Facial appearance depends on several oral and extraoral factors. The gingiva is an important intraoral tissue which when affected particularly by pigmentation is. Gingival Depigmentation. shArmilA VermA*, meerA Gohil**, VAnDAnA rAthwA†. AbstrAct. A smile expresses a feeling of joy, success, sensuality, affection and. ser than liquid nitrogen in case of gingival depigmentation. That’s why two alternative methods are used: laser ablation with an Er:YAG laser and cryosurgical.

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At the end of 3 months, the gingiva appeared healthy and no repigmentation was seen [ Figure 6 ]. Case 2 A young female patient aged 23 years visited the Department of Periodontics, JKK Nattraja Dental College and Hospital with the chief complaint of blackish gums which esthetically interfered with her smile. The patients with excessive gingival display and pigmentation are more concerned esthetically.

Text Book of Oral Pathology; pp. Patients did not report side effects, nor did they require depigmenration treatment during the 5 years period after surgery. Please review our privacy policy. WB Saunders Co; Split mouth de-epithelization techniques for gingival depigmentation: The use of a rotary abrasive was planned to perform the depigmentation. Diode – the diode laser in dentistry Academy report Wavelengths.

In our study also, the healing by scalpel was faster than that by cautery and laser. Routine oral hygiene procedures were carried out and oral hygiene instructions were gingivval. The use of acellular. Patient was explained about the treatment options available and the possibility of repigmentation after certain period. Smile expresses a feeling of joy, success, sensuality, affection, and courtesy, and reveals self-confidence and kindness. Discussion Pigmented gingival tissue many a times forces the patients to seek cosmetic treatment.


Tamizi Depignentation, Taheri M. The spray tip is held 1 cm away from the lesion, and a steady spray of liquid nitrogen is directed at the center of the lesion. Hence, additional studies of these variables, with larger sample sizes at histologic and histochemical levels to evaluate the activity and behavior of melanocytes after the cryosurgical procedures, are needed to validate the present findings. Search Pubmed for Shah SS.

The area healed completely in 10 days with normal appearance of gingival.

The normal and pathological pigmentation of oral mucous membrane: Report of a case. This is a case report representing a simple surgical technique of de-epithelization which has been successfully used to treat gingival hyperpigmentation caused by excessive melanin deposition and highlights the relevance of an esthetically pleasing smile especially in smile conscious individuals.

Cicek Y, Ertas U. A case series and review depigmentatjon literature. Selection of the technique should be based on clinical experiences and individual preferences.

Minocycline and oral pigmentation. Therefore, cryosurgery offers de;igmentation practical technique to improve patient esthetics.

A 5-year clinical and transmission electron microscopic study in humans. The patient was advised to use chlorhexidine mouthwash 12 hourly for 1 week. He concluded that TFE may be used as an off-label product with minor sepigmentation in melanin depigmentation of gingiva.

Results In all the above three cases, no postoperative pain, hemorrhage, infection or scarring occurred in any of the sites on the first and subsequent visits. Footnotes Source of Support: This could be easily attained by using any of the methods described above.

Table 1 Clinical evaluation of wound healing.

Gingival depigmentation: A split mouth comparative study between scalpel and cryosurgery

Conclusion The growing esthetic concern requires the removal of unsightly pigmented gingival areas to create a pleasant and confident smile, which altogether may alter the personality of an individual. The patient was prescribed analgesics for use when required and was discharged with necessary post-operative instructions.


Preoperative view showing unsightly physiologic melanin pigmentation of upper labial gingiva. J Contemp Dent Pract.

Pink esthetics in periodontics – Gingival depigmentation: A case series

The patient demand for improved esthetics is the first and foremost indication for depigmentation. J Oral Laser Appl. Preoperative, b postoperative 4 weeks follow-up.

Cryosurgical treatment of melanin-pigmented gingiva. Int J Periodontics Restorative Dent ; Cryosurgery, electro surgery, gingiva, lasers, melanin, pathologic, physiologic, pigmentation.

depigmentationn Slicing of the pigmented area done using a scalpel Click here to view. Gingival depigmentation is a periodontal plastic surgical procedure whereby the gingival hyperpigmentation is removed or reduced.

The patient was very impressed with such a pleasing esthetic outcome.

Melanin pigmentation is the result of melanin granules produced by melanoblasts intertwined between epithelial cells at the basal layer of gingival epithelium. Dummett CO, Barens G. YAG laser, semiconductor diode laser, and CO 2 laser have been employed for removal of melanin hyper pigmentation.

Gingival depigmentation: A split mouth comparative study between scalpel and cryosurgery

Case Reports Case 1 A year-old male patient visited the Department of Periodontology, complaining of dark gums. Clinical observation on pigment variations in healthy oral tissues in the Negro. A frenectomy was depigmetation after the depigmentation was completed.