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