterilization and without necessity of using periodontal dressing. Four systemically healthy patients who were aged 2128 years were selected for the study and were treated with different gingival depigmentation techniques. Many techniques have been used to remove the melanin pigmentation such as using surgical blades, diamond or ceramic burs, chemicals, and lasers.
Case report aesthetic treatment of gingival hyperpigmentation by er. 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. 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. Gingival depigmentation using scalpel technique nepal journals. Evaluation of patient response and recurrence of pigmentation. Gingival depigmentation by surgical technique in 1. Gingival depigmentation is a periodontal plastic surgical procedure where gingival hyperpigmentation is removed or reduced by various techniques.
Development in techniques for gingival depigmentation an. Jun 17, 2016 the potential of autogenous epithelialized gingival grafts has been established for the management of physiologic gingival pigmentation. Excessive gingival pigmentation is a major esthetic problem for many people. Diode laser and surgical blade was used for the depigmentation in either of the arches. Gingival depigmentation with scalpel and diode laser article pdf available in world journal of dentistry 3. Naresh thukral demonstrating depigmentation procedure using diode laser. 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.
Recent methodologies in gingival depigmentation lasers. Nov 12, 20 gingival depigmentation procedure using diamond bur. 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. Yag laser was performed on the right side, and abrasion with a rotary round bur on the opposite side. Caution was also taken near reflective surfaces, since. Gingival pigmentation occurs in all races of man and it varies from one race to another. Gingival depigmentation by surgical technique in 1 min. Yag laser radiation in a defocused mode was a safe and effective procedure. Gingival depigmentation using scalpel wagle sv, agrawal aa.
Topical anesthetic gel was applied to the operational field. Gingival pigmentation is a discoloration of oral mucosa or gingiva due to the wide variety of lesions and conditions. Total procedure time, from start to finish, was 20 minutes. The first and foremost indication for depigmentation is the patients demand for improved aesthetics. Laser treatment for melanin gingival pigmentations. Several causes of gingival pigmentation were previously mentioned in text together with the possible techniques of treatment. Three case reports udatta kher, zeenat khan case report abstract melanin pigmentation of the gingiva is a common occurrence. Gingival pigmentation definition of gingival pigmentation. Gingival depigmentation by cryosurgery and laser application a comparative clinical study ponaganti venkata narsimha rao 1, gautami s. Aesthetic depigmentation of gingival smokers melanosis using. The colour of gingival tissues is an esthetic concern for many patients.
The first and foremost indication for depigmentation is patient demand for improved esthetics. Recurrence of pigmentation is seen to be associated with gingival melanin. Recently, laser ablation has been recognized as a most effective, pleasant and reliable technique. The patient asked about lightening her dark gingiva and was treated with a 6tooth gingivectomy and gingival depigmentation. 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.
Kumar, santhosh and bhat, subraya g and bhat, mahalinga k 2012 development in techniques for gingival depigmentation an update. Ten systemically healthy patients who were aged 18 to 36 years were selected for the study. Gingival depigmentation by diode laser full text view. View the article pdf and any associated supplements and figures for a period of 48 hours. Depigmentation of gingiva using zolar diode laser video. Gingival depigmentation was performed by applying the laser at 1 w. 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. Diode lasers, gingiva, melanin pigmentation, pathologic, physiologic, scalpel surgery. Pdf gingival depigmentation with scalpel and diode laser. Gingival melanin pigmentation and its treatment with the. Treatment of gingival hyperpigmentation by diode laser for. Gingival depigmentation of a 19yearold male patient was done under local anesthesia with combination of slicing and scraping technique using 15.
One of the most common causes of oral pigmentation is smoker melanosis, a condition associated with the melanocyte stimulation caused by cigarette smoke. Different lasers have been used for gingival depigmentation, including carbon dioxide co 2. Dwarakanath 1 1department of periodontics and implontology, vishnu dental college, bhimavaram, andhra pradesh, india. Pink esthetics in periodontics gingival depigmentation. Gingival depigmentation is a periodontal aesthetic surgical procedure by which the gingival hyperpigmentation is removed or reduced by a range of techniques. Gingival depigmentation is a periodontal plastic surgical procedure whereby the gingival hyperpigmentation is removed or reduced. Mar 01, 2012 gingival depigmentation by surgical technique in 1 min. Elimination of these melanotic areas can be done by scraping.
Gingival depigmentation pdf facial appearance depends on several oral and extraoral factors. Gingival pigmentation is a major concern for a large number of patients visiting the dentist. One of these is the aesthetic treatment is gingival depigmentation. Treatment of gingival hyperpigmentation with rotary. Listing a study does not mean it has been evaluated by the u. Comparative evaluation of gingival depigmentation by diode. Depigmentation of gingival melanin pigmentation by erbium. Lasers have become widely used in medicine and surgery since the development of the ruby laser by maiman in 1960. Cureus a unique presentation of gingival melanoacanthoma. Gingival depigmentation by free gingival autograft. The patients were randomly selected for the treatment. There are only a few reports in the literature evaluating the effects of the carbon dioxide co 2 laser on gingival melanin pigmentation gmp. Yag laser than liquid nitrogen in case of gingival depigmentation.
