Depigmentation by gingival abrasion, reported by mokem 2006. For an attractive smile, health and color of the gingiva are essential components. Gingival depigmentation cosmetic gum treatment in chattanooga. Discoloration of the oral mucosa or gingiva is associated with several exogenous and endogenous factors. This was a simple, bloodless cryosurgery for the depigmentation of gingiva, requiring no local anesthesia or sophisticated equipment. Introduction oral pigmentation is a discoloration of the oral mucosa or gingiva associated with several exogenous and endogenous factors. In the present case series, scraping, electrosurgery, and diode laser have been tried for depigmentation, which are simple, effective, and yield good results, along. Comparative evaluation of gingival depigmentation using.
Split mouth deepithelization techniques for gingival depigmentation. The technique was used on the palate, tongue, lip and gingiva. Fairskinned people with moderate or severe gingival pigmentation frequently request cosmetic treatment of the black gums. The technique was used on the palate, tongue, lip and gingiva with diffuse and deep black melanin pigmentation. Diode laser is a minimally invasive treatment option for the.
A comparative evaluation with a case report noopur kaushik, nikhil srivastava, mayur kaushik, vivek gaurav case report abstract excessive gingival pigmentation is a major esthetic concern for many people. Hyperpigmented gingiva is considered unaesthetic and unsightly by many, and there is an increasing demand for depigmentation of gingiva from patients. Depigmentation of gingiva using zolar diode laser video part 3 chinthamani laser dental implant. If gingival phenotype is thick for depigmentation procedure, we can use gingivectomy by scalpel, abrasive technique, laser, cryosurgery, electrosurgery, chemical depigmentation. Lasers combine the advantages of rapid healing of the scalpel surgery and the. If phenotype is thin, there will be more chances of getting marginal tissue recession after depigmentation procedures and we can go for gingivectomy with free gingival grafting, acellular dermal matrix allograft or chemical depigmentation. Depending on the gingival display during smiling, corrective measures may be needed for an esthetic purpose.
The 810nm diode laser has energy and wavelength characteristics that specially target the soft tissues. May 28, 20 depigmentation of gingiva using zolar diode laser video part 3 chinthamani laser dental implant. 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. Depigmentation of gingiva using zolar diode laser video part. Contents introduction historical aspects physiology of pigmentation normal racial variations classification of oral pigmentation pigmented lesions of the oral mucosa methods of. Technique used was surgical scalpel removal of gingival epithelium. A split mouth approach was used wherein one side received laser and the other side received cryotherapy with the choice of the therapy and side chosen by the spin of the coin.
This paper reports two cases of gingival hyperpigmentation managed by surgical method. It may appear in the gingiva as early as 3 hours after birth and often is the only evidence of pigmentation. Ten systemically healthy patients who were aged 18 to 36 years were selected for the study. Association of melanin pigmentation in the gingiva of children with parents who smoke. Diode laser and surgical blade was used for the depigmentation in either of the arches.
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. Bur abrasion, depigmentation, electrosurgery, gingiva, melanin, physiological pigmentation, scalpel technique introduction the color of the gingiva is determined by several factors, namely number and size of the blood vessels, epithelial thickness, quantity of keratinization and pigments within the gingival epithelium. Identification of gingival pigmentation patterns and its. A semiconductor diode surgical laser unit ezlase, biolase technology. Split mouth deepithelization techniques for gingival. Esthetic or cosmetic dentistry strives to merge function and beauty with the. Oral pigmentation is a discoloration of the oral mucosa or gingiva due to a variety of lesions and conditions associated with several endogenous and exogenous etiologic factors and occurring in all races of mankind.
Gingival pigmentation cause, treatment and histological. For depigmentation of gingival, different treatment modalities have been reported. For depigmentation of gingiva different treatment modalities have been reported like bur abrasion, scraping, partial thickness flap, cryotherapy, electrosurgery and laser but repigmentation of the. Consequently, multiple depigmentation techniques have been employed, including bur abrasion, surgical scraping, and electro surgery 68. The gingival complex plays a vital role in the overall esthetics of a smile. A comparative evaluation of the gingival depigmentation by using tetrafluoroethane cryosurgery and the gingival abrasion technique 2 years of follow up. 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. This article offers a retrospective case series of gingival depigmentation by epithelial excision using scalpel.
