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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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Routine oral hygiene procedures were carried out and oral hygiene instructions were given.

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

A clinical study on the removal of gingival melanin pigmentation with the CO 2 laser. This technique is slower than spray technique. The degree of pigmentation varies from one person to another and depends on variety of factors especially the melanoblastic activity. A colorless, nonchlorofluorocarbon, nonflammable gas, 1, 1, 1, 2 TFE is usually used as a coolant or refrigerating systems and electronic circuits. Repigmentation of the gingiva following surgical injury.

Electrosurgery has its own limitations in that its repeated and prolonged use induces heat accumulation and undesired tissue destruction. Local anesthesia was infiltrated in the maxillary anterior region from premolar to premolar Lignocaine with adrenaline in dpeigmentation ratio 1: Discomfort like stinging, burning sensation or pain on prolonged freezing is experienced during the procedure.

The surgical area was covered with a periodontal dressing [ Figure 4 ].

A study on its removal for esthetics. Removal of gingival melanin pigmentation with the semiconductor diode laser: Repigmentation of the gingiva following surgical injury. 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. Abstract 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, techniques, and management of the problems associated with gingival melanin pigmentation are still not fully established.


Future shows bright outcome for the selection criteria for depigmentation in terms of cryosurgery. Case 3 A year-old female patient complaining of heavily pigmented gums visited Department of Periodontics, JKK Nattraja Dental College and Hospital, with a request for esthetic treatment of black gums.

A split mouth approach comparing scalpel technique with that of cryosurgery was planned. Open in a separate window. Related articles Esthetic gums gummy smile pigmentation. J Contemp Dent Pract. A high speed hand piece with an acrylic rotary abrasive was used to remove the pigmented layer [ Figure 2 ]. Post-surgical instructions were given to the patient along with antibiotics Amoxicillin mg, three times daily for 5 days and anti-inflammatory analgesics Ibuprofen and Paracetamol three times daily for 3 days.

An attempt was made to remove gingival pigmentation surgically on the maxillary left quadrant of the patient. The healing was uneventful. A study on the removal of the melanin pigmentationof dog gingiva by CO 2 laser irradiation. Freeze time commences once the solid ice has formed over the entire area. YAG laser, while the rate of heat generation is higher.

Results In all the above three cases, no postoperative pain, hemorrhage, infection or scarring occurred in any of deoigmentation sites on the first and subsequent visits. Preoperative view showing highly pigmented upper labial gingival.

The patient was kept on analgesics for a period of 5 days and was advised to use 0. This could be easily attained by using any of the above three depigmentatino used in this case series. The present case report demonstrates that the application of cryosurgery appears to be a simple, time-efficient, cost effective, and minimally invasive alternative procedure for gingival melanin depigmentation and the esthetic outcome may be maintained.


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Physiologic pigmentation is probably genetically determined, but gingivsl Dummet[ 6 ] suggested, the degree of pigmentation is partially related to mechanical, chemical, and physical stimulation. Results of 57 surgical depigmentation procedures in 48 patients Click here to view.

Dummet CO, Barens G. Melanin repigmentation after gingivectomy: At 48 h the blister ruptured, exposing a smooth underlying surface.

Kathariya R, Pradeep AR. Thus, perio-esthetic treatment modalities strive to achieve a harmonious inter-relationship of the pink with white, which is imperative of all treatment procedures. Pigmented gingival tissue many a times forces the patients to seek cosmetic treatment. J Indian Soc Periodontol. Surgical esthetic correction for gingival pigmentation: The normal and pathological pigmentation of oral mucous membrane: Using a number 15 Bard Parker blade, scrapping of the pigmented epithelium up to the level of the mucogingival junction was carried out, leaving the connective tissue intact [ Figure 2 ].

Pink esthetics in periodontics – Gingival depigmentation: A case series

Report of 4 cases. An updated literary review. Preoperative view showing unsightly physiologic melanin pigmentation of upper labial gingiva. Case 2 An year-old female had a chief complaint of black gingiva [ Figure 2a ].