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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This has the advantages of easy handling, short treatment time, hemostasis, and decontamination and sterilization effects. In our study also, the healing by scalpel was faster than that by cautery and laser. The results point out that lasers are an effective and a safe means to removal of hyperpigmentation from the gingiva.

Different treatment modalities have been used for this aim.

The depigmentation procedure by scalpel technique is simple, easy to perform, depigmenation, and above all, cost effective.

Cryosurgery can be used repeatedly and safely even where surgery is contraindicated as this procedure eliminates the use of a scalpel. Although it is not a medical problem, many people complain of dark gums as unesthetic.

Surgical depigmentatioon of melanin-pigmented gingiva; An esthetic approach. The present case report demonstrates that the application of cryosurgery appears to be a simple, time-efficient, cost effective, and minimally invasive alternative procedure for gingival melanin depigmentation and the esthetic outcome may be maintained.


Treatment of severe physiologic gingival pigmentation with free gingival autograft.

J Periodontol ; Almas K, Sadig W. Although healing of laser wounds is slower than healing of scalpel wounds, a sterile inflammatory reaction occurs after laser use.

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

Kathariya R, Pradeep AR. J Interdiscip Dentistry ;2: The dose of cryogen and the choice of delivery method depend on the size, tissue type, and depth of the lesion.

The distance of this point, in centimeters, from depigmentatioon left end of the scale was recorded and used as the VAS score: First symposium on oral pigmentation. Table 1 Clinical evaluation of wound healing.

Pink esthetics in periodontics – Gingival depigmentation: A case series

Cicek Y, Ertas U. The gingiva appeared healthy and no repigmentation was observed at the end of 1 and 3 months [ Figure 18 ].

Clinical observations after surgical and cryosurgical procedures. Discussion Scalpel surgical technique One of the first, and still popular, techniques to be employed was the surgical removal of undesirable pigmentation using scalpels.

Because the patient was under anesthesia, evaluation of pain was done 1 day postoperatively.

Almas K, Sadiq W. None, Conflict of Interest: He concluded that TFE may be used as an off-label product with minor complications in melanin depigmentation of gingiva. The degree of pigmentation varies from one person to another and depends on variety of factors especially the melanoblastic activity.


Pink esthetics in periodontics – Gingival depigmentation: A case series

Based on the available literature, gingival melanin pigmentation can vary depending on whether it is physiological or pathological, based on the depigmenttaion, color or it can be traumatic. Oral tissue color changes I. Post-surgical antibiotics Amoxicillin mg, three times daily for 5 days and Analgesics ibuprofen with paracetamol, three times daily for 3 days were prescribed.

Very high smile line — more than 2 mm of the marginal gingiva visible.

The procedures were performed with the same method as described in the previous case. J Indian Soc Periodontol.

Fraser J, Gill W. Selection of the technique should be based on clinical experiences and individual preferences. Perlmutter S, Tal H. Better results of depigmentation were achieved with diode laser than conventional scalpel and with rotary abrasion with respect to esthetics. Care was taken to see that all remnants of the depigmdntation layer were removed [ Figure 3 ].