Jul 10, 2017 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. Gingival pigmentation has intrigued clinicians and researchers alike owing to its numerous etiologies of origin and the difficulties faced in its absolute elimination. Four systemically healthy patients who were aged 2128 years were selected for the study and were treated with different gingival depigmentation techniques. Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique. This study compared the use of 940 nm diode laser and liquid nitrogen cryosurgery in the treatment of gingival physiologic hyperpigmentation in terms of gingival depigmentation, postoperative pain. Different treatment modalities have been reported for depigmentation of gingiva such. Split mouth gingival depigmentation using blade and diode laser a case report kumara ajeya et al annals of dental research 2011 vol 1 1. In compliance with fda rules, the patient and staff used special eyeglasses for protection. Gingival depigmentation by diode laser full text view. Melanin, a brown pigment, is the most common natural pigment contributing to.
Health, general gingiva physiological aspects gums pigmentation disorders care and treatment causes of. Pdf the gingival facade and health are critical components of an attractive smile. Oral pigmentation is a discoloration of oral mucosa or gingival. However, to allow for its usage more commonly in routine dental practice, more studies with a large number of sample size including histological studies are needed. This can be a natural occurrence or can result after certain dental procedures. Topical anesthetic gel was applied to the operational field. Gingival melanin depigmentation with diode laser case. Gingival depigmentation can be considered a periodontal plastic procedure depigmentztion 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. Nov 12, 20 gingival depigmentation procedure using diamond bur. Aug 19, 2019 gingival depigmentation pdf facial appearance depends on several oral and extraoral factors. Scalpel depigmentation and surgical crown lengthening to improve anterior gingival esthetics chethana kc, pradeep k1 department of periodontics, sharavathi dental college, shivamogga, 1department of conservative dentistry and endodontics, manipal college of dental sciences, manipal, karnataka, india abstract. An insight into gingival depigmentation techniques. 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 diamond bur.
A healthy 36yearsold female patient complained about unaesthetic gingiva and she had. Gingival pigmentation cause, treatment and histological. This paper aims to illustrate the use of a carbon dioxide laser in the removal of the gingival melanic pigmentation for. Though, it is not a medical problem, many people complain of dark gums as unesthetic. Comparative evaluation of gingival depigmentation using. Aesthetic depigmentation of gingival smokers melanosis using. It has an affinity for hemoglobin and melanin, so it is an excellent soft tissue laser and is applicated for cutting and coagulating gingival tissue. Sep 05, 2019 gingival depigmentation pdf facial appearance depends on several oral and extraoral factors. The gingiva is an important intraoral tissue which when affected particularly by.
Depending on the gingival display during smiling, corrective measures may be needed for an esthetic purpose. The gingiva is an important intraoral tissue which when affected particularly by skip to content. Yag, diode laser offers the advantage of a successful and safe. Aesthetic management of gingival hyperpigmentation using. Surgical gingival depigmentation a case report biomedical. Gingival depigmentation by cryosurgery and laser application. Gingival depigmentation can be considered as aperiodontal plastic surgery procedure whereby the gingival hyperpigmentation is removed by. Gingival pigmentation is presented as a diffuse deep purplish discoloration or as irregularly shaped brown and light brown or black patches, striae or strands. The color of the gingival tissue is usually pink, but it may be darker in some cases, also known as gingival hyperpigmentation suragimath et al. A case is reported here on the cosmetic correction of black gums and gummy smile. Kumar, santhosh and bhat, subraya g and bhat, mahalinga k 20 comparative evaluation of gingival depigmentation using tetrafluoroethane cryosurgery and gingival abrasion technique. Sep 15, 2015 gingival depigmentation performed in this study was carried out by a 980 nm and a 4 w irradiation power settings diode laser quanta laser system made in italy 980 nm class 4 laser as it has near optimal absorption for melanin and hemoglobin moreover in comparison with er. Melanic pigmentation results from melanin produced by the melanocytes present in the basal layer of the oral epithelium.
Case report scalpel depigmentation and surgical crown. A split mouth comparative study between scalpel and cryosurgery. This case series presents 48 cases of gingival hyperpigmentation where gingival depigmentation procedure was performed either through slicing or scraping technique, with. Treatment of gingival hyperpigmentation by diode laser for. It results from melanin granules, which are produced by melanoblasts. Hence the aim of case series was to compare four different depigmentation techniques for removing melanin pigmentation of gingiva. Traditionally, gingival depigmentation has been carried out.
Gingival depigmentation pdf facial appearance depends on several oral and extraoral factors. Excessive gingival pigmentation is a major esthetic problem for many people. Gingival depigmentation is a periodontal plastic surgical procedure wherein the gingival hyperpigmentation is removed or reduced by various techniques. It is the only depigmentation treatment for extensive vitiligo that has been approved by the fda food and drug agency, united states of america. Gingival depigmentation by cryosurgery using tetrafluroethane. Aug 21, 2019 gingival health and appearance are the essential components of an attractive smile. For depigmentation of gingival, different treatment modalities have been reported, such as bur abrasion, scraping, partial thickness flap, cryotherapy, electrosurgery, and laser. If you continue browsing the site, you agree to the use of cookies on this website. 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. The foremost indication for depigmentation therapy is the demand by a person for improved esthetics. Depigmentation by gingival abrasion, reported by mokem 2006. Jun 17, 2016 removing gingival margin by gingivectomy or entire attach gingiva by push back procedure can also be used but this can lead to alveolar bone loss, prolonged healing by secondary intention, excessive pain and discomfort caused by exposure and denudation of underlying bone.
