Topical anesthetic gel was applied to the operational. A case report abstractg introduction conclusion references discussion case report legends gingival pigmentation involving maxillary as repigmentation. Development in techniques for gingival depigmentation an. Numerous procedures have been developed for depigmentation of the gingiva, such as scalpel method, bur abrasion 4, free gingival graft 5, gingivectomy 6, cryosurgery 7, and laser. Laser ablation of gingival depigmentation has been recognized as one of the effective, pleasant and reliable techniques. A clinical and microscopic study of the free and attached gingiva. Dumett examined 600 negroes of varying shades of complexion to determine the relationship of oral to cutaneous pigmentation and found that gingival pigmentation was directly proportional to skin pigmentation erica amir et al 1991 studied the oral physiologic pigmentation and found that it varied. Comparative evaluation of gingival depigmentation using tetrafluoroethane cryosurgery and gingival abrasion technique. Gingival hyperpigmentation is caused by excessive deposition of melanin in the basal and suprabasal cell layers of the epithelium.
The surface of gingiva is keratinised and may exhibit an orange peel appearance, called stippling. Jcdr gingiva, melanin, pigmentation, aesthetics, gingival. The present study was undertaken to evaluate patient response and recurrence of pigmentation following gingival depigmentation carried out with a surgical blade and diode. Pigmentation of gingiva not just has an impact on esthetics but also creates psychological negativity. 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. Hyperpigmented gingiva is considered unaesthetic and unsightly by many, and there is an increasing demand for depigmentation of gingiva from patients. Comparative evaluation of healing following gingival. Nonablative melanin depigmentation of gingiva sirona. For an attractive smile, health and color of the gingiva are essential components. It is usually sufficient to eliminate the pigmented areas and do not require any periodontal dressing. Pink esthetics in periodontics gingival depigmentation. The gingiva is firm in consistency and firmly attached to the underlying alveolar bone.
All exhibited diffuse pigmentation of the maxillary vestibular gingiva extending to the second premolar areas, without any associated radiographic abnormalities. However, pigmented gums can be a major cause of embarrassment for patients, especially those with a. The marginal gingiva was also very thin and thus some remnants were left in order to prevent gingival recession. Depigmentation is a procedure of removing or reducing of gingival hyperpigmentation. Depigmentation laser 1 year, 6 sessions depigmentation cream 12 months, 1xd application depigmentation to repigmentation of gingiva vikram reddy guntakalla1, et, al. Diffuse pigmentation of maxillary attached gingiva. Association of melanin pigmentation in the gingiva of. Hence, periodontists have to achieve a harmonious interrelationship of the pink gingiva and white teeth. Gingiva, depigmentation, laser, electrosurgery, scalpel, bur. Excessive gingival pigmentation is a major esthetic problem for many people. This demand gets fulfilled not only by having healthy set of dentition but also esthetically improved. What links here related changes upload file special pages permanent link page. Considering the patients concern, depigmentation procedure was planned using electrocautery. Gingival hyperpigmentation usually occurs due to the abnormal accumulation of melanin in the gingival.
The association between gingival pigmentation and active smoking has been established. A pleasing smile is desired by all, and forms the main focus of aesthetic dentistry. Comparison of efficacy of depigmentation of gingiva in. For depigmentation of gingiva different treatment modalities have been reported like bur abrasion, scalpel method, cryotherapy, electrosurgery and laser. Dental esthetic needs of patients are increasing with a greater demand on pleasing look. Management of gingival hyperpigmentation by semiconductor. Gingival pigmentation is an esthetic problem for many people. This investigation is the first to address the relationship between gingival. Read cryosurgical depigmentation of the gingiva, journal of clinical periodontology on deepdyve, the largest online rental service for scholarly research with thousands of academic.
Depigmentation is a procedure of removing or reducing of gingival. Gingival pigmentation occurs in all races of man and it varies from one race to another. Nowadays, complaints of dark gums are common, particularly in patients having. The outcomes of techniques employed for depigmentation are varied and no one method can be deemed as ideal. Gingival depigmentation can be defined as a periodontal plastic surgical procedure whereby the gingival hyperpigmentation is removed. The purpose of the research is to investigate the advantage of using er. It also shows reduced pain and discomfort due to formation of protein coagulum. Depigmentation of gingiva using zolar diode laser video. Treatment of gingival hyperpigmentation aesthetics. The pigmentation in the gingiva gums is due to abnormal melanin granules. There is difficult control of penetration and risk for excessive tissue. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Melanin pigmentation of the gingiva is not a medical problem.
Depigmentation to repigmentation of gingiva vikram reddy guntakalla11, jagadish reddy gooty2, sunil kumar palakuru3, nera mahipal4, sailaja t5 abstract. A case report ssv prasad, neeraj agrawal, nr reddy department of periodontics, peoples dental academy, peoples campus bhanpur, bhopal462037. Depigmentation of gingiva using zolar diode laser video part 3. Different treatment modalities have been reported for depigmentation of gingiva such. Cryosurgical depigmentation of gingiva by tfe is a new method and can be used with minimum complications and equipment and is cost effective. The gingiva is an important intraoral tissue which when affected particularly by pigmentation is. For depigmentation of gingiva, different treatment modalities have been reported, such. Laser assisted gingival depigmentation is a single step procedure, with fast healing process. Gingival depigmentation by cryosurgery using tetrafluroethane. Pdf gingival depigmentation using scalpel researchgate. Surgical esthetic correction for gingival pigmentation.
Development in techniques for gingival depigmentation an update. Most commonly used lasers for gingival depigmentation are carbon dioxide co 2, 10,600 nm lasers, neodymium. Yag laser than liquid nitrogen in case of gingival depigmentation. The colour of the gingiva can range from light brown to blueblack depending on the source and depth of the pigment. Case report aesthetic treatment of gingival hyperpigmentation by er. Electrocautery was used for depigmentation of the upper right anterior. 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. Treatment of gingival hyperpigmentation with rotary abrasive.
Gum depigmentation, also known as gum bleaching, is a procedure used in cosmetic dentistry to lighten or remove black spots or patches on the gums consisting of melanin. Efficacy of various depigmentation techniques semantic scholar. A loop electrode was used for depigmentation of gingiva figure 5. The gingiva is an important intraoral tissue which when affected particularly by pigmentation is mainly responsible for the. Gingival pigmentation cause, treatment and histological. Cryosurgical depigmentation of the gingiva, journal of. Hyperpigmented gingiva is considered unaesthetic and. An insight into gingival depigmentation techniques. Depigmentation of gingiva periodontics management of. Research associate and clinical instructor, department of periodontology, the royal dental college, aaarhus, denmark. Although a wide array of depigmentation techniques are available to manage this. Gum depigmentation, also known as gum bleaching, is a procedure used in cosmetic dentistry.
Gum bleaching gum depigmentation indian dentist kerala dr varun nambiar. Gingival depigmentation by free gingival autograft. Pigmented gingiva a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional. Hirschfeld i and hirschfeld l in 1951, used a mixture of phenol 90% and alcohol 95% to burn out pigmented gingiva in 12 patients with gingival pigmentation.
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