Table 2 summarizes the studies comparing the different depigmentation techniques. Inappropriate technique or inadvertent application can result in a gingival recession, damage to attachment apparatus, underlying bone, as well as enamel. Chemical Gingival Peeling It is a treatment method used to destroy the overlying gingival epithelium using a chemical peeling agent. A variety of chemical agents are available such as phenols, salicylic acid, glycolic acid, and trichloroacetic acid.
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Gingival Depigmentation Cosmetic Gum Treatment in Chattanooga Gingival pigmentation is a major concern for a large number of patients visiting the dentist. This can be a natural occurrence or can result after certain dental procedures. The gingiva is the most frequently pigmented intraoral tissue, with the highest rate observed in the area of the incisors front teeth , but other oral tissues can also be affected. The area s of gum tissue affected by hyper pigmentation may appear black, brown, or blue in color.
Melanin hyper pigmentation, sometimes known as racial pigmentation, usually does not present as a medical problem, but patients may complain about the anesthetic appearance of their gum tissue. An amalgam tattoo can result after certain dental procedures. It can result when amalgam filling material becomes impregnated in the gingival tissues.
Patients may object to its appearance if it is in an esthetic area. Both forms of hyper pigmentation can be treated to eliminate the hyper pigmentation or at least reduce the pigmentation to improve the appearance of the gingival tissues. Jon Flynn has completed extensive training in the use of this laser. This simple and relatively painless procedure can dramatically improve the appearance of hyper pigmented areas. Below are before and after photos of a case treated in our office.
In some cases of amalgam tattoo, where the pigmentation is deep within the tissue, a surgical procedure may be recommended to remove the affected tissue and place a tissue graft to repair the area and restore a more natural appearance to the gingival tissue. This is usually not necessary for melanin racial hyper pigmentation.
For more information about Gingival Depigmentation or to schedule an appointment with Dr. Jon and Dr. Monique Flynn :.
Gingival depigmentation by Er,Cr:YSGG laser and diode laser: a split mouth, clinical trial study
Melanin in skin is very common in inhabitants in many parts of the world due to genetic factors. Melanin pigmentation in skin, oral mucosa, inner ear and other organs is a detoxification mechanism. Also in the gums and oral mucosa a visible pigmentation is most often caused by genetic factors, but also by tobacco smoking[ citation needed ] or in a few cases by long-term use of certain medications. If smoking stop or change of medication do not solve the problem with a disfigurating melanin pigmentation, a surgical operation may be performed. The procedure itself can involve a laser ablation techniques. These cells produce melanin, which are pigments that cause light or dark brown spots in gums and oral mucosa.
An insight into gingival depigmentation techniques: The pros and cons
E-mail: ni. This article has been cited by other articles in PMC. Abstract 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, techniques, and management of the problems associated with gingival melanin pigmentation are still not fully established. The following case series describes three different surgical depigmentation techniques: scalpel surgery, abrasion with rotary abrasive, and a diode laser. Better results of depigmentation were achieved with diode laser than conventional scalpel and with rotary abrasion with respect to esthetics. The results point out that lasers are an effective and a safe means to removal of hyperpigmentation from the gingiva. Healing was uneventful and no repigmentation occurred.
Gingival depigmentation: A split mouth comparative study between scalpel and cryosurgery
Materials and methods This research design was split mouth, double blind, and clinical trial. Bleeding, pain, healing, Dummett oral pigmentation index DOPI and Hedin melanin score changes and repigmentation were assessed. Patients were followed for 6 months. Results A total number of 14 patients were involved in this study. There was no statistically significant difference between groups in terms of repigmentation.
Department of Periodontics and Oral Implantology, Dr. E-mail: moc. This article has been cited by other articles in PMC. Abstract Gingival hyperpigmentation is a major esthetic concern for many people. Although it is not a medical problem, many people complain of dark gums as unesthetic.