Abstract

 The gingival complex plays an important role in the overall esthetics of a smile . Melanin, which is a brown pigment, is the most common natural pigment that contributes to endogenous pigmentation of the gingiva. For depigmentation of gingiva many treatment modalities have been reported like Scraping, Bur Abrasion, Partial Thickness Flap, Cryotherapy, Electrosurgery and Laser. The present article describes five cases of gingival melanin hyperpigmentation - Scraping, Bur Abrasion, Partial Thickness Flap, Electrocautery and Laser Technique. The purpose of the article is to discuss and compare the different techniques employed for depigmentation.

Keywords: Melanin; Depigmentation; Scraping; Bur Abrasion; Partial Thickness Flap; Electrocautery; Laser

References

1. Begamaschi O., et al. “Melanin repigmentation after gingivectomy: A five year clinical and transmission Electron Microscopic Study in Humans”. International Journal of Periodontics and Restorative Dentistry 1 (1993): 85-92.
2. Cicek Y and Ertas U. “The normal and pathological pigmentation of oral mucous membrane: a review”. Journal of Contemporary Dental Practice 3 (2003): 76-86.
3. Dummett C. “Oral tissue color changes (I)”. Quintessence International Dental Digest11 (1979): 39-45.
4. Roshna T and Nandakumar K. “Anterior Esthetic gingival depigmentation and crown lengthening: Report of a case”. Journal of Contemporary Dental Practice 3 (2005): 139-147.
5. Almas K and Sadiq W. “Surgical treatment of melanin pigmented gingiva: An esthetic approach”. Indian Journal of Dental Research 2 (2002): 70-73.
6. Tal H., et al. “Gingival depigmentation by erbium: YAG laser: Clinical observations and patient responses”. Journal of Periodontology 11 (2003): 1660-1667.
7. Dummett CO and Gupta OP. “Estimating the epidemiology of the oral pigmentation”. Journal of the National Medical Association 56 (1964): 419-240.
8. 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 2 (2011): 161-168.
9. Humagain M., et al. “Gingival depigmentation: A case report with review of literature”. Journal of Nepal Dental Association 10 (2009): 53-56.
10. Deepak P., et al. “Treatment of gingival pigmentation: A case series”. Indian Journal of Dental Research 4 (2005): 171-176.
11. Malhotra S., et al. “Gingival Esthetics by Depigmentation”. Journal of Periodontal Medicine and Clinical Practice 1 (2014): 79-84.
12. Gage AA and Baust J. “Mechanisms of tissue injury in cryosurgery”. Cryobiology3 (1998): 171-186.
13. Gnanasekhar JD and Al-Duwairi YS. “Electrosurgery in dentistry”. Quintessence International 10 (1998): 649-654.
14. Perlmutter S and Tal H. “Repigmentation of the gingiva following surgical injury”. Journal of Periodontology 1 (1986): 48-50.
15. Atsawasuwan P., et al. “Treatment of gingival hyperpigmentation for esthetic purposes by ND Yaglaser report of 4 cases”. Journal of Periodontology 2 (2000): 315-321.

Citation

Citation: Albert- López MJ., et al. “Hyaluronic Acid: Intraoral Application”. Acta Scientific Dental Sciences 4.7 (2020): 29-32.

Copyright

Copyright: © 2020 Albert- López MJ., 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.