Case Series on Depigmentation

Authors

  • Meenakshi Talati Student, Department of Periodontology TPCT’s Terna Dental College and Hospital, Sector-22, Nerul, Navi Mumbai-400706
  • Saurabh Prithyani Lecturer, Department of Periodontology TPCT’s Terna Dental College and Hospital, Sector-22, Nerul, Navi Mumbai-400706
  • Dipika Mitra Professor, Department of Periodontology TPCT’s Terna Dental College and Hospital, Sector-22, Nerul, Navi Mumbai-400706
  • Rohit Shah Reader, Department of Periodontology TPCT’s Terna Dental College and Hospital, Sector-22, Nerul, Navi Mumbai-400706
  • Silvia Rodrigues Reader, Department of Periodontology TPCT’s Terna Dental College and Hospital, Sector-22, Nerul, Navi Mumbai-400706
  • Harshad Vijayakar Professor and Head, Department of Periodontology TPCT’s Terna Dental College and Hospital, Sector-22, Nerul, Navi Mumbai-400706

DOI:

https://doi.org/10.53555/hsn.v4i7.627

Abstract

Gingival pigmentation is a major concern for a large number of patients visiting the dentist. The patients with excessive gingival display and pigmentation are more concerned esthetically. Most pigmentation is caused by five primary pigments out of which melanin has the maximum incidence rate. Melanin hyper pigmentation usually does not present as a medical problem, but patients may complain about their unesthetic black gums. 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.” This article offers a retrospective case series of gingival depigmentation by epithelial excision using scalpel. Out of the several techniques employed for depigmentation, the surgical technique using scalpel is still the first and most popular technique. This is a case report representing a simple surgical technique of de‑epithelization which has been successfully used to treat gingival hyperpigmentation caused by excessive melanin deposition and highlights the relevance of an esthetically pleasing smile especially in smile conscious individuals.

Downloads

Download data is not yet available.

References

Dummett CO. Clinical observation on pigment variations in healthy oral tissues in the Negro. J Dent Res 1945;24:7‑13.

Dummet CO, Barens G. Oromucosal pigmentation: An updated literary review. J Periodontol 1971;42:726‑36.

Dummett CO. Oral tissue color changes (I). Quintessence Int 1979;10:39‑45.

Cicek Y, Ertas U. The normal and pathological pigmentation of oral mucous membrane: A review. J Contemp Dent Pract 2003;4:76‑86.

Dummett CO, Barens G. Pigmentation of the oral tissues: A review of the literature. J Periodontol 1967;38:369‑78.

Carranza AC, Saglie FR. Clinical features of gingivitis In: Carranza FA. Glickman’s clinical periodontology. Philadelphia: WB Saunders Company; 1990. p. 109‑25.

Marsh PD. Dental plaque: Biological significance of a biofilm and community life‑style. J Clin Periodontol 2005;32 Suppl 6:7‑15.

Brocheriou C, Kuffer R, Verola O. [Pigmented lesions of the oral cavity] Ann Pathol 1985;5:221‑9. 9. Patsakas A, Demetriou N, Angelopoulos A. Melanin pigmentation and inflammation in human gingiva. J Periodontol 1981; 52:701‑4.

Porter SR, Flint SR, Scully C. Oral Diseases. In: Dunitz M, Editor. 2nd ed, London 1996. p. 1‑371. 11. Laskaris G. Color atlas of oral diseases in children and adolescents. New York: Thieme Stuttgart; 1999. p. 1‑337.

Amir E, Gorsky M, Buchner A, Sarnat H, Gat H. Physiologic pigmentation of the oral mucosa in Israeli children. Oral Surg Oral Med Oral Pathol 1991;71:396‑8.

Weathers DR, Corio RL, Crawford BE, Giansanti JS, Page LR. The labial melanotic macule. Oral Surg Oral Med Oral Pathol 1976;42:196‑205.

Perlmutter S, Tal H. Repigmentation of the gingiva following surgical injury. J Periodontol 1986;57:48‑50.

Tamizi M, Taheri M. Treatment of severe physiologic gingival pigmentation with free gingival autograft. Quintessence Int 1996;27:555‑8.

Almas K, Sadig W. Surgical treatment of melanin‑pigmented gingiva; An esthetic approach. Indian Dent Res 2002;13:70‑3.

Bergamaschi O, Kon S, Doine AI, Ruben MP. Melanin repigmentation after gingivectomy: A 5‑year clinical and transmission electron microscopic study in humans. Int J Periodontics Restorative Dent 1993;13:85‑92.

Tal H, Landsberg J, Kozlovsky A. Cryosurgical depigmentation of the gingiva. Acase report. J Clin Periodontol 1987;14:614‑7.

Tal H. A novel cryosurgical technique for gingival depigmentation. J Am Acad Dermatol 1991;24(2 Pt 1):292‑3.

Tal H, Littner S, Kozlovsky A. Depigmentation of human gingiva: Clinical observations after surgical and cryosurgical procedures. Compendium 1988;9:22‑5.

Kathariya R, Pradeep AR. Split mouth de‑epithelization techniques for gingival depigmentation: A case series and review of literature. J Indian Soc Periodontol 2011;15:161‑8

Steigmann S. Treatment of melanin‑pigmented gingiva and oral mucosa by CO2 laser. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:14‑5.

Özbayrak S, Dumlu A, Ercalik‑Yalcinkaya S. Treatment of melanin‑ pigmented gingiva and oral mucosa by CO2 laser. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:14‑5.

Yousuf A, Hossain M, Nakamura Y, Yamada Y, Kinoshita J, Matsumoto K. Removal of gingival melanin pigmentation with the semiconductor diode laser: A case report. J Clin Laser Med Surg 2000;18:263‑6.

Atsawasuwan P, Greethong K, Nimmanon V. Treatment of gingival hyperpigmentation for esthetic purposes by Nd:YAG laser: Report of 4 cases. J Periodontol 2000;71:315‑21.

Tal H, Oegiesser D, Tal M. Gingival depigmentation by erbium: YAG laser: Clinical observations and patient responses. J Periodontol 2003;74:1660‑7.

Nakamura Y, Funato A, Wakabayashi H, Matsumoto K. A study on the removal of the melanin pigmentationof dog gingiva by CO 2 laser irradiation. J Clin Laser Med Surg 1992;10:41‑6.

Nakamura Y, Hossain M, Hirayama K, Matsumoto K. A clinical study

on the removal of gingival melanin pigmentation with the CO(2) laser. Lasers Surg Med 1999;25:140‑7.

Tamizi M, Taheri M. Treatment of severe physiologic gingival pigmentation with free gingival autograft. Quintessence Int 1996;27:555‑8.

Novaes AB Jr, Pontes CC, Souza SL, Grisi MF, Taba M Jr. The use of acellular 31. American Academy of Periodontology. Lasers in Periodontics. J Periodontol 2002;73:1231‑9.

Downloads

Published

2018-07-31

How to Cite

Talati, M., Prithyani, S., Mitra, D., Shah, R., Rodrigues, S., & Vijayakar, . H. (2018). Case Series on Depigmentation. International Journal For Research In Health Sciences And Nursing, 4(7), 06–13. https://doi.org/10.53555/hsn.v4i7.627