The color of the gingiva plays an essential role in overall esthetics and appearance of an individual. A loop electrode was used for depigmentation of gingiva figure 5. Health, general gingiva physiological aspects gums pigmentation disorders care and treatment causes of. Jul 10, 2017 hanioka t, tanaka k, ojima m, yuuki k. Surgical gingival depigmentation a case report biomedical. Gingival depigmentation using surgical excision technique.
Several treatment modalities have been suggested and presented in the literature, ranging from a simple slicing method to free gingival grafts. Laser assisted gingival depigmentation is a single step procedure, with fast healing process and sterilization and without necessity of using periodontal dressing. A smile expresses a feeling of joy, success, sensuality, affection and. The white areas may blend into the skin and not be distinct, and the. Gingival hyperpigmentation may cause aesthetic problems and embarrassment especially when smiling. Four systemically healthy patients who were aged 2128 years were selected for the study and were treated with different gingival depigmentation techniques. Development in techniques for gingival depigmentation an update. Development in techniques for gingival depigmentation an. The gingiva is an important intraoral tissue which when affected particularly by pigmentation is. Oral pigmented lesions can have various etiologies, namely drugs, heavy metals, genetics, endocrine disturbances, inflammation and smoking 1,2,3. Comparison of efficacy of depigmentation of gingiva in terms. Taking into account the advantages of using lasers, it seems to be that the depigmentation of melanin hyperpigmented gingiva by the er.
Gingival depigmentation by cryosurgery and laser application a comparative clinical study ponaganti venkata narsimha rao 1, gautami s. Depigmentation is a procedure of removing or reducing of gingival hyperpigmentation. Periodontal plastic surgery combining gingival depigmentation and esthetic crown lengthening was performed in a. Comparative evaluation of gingival depigmentation using a. 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. Gingival pigmentation is a major concern for a large number of patients visiting the dentist.
Layer by layer, the mucosa is ablated to the basal layer of the epithelium where the melanocytes are located. Introduction oral pigmentation is a discoloration of the oral mucosa or gingiva associated with several exogenous. Hyperactivity of melanocytes is the reason for dark colour of gingiva, which is absolutely benign condition with only esthetic disadvantage, for people with gummy smilemostly. The color of gingiva influences the smile of person and affects esthetics, the present study was conducted to evaluate the effect of gingival depigmentation by scalpel and. Introduction melanin depigmentation of gingiva using various laser wavelengths have been reported for over ten years. Gingival depigmentation procedure using diamond bur. The extent and rate of recurrence varies according to various treatment procedures used and time period of followup. Many methods are now available for depigmentation of the gingival. The normal color of gingival tissues is pale pink, but part of the population has a gingival melanin pigmentation caused by excessive melanin deposition by the melanocytes mainly located in the basal and suprabasal cell layers of the epithelium.
Yag laser than liquid nitrogen in case of gingival depigmentation. It was used in a light brushing strokes and the tip was kept in motion all the time to avoid excessive heat buildup and destruction of the tissues. Aesthetic or cosmetic dentistry strives to merge function and beauty with the values and individual. Management of gingival hyperpigmentation 2 case reports. Cryosurgical depigmentation of the gingiva tal 1987.
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. The present cases showed that laser therapy combining er. Comparison of two different depigmentation techniques for. The purpose of the research is to investigate the advantage of using er. Clinical pigmentation in the gingiva may cause aesthetic problems 4,5. By incorporating the optical properties and absorption characteristics of 810 nm together with. Comparison of surgical blade and cryosurgery with liquid nitrogen. Tetrafluoroethane was used for the cryosurgical depigmentation and the gingival abrasion technique. Gingival pigmentation is a discoloration of the gingiva due to a variety of lesions and conditions associated with several endogenous and exogenous etiologic features. Melanin depigmentation of gingiva using various laser wavelengths have been reported for over ten years. 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. As the demand for cosmetic therapy of gingival melanin. Pdf comparative evaluation of gingival depigmentation using a. Gingival depigmentation by cryosurgery and laser application.
Melanin in skin is very common in inhabitants in many parts of the world due to genetic fact. Depigmentation is treated by using numerous techniques like deepithelization with scalpel, laser, gingival abrasion with diamond bur, gingivectomy, gingivectomy with free gingival graft, electrosurgey, cryosurgery, and with chemical agents. 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 aim of this study was to compare the clinical efficacy of gingival depigmentation procedure with conventional scalpel technique and diode laser application.
