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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J Indian Soc Periodontol. They observed unusual multinucleated giant cells in the epithelium near the periphery of the frozen area after 12 h.

Int J Periodontics Restorative Dent ; Physiologic pigmentation of the oral mucosa in Israeli children. Cicek Y, Ertas U.

Melanin pigmentation is the result of melanin granules produced by melanoblasts intertwined between epithelial cells at the basal layer of the gingival epithelium.

Footnotes Source of Support: There are increasing demands for cosmetic rehabilitation for gingival melanin pigmentation. Preoperative, b case II: Thus, perio-esthetic treatment modalities strive to achieve a harmonious inter-relationship of the pink with white, which is imperative of all treatment procedures. Here, radiation energy is transformed into ablation energy, resulting in cellular rupture and vaporization with minimal heating of the surrounding tissue.

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. The MPI score also showed that there was no recurrence of pigmentation at 3 months. The need and demand for esthetics requires the removal of unsightly pigmented gingival areas to create a pleasant and confident smile, which altogether may alter the personality of an individual.

Melanin pigmentation and inflammation in human gingiva. Lasers Surg Med ; Repair and reepithelization take place deep to the slough, which separates off after leaving a clean surface. Kathariya R, Pradeep AR. Preoperative a case I: Treatment of the melanin pigmentation using older methods like gingival abrasion, scalpel depigmentation, free gingival graft were time consuming, painful, required placement of periodontal dressings, uneven treated areas and showed results for only a short period of time than cryosurgery or lasers, which shows better results and faster outcome with minimal postoperative complications.


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

Laser light at to nm is poorly absorbed in water, but highly absorbed in hemoglobin and other pigments. Clinical Relevance to Interdisciplinary Dentistry Gingival hyper pigmentation is a very common esthetic complaint reported by patients in various fields of dentistry. This has the advantages of easy handling, short treatment time, hemostasis, and decontamination and sterilization effects.

It is a non—hemoglobin-derived pigment formed by cells called melonocytes which are dentritic cells of neuroectodermal origin in the basal and spinous layers. Over the years, several cryogens have been used. The procedures were performed with the same method as in the previous case. The smile line classification Liebart and Deruelle [ 6 ]. The exposed surface was irrigated with saline the surgical area was covered with a periodontal dressing [ Figure 16 ].

Abrasion technique using a large round diamond bur in a high speed handpiece with copius irrigation also has been used but difficulty remains in controlling the depth of de-epithelization and obtaining an adequate access.

Bur was used with minimal pressure with feather light brushing strokes. The lesion is allowed to thaw slowly that is, come back to room temperature. The procedures were performed with the same method as described in the previous case.

Open in a separate window. Visual analog scale The visual analog scale VAS was used to evaluate the subjective pain level experienced by the patient.


Tamizi M, Taheri M. Melanin pigmentation is frequently caused by melanin deposition by active melanocytes located mainly in the basal layer of the oral epithelium.

Wound healing was evaluated ddepigmentation on the following scores: The gingiva appeared pink, healthy, and firm giving a normal appearance [ Figure 1h ]. Indian J Dent Res. On examination, DOPI score was 3 and the patient depigmentatin a very high smile line that revealed the deeply pigmented gingiva from first premolar to first premolar and also had midline Diastema [ Figure 1 ].

Perlmutter S, Tal H. The normal and pathological pigmentation of oral mucous membrane: This article has been cited by other articles in PMC.

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

J Indian Soc Periodontol ; In the present case, the cryosurgical procedure was acceptable to the depigmehtation because it was not time-consuming.

Various depigmentation techniques have been employed. The cryogens Cryogen is a substance used for cryosurgery. At the periphery, the ragged blister membrane remains discernible. They include the following. Thus, it is generally considered that diode laser surgery can be performed safely in close proximity to dental hard tissue. The healing process was gingivwl normally and patient did not report any discomfort.

Pink esthetics in periodontics – Gingival depigmentation: A case series

Wound healing Wound healing was evaluated based on the following scores: Patient was recalled after 1-week for re-evaluation. Better results of depigmentation were achieved with diode laser than conventional scalpel and with rotary abrasion with respect to esthetics. Discussion Scalpel surgical technique One of the first, and still popular, depigmenttation to be employed was the surgical removal of undesirable pigmentation using scalpels.

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