Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Research Article Volume 7 Issue 4

Evaluation of Surgical Scalpel Versus Semiconductor Diode Laser Technique in the Management of Gingival Melanin Hyperpigmentation Along with Crown Lengthening: A Split Mouth Randomized Clinical Comparative Study

Gayathri Radhakrishnan*, Pramod Tatuskar and Shobha Prakash

Post Graduate Student, College of Dental Sciences, Davangere, Karnataka, India

*Corresponding Author: Gayathri Radhakrishnan, Post Graduate Student, College of Dental Sciences, Davangere, Karnataka, India.

Received: March 07, 2023; Published: March 30, 2023

Abstract

Background: Gingiva that is dark or black in colour and has a lower clinical crown height is an aesthetic concern, especially in people who have a high lip line or a gummy smile. Gingival depigmentation and crown lengthening are perioplastic treatments in which the gingival epithelium is removed using various ways to obtain the results. The goal of this study was to examine two different treatments for gingival melanin pigmentation and crown lengthening.

Material and Methods: This was a randomised split-mouth trial in which 18 patients with diffuse, dark brown to black gingival discolouration and a short clinical crown were treated with a diode laser and surgical excision, and then followed up for 3 and 6 months. The data was analysed usingmann-whitneytest.

Results: When comparing the scalpel and laser techniques, bleeding during surgery, pain score, and the difficulty of the procedure as judged by the operator were all statistically higher for the scalpel technique. There was no statistically significant difference in wound healing between the two approaches.

Conclusion: Depigmentation and crown lengthening procedures can be accomplished using either a laser or a scalpel. The lasertreated locations, on the other hand, demonstrated less pain for the patient and improved operator comfort.

Keywords: Gingival Pigmentation; Melanin; Diode Laser; Surgical Scalpel Technique; Wound Healing

References

  1. Dummett CO. “Clinical observations on pigment variations in healthy oral tissues of the Negro”. Journal of Dental Research 1 (1945): 7-13.
  2. Ciçek Y and Ertaş U. “The normal and pathological pigmentation of oral mucous membrane: A review”. The Journal of Contemporary Dental Practice 4 (2003): 76-86.
  3. Ginwala TMS., et al. “Surgical removal of gingival pigmentation”. Journal of Indian Dental Association 6 (1996): 147-150.
  4. Tal H., et al. “Cryosurgical depigmentation of the gingiva. A case report”. Journal of Clinical Periodontology 10 (1987): 614-617.
  5. Deepak P., et al. “Treatment of gingival pigmentation: A case series”. Indian Journal of Dental Research 4 (2005): 171-176.
  6. Alhabashneh R., et al. “Gingival depigmentation using Er:YAG laser and scalpel technique: A six-month prospective clinical study”. Quintessence International 2 (2018): 113-122.
  7. Abraham S., et al. “Gingival depigmentation with diode laser: A case report”. Society of Periodontists and Implantologists of Kerala 1 (2010): 18-20.
  8. Ozbayrak S., et al. “Treatment of melanin-pigmented gingiva and oral mucosa by CO2 laser”. Oral Surgery, Oral Medicine, Oral Pathology, oral Radiology, and Endodontics 1 (2000): 14-15.
  9. Sedeh SA., et al. “Comparison of recurrent rate of gingival pigmentation Dіer treatment by liquid nitrogen and cryoprob in 18 months follows-up”. Dental Research Journal 11 (2014): 592-598.
  10. Camargo PM., et al. “Clinical Crown Lengthening in Esthetic Zone”. CDA Journal 57 (2007): 487- 498.
  11. Dummett CO and Gupta OP. “Estimating the epidemiology of oral pigmentation”. Journal of the National Medical Association 56 (1964): 419-420.
  12. Ishii SA., et al. “Application of an Er:YAG laser to remove gingival melanin hyperpigmentation: Treatment procedure and clinical evaluation”. Journal of Japanese Society for Laser Dentistry 13 (2002): 89-96.
  13. Kawashima Y., et al. “Er:YAG laser treatment of gingival melanin pigmentation”. International Congress Series 1248 (2003): 245-248.
  14. Steigmann S. “The relationship between physiologic pigmentation of the skin and oral mucosa in Yemenite jews”. Oral Surgery, Oral Medicine, Oral Pathology 1 (1965): 32-38.
  15. “Lasers in periodontics: a review of the literature”. Journal of Periodontology 77.4 (2006): 545-564.
  16. Mahajan G., et al. “To compare the gingival melanin repigmentation after diode laser application and surgical removal”. Journal of Indian Society of Periodontology 2 (2017): 112-118.
  17. Ginwala TMS., et al. “Surgical removal of gingival pigmentation”. Journal of Indian Dental Association 6 (1996): 147-150.
  18. Abduljabbar T., et al. “Efficacy of surgical laser therapy in the management of oral pigmented lesions: A systematic review”. Journal of Photochemistry and Photobiology B 173 (2017): 353-359.
  19. Pavlic V., et al. “Gingival melanin depigmentation by Er:YAG laser: A literature review”. Journal of Cosmetic and Laser Therapy 2 (2018): 85-90.
  20. Ozbayrak S., et al. “Treatment of melanin-pigmented gingiva and oral mucosa by CO2 laser”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology and Endodontology 1 (2000): 14-15.
  21. Ribeiro FV., et al. “Esthetic treatment of gingival hyperpigmentation with Nd:YAG laser or scalpel technique: a 6 month RCT of patient and professional assessment”. Lasers in Medical Science 29 (2014): 537-544.
  22. Simşek Kaya G., et al. “A comparison of diode laser and Er: YAG lasers in the treatment of gingival melanin pigmentation”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology 3 (2012): 293-299.
  23. Hempton TJ and Dominici JT. “Contemporary Crown-Lengthening Therapy: A review”. JADA 6 (2010): 647-655.
  24. Lagdive SB., et al. “Surgical lengthening of the clinical tooth crown by using semiconductor diode laser: A case series”. The Journal of Oral Laser Applications 10 (2010): 53-57.
  25. Hoopingarner CR. “Soft tissue gingivoplasty, osseous recontouring/crown lengthening, and frenectomy using an Er: YAG laser”. Journal of Laser Dentistry 2 (2008): 81-86.
  26. Vescovi P., et al. “Nd: YAG laser versus traditional scalpel. A preliminary histological analysis of specimens from the human oral mucosa”. Lasers in Medical Science 25 (2010): 685-691.

Citation

Citation: Gayathri Radhakrishnan.,et al. “Evaluation of Surgical Scalpel Versus Semiconductor Diode Laser Technique in the Management of Gingival Melanin Hyperpigmentation Along with Crown Lengthening: A Split Mouth Randomized Clinical Comparative Study".Acta Scientific Dental Sciences 7.4 (2023): 137-145.

Copyright

Copyright: © 2023 Gayathri Radhakrishnan., 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.




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