The pigmentation is mostly localized at the anterior labial gingiva, affecting females more than males. The gingiva is an important intraoral tissue which when affected particularly by pigmentation is. A clinical study harpreet singh grover, himanshu dadlani, amit bhardwaj, anil yadav, sanjay lal department of periodontics, sgt dental college, hospital and research institute, gurgaon, haryana, india. Introduction melanin depigmentation of gingiva using various laser wavelengths have been reported for over ten years. Comparative evaluation of gingival depigmentation using a surgical blade and a diode laser kalakonda butchibabu, pradeep koppolu, murali krishna tupili, wizarath hussain, vijaya lakshmi bolla, krishnanjaneya reddy patakota department of periodontics, sri sai college of dental surgery, vikarabad, andhra pradesh, india. Over the years, with an increasing demand for esthetics, the treatment of pigmented lesions of the gingiva has gained significance. The gingiva is an important intraoral tissue which when affected particularly by pigmentation is mainly responsible for the unpleasant appearance. Hirschfeld i and hirschfeld l in 1951, used a mixture of phenol 90% and alcohol 95% to burn out pigmented gingiva in 12 patients with gingival pigmentation. Pigmentation and related disorders are common disorders in the skin and have focused a lot of research work. Though, it is not a medical problem, many people complain of dark gums as unesthetic. Introduction oral pigmentation is a discoloration of the oral mucosa or gingiva associated with several exogenous. Cryosurgical depigmentation of the gingiva tal 1987. Gingival depigmentation can be defined as a periodontal plastic surgical procedure whereby the gingival hyperpigmentation is removed. Nowadays, complaints of dark gums are common, particularly in patients having.
A smile expresses a feeling of joy, success, sensuality, affection and. Gingival depigmentation is a periodontal plastic surgical procedure, whereby the hyperpigmentation is removed or reduced by various techniques. Oswaldo bergamaschi et al 1993 treated five patients with gingival pigmentation by gingivectomy to remove band like melanin pigmentation. Melanin hyperpigmentation usually does not present a medical problem, but. Comparative evaluation of gingival depigmentation using a. Laser assisted gingival depigmentation is a single step procedure, with fast healing process. There is difficult control of penetration and risk for excessive tissue. Depigmentation using scalpel was performed by complete removal of hyperpigmented gingiva. Gingival depigmentation by diode laser the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Depigmentation to repigmentation of gingiva vikram reddy guntakalla11, jagadish reddy gooty2, sunil kumar palakuru3, nera mahipal4, sailaja t5 abstract.
Laser ablation of gingival depigmentation has been recognized as one of the effective, pleasant and reliable techniques. Gingival pigmentation occurs as a diffuse,deeppurplish discoloration or as irregularly shaped brown and light brown patches. Gingival depigmentation cosmetic gum treatment in chattanooga. Melanin pigmentation often occurs in the gingiva as a result of an abnormal deposition of melanin, due to which the gums may appear black, but the principles.
Comparison of efficacy of depigmentation of gingiva in. Gingival depigmentation by free gingival autograft. Several causes of gingival pigmentation were previously mentioned in text together with the possible techniques of treatment. A pleasing smile is desired by all, and forms the main focus of aesthetic dentistry. Listing a study does not mean it has been evaluated by the u. Introduction the colour of gingiva, which ranges from pale pink and coral pink to deep red and violet plays an integral role in evaluating health and disease. What links here related changes upload file special pages permanent link page. The purpose of the research is to investigate the advantage of using er. Split mouth deepithelization techniques for gingival. Surgical gingival depigmentation a case report preethe paddmanabhan, chandrasekaran, bagvad gita 1 sree balaji dental college and hospital, bharath university, narayapuram, velachery main road, pallikaranai, chennai600100 tamil nadu, india.
For depigmentation of gingiva different treatment modalities have been reported like bur abrasion, scraping, partial thickness flap, cryotherapy, electrosurgery and laser but. Smoking can also cause an excessive deposition of melanin in the oral epithelial layer of oral mucosa. Numerous procedures have been developed for depigmentation of the gingiva, such as scalpel method, bur abrasion 4, free gingival graft 5, gingivectomy 6, cryosurgery 7, and laser surgery 8. It is concluded that cryosurgery may prove to be the treatment of choice when gingival depigmentation is indicated. Treatment of gingival melanin hyperpigmentation by er, cr. Cryosurgical depigmentation of the gingiva, journal of. Melanin pigmentation in skin, oral mucosa, inner ear and other organs is a detoxification mechanism.
