Abstract

  Health and appearance of gingiva is an essential part of esthetic smile. The importance of achieving harmony between zeniths of free gingival margin and drape of upper lip is often less stressed in the global community. Gingival hyperpigmentation poses itself as an esthetic problem with patients complaining about their black gums. Esthetic gingival depigmentation procedures can be performed in such patients with excellent results. Limited awareness, less motivation and higher cost makes it a difficult treatment for the common man. Among the various techniques available for depigmentation, few have shown better results in terms of cost, patient satisfaction and the recurrence rates. This case series presents a split mouth de-epithelization procedure using scalpel and electrocautery and gives an insight on these treatment modalities, thus making it a beneficial approach for desired individuals.

Keywords: Gingiva; Melanin; Pigmentation; Depigmentation; Electrosurgery

References

1. Perlmutter S and Tal H. “Repigmentation of the gingiva following surgical injury”. Journal of Periodontology 57 (1986): 48-50.
2. Dummett CO. “Clinical observation on pigment variations in healthy oral tissues in the Negro”. Journal of Dental Research 24 (1945): 7-13.
3. Dummett CO., et al. “The relationship of facial skin complexion to oral mucosa pigmentation and tooth color”. Journal of Prosthetic Dentistry 43 (1980): 392-396.
4. Takashi H., et al. “Association of melanin pigmentation in the gingiva of children with parents who smoke”. Pediatrics 116 (2005): e186-e190.
5. Landry RG., et al. “Effectiveness of benzydamyneHCl in the treatment of periodontal post-surgical patients”. Research in Clinic Forums10 (1988): 105-118. 
6. Lin YH., et al. “Systematic review of treatment modalities for gingival depigmentation: a random-effects poisson regression analysis”. Journal of Esthetic and Restorative Dentistry 26.3 (2014): 162-178.
7. Almas K and Sadig W. “Surgical treatment of melanin-pigmented gingiva; an esthetic approach”. Indian Journal of Dental Research 13.2 (2002): 70-73.
8. Watanabe Y and Suzuki S. “An experimental study in capillary vascularization in the periodontal tissue following gingivectomy or flap operation”. Journal of Dental Research 42 (1963): 758.
9. Manivannan N., et al. “Scalpel versus electrosurgery: Comparison of gingival perfusion status using ultrasound Doppler flowmetry”. Journal of Pharmacy and Bioallied Sciences 5.2 (2013): S154-S59.
10. Kathariya R and Pradeep AR. “Split mouth de-epithelization techniques for gingival depigmentation: A case series and review of literature”. Journal of Indian Society of Periodontology 15 (2011): 161-168.
11. Quevedo WC. “Epidermal Melanin Units: Melanocyte-Keratinocyte Interactions”. American Zoologist 12.1 (1972): 35-41.

Citation

Citation: Prebha Manickam., et al. “The Reconstruction of Pink Esthetics Through Gingival Depigmentation- A Case Series”.Acta Scientific Dental Sciences 4.3 (2020): 42-46.

Copyright

Copyright: © 2020 Prebha Manickam., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.