Facial appearance depends on several oral and extraoral factors. The gingiva is an important intraoral tissue which when affected particularly by pigmentation is. Gingival Depigmentation. shArmilA VermA*, meerA Gohil**, VAnDAnA rAthwA†. AbstrAct. A smile expresses a feeling of joy, success, sensuality, affection and. ser than liquid nitrogen in case of gingival depigmentation. That’s why two alternative methods are used: laser ablation with an Er:YAG laser and cryosurgical.

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An attempt was made to remove gingival pigmentation surgically depigmeentation the maxillary left quadrant of the patient. The depigmentation procedure with scalpel was planned accordingly. The MPI score also showed that there was deipgmentation recurrence of pigmentation at 3 months.

The use of a rotary abrasive was planned to perform the depigmentation. 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” and “gummy smile.

Average smile line — only gingival embrasures visible. A periodontal dressing Coe-Pak was placed on the surgical wound area for patient comfort and to protect it for 1 week. Treatment of the melanin pigmentation using older methods like gingival abrasion, scalpel depigmentation, free gingival graft were time consuming, painful, required placement of periodontal dressings, uneven treated areas and showed results for only a short period of time than cryosurgery or lasers, which shows better results and faster outcome with minimal postoperative complications.

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Association of melanin pigmentation in the gingiva of children with parents who smoke. The ablated wound healed completely in 1 week. A comparative clinical study with 12 months of follow-up.

This was a simple, bloodless cryosurgery for the depigmentation of gingiva, requiring no local anesthesia or sophisticated gingiva. Preoperative view showing highly pigmented upper labial gingival. This could be easily attained by using any of the above three methods used in this case series. Cryogen is a substance used for cryosurgery.

Clinical observations and patient responses. Sliced pigmented section removed Click here to view. Local anesthesia was infiltrated in the maxillary anterior region from premolar to premolar Lignocaine with adrenaline in the ratio 1: Care was taken to see that all remnants of the pigment layer were removed [ Figure 3 ].

The gingiva depigmentatioh pink and healthy within 4 weeks [ Figure 2b ]. Surgical treatment of melanin-pigmented gingiva; An esthetic approach. Perlmutter S, Tal H.

Gingival depigmentation is a periodontal plastic surgical procedure whereby the hyperpigmentation is removed or reduced by various techniques. Cryosurgery, electro surgery, gingiva, lasers, melanin, pathologic, physiologic, pigmentation.

Gingival depigmentation: A split mouth comparative study between scalpel and cryosurgery

Melanin pigmentation is frequently caused by melanin deposition by active melanocytes located mainly in the basal layer of the oral epithelium. The normal and pathological pigmentation of oral mucous membrane: For depigmentation of gingival, different treatment modalities have been reported, such as scalpel, cryosurgery, electrosurgery, lasers, etc.


Local anesthesia was infiltrated in the maxillary anterior region from first premolar to first premolar. He concluded that TFE may be used as an off-label product with minor complications in melanin depigmentation of gingiva.

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Treatment of melanin pigmented gingiva and oral mucosa CO2 laser. The pigmentation is mostly localized at the anterior labial gingiva, affecting females more than males. Low smile line — gingival embrasures and cemento-enamel junction not visible.

The histological reaction gingifal clinically normal gingiva to freezing. This article has been cited by other articles in PMC. Open in a separate window.

Gingival depigmentation: A split mouth comparative study between scalpel and cryosurgery

The patient was kept on analgesics for a period of 5 days and was advised to use 0. In all the above three cases, no postoperative pain, hemorrhage, infection or scarring occurred in any of the sites on the first and subsequent visits. Abstract Melanin pigmentation often occurs in the gingiva as a result of an abnormal deposition of melanin, gingivl to which the gums may appear black, but the principles, techniques, and management of the problems associated with gingival melanin pigmentation are still not depigmdntation established.

Gingival depigmentation by erbium: