Traditionally, gingival depigmentation has been carried out. Gingival depigmentation by cryosurgery using tetrafluroethane. Pdf background oral pigmentation is a discoloration of the oral mucosa or gingiva due to a variety of lesions and conditions associated with several. Depigmentation of gingiva using zolar diode laser video part 3 chinthamani laser dental implant. A split mouth randomized clinical comparative study to. It is the only depigmentation treatment for extensive vitiligo that has been approved by the fda food and drug agency, united states of america. There are several treatment modalities for gingival depigmentation unknown to the public and dental practitioners and they include. Smile designing by surgical lip repositioning with gingival depigmentation and crown lengthening mucogingival line. Excessive gingival pigmentation is a major esthetic problem for many people. Excessive gingival pigmentation is a major esthetic concern for many people. The treated gingiva appeared normal and remained depigmented until the present time, 20 months following freezing. Split mouth deepithelization techniques for gingival. Though, it is not a medical problem, many people complain of dark gums as unesthetic. If you continue browsing the site, you agree to the use of cookies on this website.
Gingival depigmentation is a periodontal plastic surgical procedure wherein the gingival hyperpigmentation is removed or reduced by various 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. Ria susan george3 depigmentation followed by crown lengthening. 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. This article offers a retrospective case series of gingival depigmentation by epithelial excision using scalpel. A comparative evaluation of the gingival depigmentation by using a surgical blade and a diode laser. Cryosurgical depigmentation of the gingiva tal 1987. Diode laser and surgical blade was used for the depigmentation in either of the arches. Cryosurgical depigmentation of gingiva by tfe is a new method and can be used with minimum complications and equipment and is cost effective. Various methods, including gingivectomy, gingivectomy with free gingival autografts, electrosurgery, cryosurgery, chemotherapy with 90% phenol or 95% ethyl alcohol, abrasion with bur, semiconductor diode laser, and co2 lasers have been used with different degrees of success in the treatment of gingival pigmentation. 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. A variety of methods have been used for gingival depigmentation. What links here related changes upload file special pages permanent link page.
Comparative evaluation of gingival depigmentation using a. Pdf gingival depigmentation using scalpel researchgate. Management of gingival hyperpigmentation by semiconductor. Two patients with gingival melanin hyperpigmentation were treated by 2780 nm er,cr. Keywords gingiva, aesthetic, depigmentation i ntroduction in todays aesthetic conscious world, gingival colour and display rate is an integral part of an individuals smile. Three case reports udatta kher, zeenat khan case report abstract melanin pigmentation of the gingiva is a common occurrence. Case report aesthetic treatment of gingival hyperpigmentation by er. Health, general gingiva physiological aspects gums pigmentation disorders care and treatment causes of. Surgical esthetic correction for gingival pigmentation. Naresh thukral demonstrating depigmentation procedure using diode laser. The clinical objective was to remove hypertrophic tissue, expose tooth structure, and remove melanin for a more esthetic smile. Gingival melanin depigmentation with diode laser case. Gingival hyperpigmentation is caused by excessive deposition of melanin in the. Melanin is the most commonly implicated pigment in gingival pigmentation.
Split mouth deepithelization techniques for gingival depigmentation. A case report ssv prasad, neeraj agrawal, nr reddy department of periodontics, peoples dental academy, peoples campus bhanpur, bhopal462037. Treatment of gingival hyperpigmentation with rotary abrasive. Management of gingival hyperpigmentation 2 case reports.
Nowadays, complaints of dark gums are common, particularly in patients having. 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. Melanin, a nonhemoglobinderived brown pigment, is the most common of the endogenous pigments and is produced by. Gingival depigmentation can be defined as a periodontal plastic surgical procedure whereby the gingival hyperpigmentation is removed or reduced by various techniques. Smile designing by surgical lip repositioning with. Different treatment modalities have been reported for depigmentation of gingiva such as bur abrasion, scraping, partial thickness flap, cryotherapy, electrosurgery and laser. Treatment of gingival hyperpigmentation with rotary. Mbeh or monobenzone is the most commonly used depigmenting agent used in vitiligo. One of the most common causes of oral pigmentation is smoker melanosis, a condition associated with the melanocyte stimulation caused by cigarette smoke. Depigmentation is not a clinical indication but a treatment of choice where esthetics is a concern and is desired by the patients. Gingival depigmentation pdf facial appearance depends on several oral and extraoral factors. Gingival depigmentation is a periodontal plastic or esthetic surgical procedure whereby the gingival hyperpigmentation is removed or reduced by various techniques. Treatment of gingival hyperpigmentation using co2 laser. This paper aims to illustrate the use of a carbon dioxide laser in the removal of the gingival melanic pigmentation for.
Ten systemically healthy patients who were aged 18 to 36 years were selected for the study. Diode laser is a minimally invasive treatment option for the. The gingiva is considered the most frequently pigmented tissue in the oral cavity 7. In compliance with fda rules, the patient and staff used special eyeglasses for protection. Gingival depigmentation cosmetic gum treatment in chattanooga. Esthetics, gingival pigmentation, depigmentation techniques. The gingiva is an important intraoral tissue which when affected particularly by skip to content.
Although melanin pigmentation of the gingiva is completely benign, cosmetic. After adequate local anesthesia, maxillary left heavily pigmented gingival areas up to the second premolar. A healthy 36yearsold female patient complained about unaesthetic gingiva and she had. Out of the several techniques employed for depigmentation, the surgical technique using scalpel is still the first and most popular technique. The gingival complex plays a vital role in the overall esthetics of a smile. A free gingival graft, as described by sullivan and atkins1968 was harvested from the palate to eliminate the high frenum attachment and to augment the width of the ketatinized gingiva. Fairskinned people with moderate or severe gingival pigmentation frequently request cosmetic treatment of the black gums. 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. Pdf gingival depigmentation by different technique. Treatment of gingival melanin hyperpigmentation by er,cr. Miami laser gum depigmentation laser gum bleaching while people frequently presume that the natural color of everyones gum i.
Tetrafluoroethane was used for the cryosurgical depigmentation and the gingival abrasion technique. 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. Laser therapy is an effective and noninvasive treatment option. Four systemically healthy patients who were aged 2128 years were selected for the study and were treated with different gingival depigmentation techniques. The aim of this study was to evaluate the efficacy of diod laser on the treatment of pgp in. The foremost indication for depigmentation therapy is the demand by a person for improved esthetics. Treatment of gingival hyperpigmentation by diode laser for. It is concluded that cryosurgery may prove to be the treatment of choice when gingival depigmentation is indicated. Recurrence of pigmentation is seen to be associated with gingival melanin.
Melanin, a brown pigment, is the most common natural pigment contributing to endogenous pigmentation of the gingiva. A split mouth comparative study between scalpel and cryosurgery. Malav sheth2 the successful treatment of excessive gingival dr. Gum depigmentation, also known as gum bleaching, is a procedure used in cosmetic dentistry.
Gingival depigmentation using surgical excision technique. Comparative evaluation of gingival depigmentation using. Caution was also taken near reflective surfaces, since. A comparative evaluation of the gingival depigmentation by using tetrafluoroethane cryosurgery and the gingival abrasion technique 2 years of follow up. In this procedure, sulcular or inverted beveled incisions are performed on the anterior teeth requiring crown lengthening based on the amount of bonesoft tissue to be removed and the new position of the gingival margin established in relation to the. 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. The patient asked about lightening her dark gingiva and was treated with a 6tooth gingivectomy and gingival depigmentation. Efficacy of liquid nitrogen and electrocautery assisted gingival. Gingival pigmentation cause, treatment and histological. For the maxillary left quadrant, a scalpel blade was used, and for the maxillary right quadrant, semiconductor diode laser was used.
Gingival pigmentation is a major concern for a large number of patients visiting the dentist. The first and foremost indication for depigmentation is the patients demand for improved aesthetics. Laser assisted gingival depigmentation is a single step procedure, with fast healing process and sterilization and without necessity of using periodontal dressing. Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique. Numerous gingival depigmentation gd procedures have been attempted in. 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. Gingival pigmentation is a discoloration of the gingiva due to a variety of lesions and conditions associated with several endogenous and exogenous etiologic features 8. Gingival depigmentation can be defined as a periodontal plastic surgical procedure whereby the gingival hyperpigmentation is removed. Total procedure time, from start to finish, was 20 minutes. An insight into gingival depigmentation techniques. Pdf pigmentation of gingiva not just has an impact on esthetics but also creates psychological negativity. Cyanoacrylate vs vitamin e application after laser depigmentation. Melanin pigmentation of the gingiva is not a medical problem.
Laser gum depigmentation gum depigmentation laser gum. Depigmentation of gingiva using zolar diode laser video. Unlike hydroquinone, it almost always causes irreversible depigmentation, as. Gingival depigmentation was planned from second premolar to second premolar in the maxillary region.
Treatment of gingival melanin hyperpigmentation by er, cr. Gingival hyperpigmentation gives black appearance to the gums which are. Pdf an insight into gingival depigmentation techniques. Gingival depigmentation an array of treatment modalities. Dwarakanath 1 1department of periodontics and implontology, vishnu dental college, bhimavaram, andhra pradesh, india. Gingival depigmentation by diode laser full text view.
Physiologic gingival pigmentationpgp is the most common type of gingival pigmentation and cosmetic concern particularly in gummy smile patients. For the flapless esthetic clinical crown lengthening procedure, an adequate band of keratinized tissue and a thin bone should be present. An external file that holds a picture, illustration, etc. Gingival pigmentation is presented as a diffuse deep purplish discoloration or as irregularly shaped brown and light brown or black patches, striae or strands. Depending on the gingival display during smiling, corrective measures may be needed for an esthetic purpose. 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. 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. It results from melanin granules, which are produced by melanoblasts. Subjects having gingival melanin hyperpigmentation would. Thukral was the key note speaker at vydehi institute of dental sciences organized by the dr. The burscraping technique provided stable clinical results with. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. A case with excessive gingival display and gingival hyperpigmentation, treated with anterior crown lengthening and gingival depigmentation using scalpel technique is described in this case report. The potential of autogenous epithelialized gingival grafts has been established for the management of physiologic gingival pigmentation.
Gingival depigmentation by free gingival autograft. Gingival depigmentation by cryosurgery and laser application a comparative clinical study ponaganti venkata narsimha rao 1, gautami s. Topical anesthetic gel was applied to the operational field. Gingival melanin hyperpigmentation is clinically presented as black gum which is not medical but esthetic problem especially for those who have. Gingival depigmentation chattanooga gum hyper pigmentation. The aim of this study was to compare the clinical efficacy of gingival depigmentation procedure with conventional scalpel technique and diode laser application. The gingiva is an important intraoral tissue which when affected particularly by pigmentation is mainly responsible for the unpleasant appearance. Aesthetic depigmentation of gingival smokers melanosis. Gingival depigmentation can be considered a periodontal plastic procedure whereby 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. Esthetical clinical crown lengthening, lip repositioning. Gingival depigmentation is a periodontal plastic procedure which has been carried out by various techniques. The gingiva is the most frequently pigmented tissue in the. Gingival depigmentation is a periodontal aesthetic surgical procedure by which the gingival hyperpigmentation is removed or reduced by a range of techniques. Gingival health and appearance are the essential components of an attractive smile.