In the present case series, scraping, electrosurgery, and diode laser have been tried for depigmentation, which are simple, effective, and yield good results, along. Although gingival melanin pigmentation does not represent a. In the present case series, three techniques were selected for depigmentation, which included scalpel, electrosurgery, and laser. The gingiva is the most frequently pigmented tissue of the oral cavity 4. Thukral was the key note speaker at vydehi institute of dental sciences orga. Gingival depigmentation chattanooga gum hyper pigmentation. It is mainly caused by the physiologic deposition of melanin granules within the gingival epithelium by melanocytes. A periodontal plastic surgical procedure called the gingival depigmentation is performed whereby the gingival hyperpigmentation is removed or reduced by various techniques. Gingival depigmentation is a periodontal plastic procedure which has been carried out by various techniques. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Gingival depigmentation an array of treatment modalities. Management of gingival hyperpigmentationq u i n n using. Melanin, a brown pigment, is the most common natural pigment contributing to endogenous pigmentation of the gingiva.
Laser assisted gingival depigmentation is a single step procedure, with fast healing process. Comparative evaluation of gingival depigmentation using a. Treatment of gingival hyperpigmentation using co2 laser. Based on these observations, co2 laser is a good treatment choice for gingival depigmentation. Anterior esthetic gingival depigmentation and crown lengthening. Diode laser is a minimally invasive treatment option for the. Efficacy of various depigmentation techniques international. Case report aesthetic treatment of gingival hyperpigmentation. Today,sparse studies have been published assessing physiologic gingival pigmentation using diode laser,therefore the aim of this study was to. Several treatment modalities have been suggested and presented in.
Gingival health and appearance are the essential components of an attractive smile. 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. 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. The gingival complex plays a vital role in the overall esthetics of a smile. Laser assisted gingival depigmentation is a single step procedure, with fast healing process and sterilization and without necessity of using periodontal dressing. The first and foremost indication for depigmentation is the patients demand for improved aesthetics. Although melanin pigmentation of the gingiva is completely benign and does not present a medical problem, complaints of black gums are common particularly in. Jul 23, 2015 split mouth gingival depigmentation using blade and diode laser a case report kumara ajeya et al annals of dental research 2011 vol 1 1. Gingival depigmentation cosmetic gum treatment in chattanooga. Management of gingival hyperpigmentation 2 case reports. The gingiva is an important intraoral tissue which when affected particularly by home. Pink esthetics in periodontics gingival depigmentation.
Evaluation of patient response and recurrence of pigmentation. It is defined as the discoloration of the gingiva due to lesions and conditions associated with numerous extrinsic and intrinsic factors. May 25, 2019 gingival depigmentation can be considered a periodontal plastic procedure depigmentztion 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. Gingival depigmentation performed in this study was carried out by a 980 nm and a 4 w irradiation power settings diode laser quanta laser system made in italy 980 nm class 4 laser as it has near optimal absorption for melanin and hemoglobin moreover in comparison with er. A case report ssv prasad, neeraj agrawal, nr reddy department of periodontics, peoples dental academy, peoples campus bhanpur, bhopal462037. 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.
Depigmentation is not a clinical indication but a treatment of choice where esthetics is a concern and is desired by the patients. There is difficult control of penetration and risk for excessive tissue. The present case report is an attempt to compare and discuss the effectiveness of different techniques for gingival depigmentation. Pdf background oral pigmentation is a discoloration of the oral mucosa or gingiva due to a variety of lesions and conditions associated with several. Gingival depigmentation procedure using diamond bur. Melanin, a nonhemoglobinderived brown pigment, is the most common of the endogenous pigments and is produced by. Naresh thukral demonstrating depigmentation procedure using diode laser.
Class 4 gingival embrasures and cementoenamel junction not visible during smile. Various surgical methods for gingival depigmentation have been used to treat the darkened color of pigmented gingiva. 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 using surgical excision technique. Complete phase i therapy was performed for all the patients before performing the gingival depigmentation procedures with laser and scalpel on a splitmouth basis. Gingival hyperpigmentation usually occurs due to the abnormal accumulation of melanin in the gingival tissue and confers a dark appearance to the gingiva. 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. Gingival pigmentation is a major concern for a large number of patients visiting the dentist. Three case reports udatta kher, zeenat khan case report abstract melanin pigmentation of the gingiva is a common occurrence. Excessive gingival pigmentation is a major esthetic concern for many people.
Gingival depigmentation can be considered as aperiodontal plastic surgery procedure whereby the gingival hyperpigmentation is. 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. Unlike hydroquinone, it almost always causes irreversible depigmentation, as it results in death of melanocytes the cells that make skin pigment or melanin. Gingival depigmentation is a periodontal aesthetic surgical procedure by which the gingival hyperpigmentation is removed or reduced by a range of techniques. Cryosurgical depigmentation of gingiva by tfe is a new method and can be used with minimum complications and equipment and is cost effective. Caution was also taken near reflective surfaces, since. Gingival depigmentation by free gingival autograft. 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.
The 810nm diode laser has energy and wavelength characteristics that specially target the soft tissues. Gingival pigmentation definition of gingival pigmentation. May 01, 2015 based on these observations, co2 laser is a good treatment choice for gingival depigmentation. Case report aesthetic treatment of gingival hyperpigmentation by er. The selection of a technique for depigmentation of the gingiva should be based on clinicians expertise, patients affordability and individual preferences. Although melanin pigmentation of the gingiva is completely benign and does not present a medical problem, complaints of black gums are common. Removing gingival margin by gingivectomy or entire attach gingiva by push back procedure can also be used but this can lead to alveolar bone loss, prolonged healing by secondary intention, excessive pain and discomfort caused by exposure and denudation of underlying bone. 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.
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