This article offers a retrospective case series of gingival depigmentation by epithelial excision using scalpel. Subjects having gingival melanin hyperpigmentation would. The normal mucosal colour is described as coral pink but, as with the gingiva, it exhibits an array of colours ranging from pale pink to coral pink in caucasians and blue to brownblack in asians. A splitmouth depigmentation was done using scalpel, electrosurgery and diode laser in two patients with melanin hyperpigmentation in the anterior maxilla and mandible. Cyanoacrylate vs vitamin e application after laser depigmentation. It may appear in the gingiva as early as 3 hours after birth and often is the only evidence of pigmentation. Melanin, a brown pigment, is the most common natural pigment contributing to endogenous pigmentation of the gingiva. Majeddepigmentation as an alternative treatment for. Better results of depigmentation were achieved with diode laser than conventional scalpel and with rotary abrasion with respect to esthetics. Comparative evaluation of gingival depigmentation using. Depigmentation is a procedure of removing or reducing of gingival hyperpigmentation. Evaluation of patient response and recurrence of pigmentation. A semiconductor diode surgical laser unit ezlase, biolase technology.
Gingival pigmentation cause, treatment and histological. Anterior esthetic gingival depigmentation and crown lengthening. This can be a natural occurrence or can result after certain dental procedures. The patient demand for improved esthetics is the first and foremost indication for depigmentation. If you continue browsing the site, you agree to the use of cookies on this website. Treatment of gingival hyperpigmentation with rotary. Naresh thukral demonstrating depigmentation procedure using diode laser. Gum depigmentation, also known as gum bleaching, is a procedure used in cosmetic dentistry to lighten or remove black spots or patches on the gums consisting of melanin. By incorporating the optical properties and absorption. Gingival depigmentation is a periodontal plastic procedure should be included in the treatment options designed to ensure more accurate esthetic outcome thereby enhancing the confidence of the patient.
Aesthetic depigmentation of gingival smokers melanosis. The oral cavity and more specifically the gingival also exhibits such disorders. Pigmented gingiva a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional epithelium, mucogingival junctions, bleeding and exudate. Gingival pigmentation is a major concern for a large number of patients visiting the dentist. Recurrence of pigmentation is seen to be associated with gingival melanin. Gingival depigmentation is a periodontal plastic surgical procedure whereby the gingival hyperpigmentation is removed or. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Gingival depigmentation an array of treatment modalities. Hence the aim of case series was to compare four different depigmentation techniques for removing melanin pigmentation of gingiva. This was a simple, bloodless cryosurgery for the depigmentation of gingiva, requiring no local anesthesia or sophisticated equipment.
Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique. The results point out that lasers are an effective and a safe means to removal of hyperpigmentation from the gingiva. Tetrafluoroethane was used for the cryosurgical depigmentation and the gingival abrasion. Melanin in skin is very common in inhabitants in many parts of the world due to genetic factors. Three case reports udatta kher, zeenat khan case report abstract melanin pigmentation of the gingiva is a common occurrence. Layer by layer, the mucosa is ablated to the basal layer of the epithelium where the melanocytes are located. Healing was uneventful and no repigmentation occurred. An insight into gingival depigmentation techniques. Anterior esthetic gingival depigmentation and crown. For an attractive smile, health and color of the gingiva are essential components. It also shows reduced pain and discomfort due to formation of protein coagulum. It is usually sufficient to eliminate the pigmented areas and do not require any periodontal dressing.
The patients filled a questionnaire and scored the pain after surgery based on numeric pain score scale. The surgical area was covered with a periodontal pack and postoperative instructions were given. They concluded that gingival resective procedure is not of permanent value, because pigmentation tends to return to baseline values. Pdf gingival depigmentation using scalpel researchgate. Although clinical melanin pigmentation does not present a medical problem, demand for cosmetic therapy is commonly made by fair. Development in techniques for gingival depigmentation an.
