International Journal of Experimental Dental Science

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VOLUME 8 , ISSUE 1 ( January-June, 2019 ) > List of Articles

RESEARCH ARTICLE

Split Mouth De-epithelization Techniques for Gingival Hyperpigmentation for Esthetic Purposes: A Case Series and Review of Literature

Avnika Garg, Baljeet Singh, Alka Sharma

Keywords : Depigmentation, Melanin, Repigmentation

Citation Information : Garg A, Singh B, Sharma A. Split Mouth De-epithelization Techniques for Gingival Hyperpigmentation for Esthetic Purposes: A Case Series and Review of Literature. Int J Experiment Dent Sci 2019; 8 (1):6-10.

DOI: 10.5005/jp-journals-10029-1195

License: CC BY-NC 4.0

Published Online: 01-03-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

A good pink smile is desirable by all age groups, and it can be of concern especially when the gingiva is seen, as in cases with a gummy smile. Thus, melanin hyperpigmentation on gingiva becomes an esthetic problem in individuals when it is present on the facial aspect of the gingiva and is visible during smile and speech. Various depigmentation techniques are available for treatment of gingival hyperpigmentation for this esthetic purpose. Here, the present study clinically assesses the outcome of four different surgical techniques (using scalpel surgery, gingival abrasion, electrosurgery, and lasers) in the same patients and evaluates the reappearance of the pigmentation in the 6-month follow-up period and compares the results.


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  1. Mani A, Mani S, Shah S, et al. Management of gingival hyperpigmentation using surgical blade, diamond bur and diode laser therapy: a case report. J Oral Laser Appl 2009;9(4):227–232.
  2. Berk G, Atici K, Berk N. Treatment of gingival pigmentation with Er,Cr:YSGG laser. J Oral Laser Appl 2005;5(4):249–253.
  3. Tal H, Oegiesser D, Tal M. Gingival depigmentation by erbium:yag laser: clinical observations and patient responses. J Periodontol 2003;74(11):1660–1667. DOI: 10.1902/jop.2003.74.11.1660.
  4. Prasad SSV, Agrawal N, Reddy NR. Gingival depigmentation: a case report. People's Journal of Scientific Research 2010;3(1):27–29.
  5. Kumar S, Bhat GS, Bhat KM. Development in techniques for gingival depigmentation- an update. Indian J Dent 2012;3(4):213–221. DOI: 10.1016/j.ijd.2012.05.007.
  6. Bhatsange AG, Japati S. Black to pink: clinical evaluation of two different surgical approaches for the treatment of hyperpigmentation. Int J Periodontics Restorative Dent 2011;1(2):136–139.
  7. Lawande SA. Gingival melanin depigmentation as an effective treatment for enhancing esthetics: a case report and literature review. JPBMS 2012;22(22):1–4.
  8. Atsawasuwan P, Greethong K, Nimmanon V. Treatment of gingival hyperpigmentation for esthetic purposes by Nd:Yag laser: report of 4 cases. J Periodontol 2000;71(2):315–321. DOI: 10.1902/jop.2000.71.2.315.
  9. Hegde R, Padhye A, Sumanth S, et al. Comparison of surgical stripping; erbium-doped:yttrium, aluminum, and garnet laser; and carbon dioxide laser techniques for gingival depigmentation: a clinical and histologic study. J Periodontol 2013;84(6):738–748. DOI: 10.1902/jop.2012.120094.
  10. Singh V, Giliyar SB, Kumar S, et al. Comparative evaluation of gingival depigmentation by diode laser and cryosurgery using tetrafluoroethane: 18-month follow-up. Clin Adv Periodont 2012;2(3):129–134. DOI: 10.1902/cap.2012.110008.
  11. Ghoreishian M, Gheisari R, Fayazi M. Tissue adhesive and suturing for closure of the surgical wound after removal of impacted mandibular 3rd molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108(1):e14–e16. DOI: 10.1016/j.tripleo.2009.03.001.
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