Depigmentation is a procedure of removing or reducing of gingival hyperpigmentation. Comparative evaluation of gingival depigmentation using. Gingival depigmentation can be defined as a periodontal plastic surgical procedure whereby the gingival hyperpigmentation is removed or reduced by various techniques. The clinical objective was to remove hypertrophic tissue, expose tooth structure, and remove melanin for a more esthetic smile. Tetrafluoroethane was used for the cryosurgical depigmentation and the gingival abrasion technique. Gingival depigmentation procedure using diamond bur. Repigmentation variably occurs with different treatment methods in patients with gingival pigmentation. Physiologic gingival pigmentationpgp is the most common type of gingival pigmentation and cosmetic concern particularly in gummy smile patients. The purpose of the research is to investigate the advantage of using er. Depigmentation of gingiva using zolar diode laser video part 3. This article offers a retrospective case series of gingival depigmentation by epithelial excision using scalpel.
Gingival depigmentation of a 19yearold male patient was done under local anesthesia with combination of slicing and scraping technique using 15 no. Volume 3, issue 4, octoberdecember 2012, pages 2221. Both procedures were equally effective in depigmentation. Different treatment modalities have been reported for depigmentation of gingiva such as bur abrasion, scraping, partial thickness flap, cryotherapy, electrosurgery and laser. Gingival depigmentation is a periodontal plastic surgical procedure, whereby the hyperpigmentation is removed or reduced by various techniques. Gingival depigmentation chattanooga gum hyper pigmentation. Patient satisfaction was evaluated by using a simple questionnaire. An insight into gingival depigmentation techniques. Consequently, multiple depigmentation techniques have been employed, including bur abrasion, surgical scraping, and electro surgery 68. To assess the gingival pigmentation, a new index was developed by us, the gingival pigmentation index gpi tablefig1. Gingival pigmentation cause, treatment and histological. To our knowledge, this case report presents a first. Yag laser and co 2 lasers can be effectively used but with distinct differences. Demand for cosmetic therapy of gingival hyperpigmentation is common.
Though, it is not a medical problem, many people complain of dark gums as unesthetic. Gingival depigmentation has been carried out using non. A comparative evaluation of the gingival depigmentation by using a surgical blade and a diode laser. Thukral was the key note speaker at vydehi institute of dental sciences organized by the dr. Pdf pigmentation of gingiva not just has an impact on esthetics but also creates psychological negativity.
The gingiva is an important intraoral tissue which when affected particularly by. Gingival pigmentation results from melanin granules which are produced by melanoblasts. Melanin pigmentation of the gingiva is not a medical problem. 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. 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. Surgical esthetic correction for gingival pigmentation. Gingival pigmentation is presented as a diffuse deep purplish discoloration or. 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 is a periodontal plastic surgical procedure whereby the gingival. In addition, patients were asked to evaluate the procedure by using a selfadministered. Diode laser is a minimally invasive treatment option for the. Two patients with melanin pigmentation of gingiva were treated with different gingival depigmentation techniques.
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. This paper aims to illustrate the use of a carbon dioxide laser in the removal of the gingival melanic pigmentation for. The duration span for the study was 6th month and recordings were taken at baseline, 7th day. In compliance with fda rules, the patient and staff used special eyeglasses for protection. Comparative evaluation of gingival depigmentation using a. It is influenced not only by the colour, shape and position of the teeth but also by the characteristics of the gingival tissues. Abnormal coloring of persons skin, typically resulting from diseases. Gingival pigmentation, depigmentation, repigmentation. Depending on the gingival display during smiling, corrective measures may be needed for an esthetic purpose. A comparative evaluation of the gingival depigmentation by using tetrafluoroethane cryosurgery and the gingival abrasion technique 2 years of follow up. 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.
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. Unlimited viewing of the articlechapter pdf and any associated supplements and figures. A regular periodic screening was done to rule out any alteration in color, size, and shape. 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 by cryosurgery and laser application. Surgical stripping for gingival depigmentation remains the gold standard. Gingival hyperpigmentation usually occurs due to the abnormal accumulation of melanin in the gingival tissue and confers a dark appearance to the gingiva. Depigmentation is not a clinical indication but a treatment of choice where esthetics is a concern and is desired by the patients.
The esthetic results were pleasing and healing was uneventful. Kumar, santhosh and bhat, subraya g and bhat, mahalinga k 20 comparative evaluation of gingival depigmentation using tetrafluoroethane cryosurgery and gingival abrasion technique. 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. Laser therapy is an effective and noninvasive treatment option. Laser ablation for gingival depigmentation has been recognized as one of the most effective, pleasant, and reliable techniques. Introduction gingival hyperpigmentation is increased concern, aggravated in patients with a gummy smile or. Pdf an insight into gingival depigmentation techniques. 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. 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. After 7 days the patient was recalled for the gingival depigmentation procedure, the baseline pigmentation scores were recorded prior to the surgery. Gingival depigmentation cosmetic gum treatment in chattanooga. Gingival depigmentation of a 19yearold male patient was done under local anesthesia with combination of slicing. Excessive gingival pigmentation is a major esthetic concern for many people. Development in techniques for gingival depigmentation an update.
Melanic pigmentation results from melanin produced by the melanocytes present in the basal layer of the oral epithelium. The aim of this study was to evaluate the efficacy of diod laser on the treatment of pgp in. This study was performed to evaluate the effects of the co 2 laser at superpulse mode, applied for gingival depigmentation. Pdf gingival depigmentation using scalpel researchgate. 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. Health, general gingiva physiological aspects gums pigmentation disorders care and treatment causes of. Case report aesthetic treatment of gingival hyperpigmentation. A case report ssv prasad, neeraj agrawal, nr reddy department of periodontics, peoples dental academy, peoples campus bhanpur, bhopal462037.
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