Depigmentation, electrosurgery, esthetics, gingiva, pain, repigmentation how to cite this article. Aesthetic or cosmetic dentistry strives to merge function and beauty with the values and. Lin yh, tu yk, lu ct, chung wc, huang cf, huang ms, lu hk. This article offers a retrospective case series of gingival depigmentation by. Efficacy of different techniques of gingival depigmentation. Three case reports udatta kher, zeenat khan case report abstract melanin pigmentation of the gingiva is a common occurrence. A case is reported here in which a simple and effective surgical depigmentation was performed without the use of any sophisticated instruments or apparatus.
Anterior esthetic gingival depigmentation and crown lengthening. Depigmentation, gingiva, scalpel surgery, physiologic pigmentation, melanin. The loss of pigmentation of gingiva was evident in vitiligo patients. Comparison of efficacy of depigmentation of gingiva in. 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. The treated gingiva appeared normal and remained depigmented until the present time, 20 months following freezing. Melanin pigmentation in skin, oral mucosa, inner ear and other organs is a detoxification mechanism. Esthetic gingival depigmentation can be performed in such patients with excellent results. Pink esthetics in periodontics gingival depigmentation.
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. Hence the aim of case series was to compare four different depigmentation techniques for removing melanin pigmentation of gingiva. Cryosurgical depigmentation of the gingiva, journal of. A split mouth randomized clinical comparative study to. Depigmentation by absorption of melanin and haemoglobin. Gupta g, kumar a, khatri m, puri k, jain d, bansal m.
Melanin, a brown pigment, is the most common natural pigment contributing to endogenous pigmentation of the gingiva. Comparison of two different depigmentation techniques for treatment of hyperpigmented gingiva. Gingival depigmentation chattanooga gum hyper pigmentation. Surgical esthetic correction for gingival pigmentation. This can be a natural occurrence or can result after certain dental procedures. A loop electrode was used for depigmentation of gingiva. Cryosurgical depigmentation of gingiva and its comparison with bur. Oral melanin pigmentation related to smoking in turkish population. It is concluded that cryosurgery may prove to be the treatment of choice when gingival depigmentation is indicated. The aim of this study is to compare surgical stripping and. The surgical area was covered with a periodontal pack and postoperative instructions were given.
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. The use of lasers have been compared with the use of scalpel and diamond bur fig. A sideeffect it is generally accepted that pigmenof the treatment was depigmentation of tation of mammalian skin is conferred the affected sites in the gingiva which upon it by the activity of melaninproducing melanocytes. Gingival depigmentation by free gingival autograft. Considering the patients concern, depigmentation procedure was planned using electrocautery. Yag is effective in depigmentation procedures and can reduce the duration of treatment.
Kumar, santhosh and bhat, subraya g and bhat, mahalinga k 20 comparative evaluation of gingival depigmentation using tetrafluoroethane cryosurgery and gingival abrasion technique. Management of gingival hyperpigmentationq u i n n using. Today,sparse studies have been published assessing physiologic gingival pigmentation using diode laser,therefore the aim of this study was to. Fatih arikan 7 used tetrafluoroethane tfe cooled cotton swab application in the cryosurgical depigmentation of gingiva. Treatment of gingival hyperpigmentation using co2 laser. A comparative evaluation of the gingival depigmentation by using a surgical blade and a diode laser. A comparative and observational assessment of gingival condition. Pdf gingival melanin pigmentation occurs in people of all races. Yag laser is a reliable and satisfactory procedure. The gingiva is the most frequently pigmented intraoral tissue, with the highest rate observed in the area. Bur abrasion, depigmentation, electrosurgery, gingiva, melanin, physiological pigmentation, scalpel technique how to cite this article. Melanin pigmentation of the gingiva is a crucial esthetic problem. Nov 12, 20 gingival depigmentation procedure using diamond bur.
For depigmentation of gingival, different treatment modalities have been reported, such as bur abrasion, scraping, partial thickness flap, cryotherapy, electrosurgery, and laser. Esthetic gingival depigmentation procedures can be performed in such. Gingival depigmentation by diode laser full text view. Gingival pigmentation occurs as a diffuse,deeppurplish discoloration or as irregularly shaped brown and light brown patches. Depigmentation of gingiva using zolar diode laser video. 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. Depigmentation was done in upper and lower anteriors fig 10. He concluded that tfe may be used as an offlabel product with minor complications in.
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