Nonablative melanin depigmentation of gingiva sirona. Gingival depigmentation is a periodontal plastic surgical procedure whereby the hyperpigmentation is removed or reduced by various techniques. Hyperpigmented gingiva is considered unaesthetic and unsightly by many, and there is an increasing demand. This paper reports two cases of gingival hyperpigmentation managed by surgical method. Split mouth deepithelization techniques for gingival depigmentation. Demand for cosmetic therapy of gingival hyperpigmentation is common. Excessive gingival pigmentation is a major esthetic concern for many people. However, pigmented gums can be a major cause of embarrassment for patients, especially those with. Surgical esthetic correction for gingival pigmentation.
The growth of new gingiva was prolonged, and repigmentation soon developed in three patients. A comparative evaluation of the gingival depigmentation by using tetrafluoroethane cryosurgery and the gingival abrasion technique 2 years of follow up. Diode lasers, gingiva, melanin pigmentation, pathologic, physiologic. Pdf facial appearance depends on several oral and extraoral factors. The aim of this study was to compare the clinical efficacy of gingival depigmentation procedure with conventional scalpel technique and diode laser application. Various depigmentation techniques have been employed. The treated gingiva appeared normal and remained depigmented until the present time, 20 months following freezing. Fatih arikan 7 used tetrafluoroethane tfe cooled cotton swab application in the cryosurgical depigmentation of gingiva. He concluded that tfe may be used as an offlabel product with minor complications in. Depigmentation by absorption of melanin and haemoglobin. The burscraping technique provided stable clinical results with minimal postoperative discomfort. Thukral was the key note speaker at vydehi institute of dental sciences organized by the dr. Yag laser than liquid nitrogen in case of gingival depigmentation. 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.
Gingival depigmentation by diode laser full text view. The gingival complex plays a vital role in the overall esthetics of a smile. Gingival depigmentation by cryosurgery and laser application a comparative clinical study ponaganti venkata narsimha rao 1, gautami s. Gingival depigmentation procedure is a type of perioplastic surgery where the gingival epithelium is excised with various techniques to lighten the colour of the gingiva. Depigmentation of gingiva using zolar diode laser video part 3. Cryosurgical depigmentation of the gingiva cryosurgical depigmentation of the gingiva tal, halm. Melanin pigmentation of the gingiva is not a medical problem. Treatment of gingival hyperpigmentation with rotary abrasive. International journal of current medical and pharmaceutical research.
Although clinically melanin pigmentation of gingiva is not a disease entity, it can. Although, gingival pigmentation is not a pathologic problem, patients usually request cosmetic therapy, particularly, if the pigmentation is. Gum depigmentation, also known as gum bleaching, is a procedure used in cosmetic dentistry. Technique used was surgical scalpel removal of gingival epithelium. Many methods are now available for depigmentation of the gingival. Report of a case excessive gingival display space and gingival hyperpigmentation are major concerns for a large number of patients visiting the dentist. Health, general gingiva physiological aspects gums pigmentation disorders care and treatment causes of.
Gingival depigmentation chattanooga gum hyper pigmentation. A split mouth randomized clinical comparative study to. The use of lasers have been compared with the use of scalpel and diamond bur fig. Diode laser is a minimally invasive treatment option for the. Ten systemically healthy patients who were aged 18 to 36 years were selected for the study. Management of gingival hyperpigmentation 2 case reports. Melanin depigmentation of gingiva using various laser wavelengths have been reported for over ten years. Depigmentation was done in upper and lower anteriors fig 10.
Melanic pigmentation results from melanin produced by the melanocytes present in the basal layer of the oral epithelium. The gingiva is the most frequently pigmented intraoral tissue, with the highest rate observed in the area of the incisors esthetic periodontal plastic surgery is a boon in patients having dark gums and gummy smile. Gingival depigmentation is a periodontal plastic surgery. This paper aims to illustrate the use of a carbon dioxide laser in the removal of the gingival. Even though numerous techniques have been employed for depigmentation, the selection of a technique should. One of the most common causes of oral pigmentation is smoker melanosis, a condition associated with the melanocyte stimulation caused by cigarette smoke.
A case report ssv prasad, neeraj agrawal, nr reddy department of periodontics, peoples dental academy, peoples campus bhanpur, bhopal462037. Gingival depigmentation using surgical excision technique. Treatment of gingival hyperpigmentation using co2 laser. Polycyclic amines such as nicotine and benzopyrenes, present in tobacco, can. Comparative evaluation of gingival depigmentation using scalpel. Gingival melanin hyperpigmentation is clinically presented as black gum which is not medical but esthetic problem especially for those who have.
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