scholarly journals GINGIVAL DEPIGMENTATION: CASE SERIES FOR FOUR DIFFERENT TECHNIQUES

2013 ◽  
Vol 03 (04) ◽  
pp. 132-136
Author(s):  
Sharath K. S. ◽  
Rahul Shah ◽  
Biju Thomas ◽  
Shabeer Mohamed Madani ◽  
Shamila Shetty
Keyword(s):  
Wound Healing ◽  
Diode Laser ◽  
Severe Pain ◽  
Case Series ◽  
Variable Amount ◽  
Laser Method ◽  
Melanin Pigmentation ◽  
Gingival Depigmentation

AbstractGingival melanin pigmentation occurs in all races in variable amount caused by melanin granules. The degree of pigmentation varies from person to person. Excessive gingival pigmentation may be a major esthetic concern for many patients. Methods of deepithelialization of the pigmented or discolored areas of gingiva using different methods such as scalpel method, bur method or laser method are well documented. The procedure for all three techniques has been described and evaluated here. Following presentation encloses a case series in which depigmentation of upper anterior gingival was carried out. The case presented with moderate to severe pigmented gingival (DOPI score ≥ 3) which were treated with one of the above mentioned techniques. The results of these cases suggested that ablation of the gingiva by a Diode laser, abrasion with a scalpel or rotary round bur is good enough to achieve esthetic satisfaction and fair wound healing without infection or severe pain.

scholarly journals Gingival Depigmentation Using Diode 980 nm and Erbium-YAG 2940 nm Lasers: A Split-Mouth Clinical Comparative Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Zaid Kamel Jnaid Harb ◽  
Walid El-Sayed ◽  
Jumma Alkhabuli
Keyword(s):  
Wound Healing ◽  
Diode Laser ◽  
Er:Yag Laser ◽  
Pain Patient ◽  
Laser Technique ◽  
Melanin Pigmentation ◽  
Yag Laser ◽  
Anterior Teeth ◽  
The Right ◽  
Gingival Depigmentation

Aim of the Study. This study aimed to compare the effectiveness of diode laser (980 nm) and erbium-YAG laser (2940 nm) for gum depigmentation. Background. Gingival hyperpigmentation, “black gum,” refers to black discrete single or multiple pigments on the gingiva. Several factors may play a role in gingival hyperpigmentation ranging from physiologic pigmentation to manifestations of systemic diseases. Several techniques have been used for gingival depigmentation to lighten its color. Methods. Fifteen patients exhibiting nonsmoking melanin hyperpigmentation, with the mean age of 28.6 ± 7.8 years, were recruited. The facial gingiva of the anterior teeth and premolars of each jaw was divided into two halves. The right or left side of each jaw quadrant randomly received either diode laser operating at 980 nm wavelength or erbium-YAG laser at 2940 nm. Parameters such as degree of gingival depigmentation, bleeding, pain, patient satisfaction, and wound healing were assessed and compared between the two techniques. The subjects were followed up to six months for melanin pigmentation recurrence. Results. Both techniques were efficient for gingival depigmentation. Nevertheless, bleeding during surgery was statistically higher for Er:YAG laser technique as compared to diode laser. Wound healing showed statistically nonsignificant differences between the two lasers, although Er:YAG seems to give better outcomes than the diode. The patients were satisfied with both laser techniques during and after gingival depigmentation. However, the pain score was higher for Er:YAG laser than for diode laser. Conclusion. This study demonstrated that both lasers’ techniques are efficient for gingival depigmentation. However, diode laser seems to show less painful experience and relatively better bleeding control.

scholarly journals Assessment of Clinical Outcomes and Patient Response to Gingival Depigmentation by Scalpel Surgical Stripping and Diode Laser: A Randomized Split-Mouth Study

2019 ◽  
Vol 10 (1) ◽  
pp. 13-18
Author(s):  
Shivjot Chhina ◽  
Abhishek Gakhar ◽  
Stuti Gupta ◽  
Shradha ss ◽  
Ejya Sharma ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Oral Cavity ◽  
Diode Laser ◽  
Patient Comfort ◽  
Laser Technique ◽  
Analog Scale ◽  
Patient Response ◽  
Melanin Pigmentation ◽  
Aesthetic Results ◽  
Gingival Depigmentation

Oral melanin pigmentation is a ubiquitous presentation in the oral cavity. It could be a cause of psychological distress to many subjects due to aesthetic reasons. Aims and Objectives: This study attempts to compare the laser and scalpel depigmentation techniques. It also includes a comparison related to the Visual Analog Scale, patient comfort, healing response and time taken for the procedure and recurrence of pigmentation. Materials and Methods: A total of 10 patients were included in the study. A split-mouth approach comparing the scalpel technique with that of the diode laser technique was planned. Results and Conclusion: The results of the present study revealed that both laser and scalpel techniques are equally effective for depigmentation, yielding aesthetic results.

Esthetic Management of Melanin Hyperpigmentation using Diode Laser: A Report of Four Cases

2015 ◽  
Vol 6 (2) ◽  
pp. 56-59
Author(s):  
Samba Siva Reddy ◽  
Amera Ayubi ◽  
Vinaya K Ramachandra
Keyword(s):  
Diode Laser ◽  
Case Series ◽  
Treatment Modalities ◽  
Gingival Tissue ◽  
Melanin Pigmentation ◽  
Yellow Color ◽  
Increasing Demand

ABSTRACT Gingival hyperpigmentation occurs as triangular/linear/diffuse patches of dark brown to black or light brown to yellow color. Pigmentation may be seen at any age irrespective of sex, although it varies among different races and population. Melanin pigmentation is caused by melanin granules in gingival tissue, which are produced in melanosomes of melanocytes. The ever-increasing demand for esthetics has made individuals conscious of any dark patches of pigmentation, especially on the facial aspects of the anterior gingiva. Melanin hyperpigmentation although medically insignificant is an esthetic concern that is aggravated in individuals with excessive gingival display. Among the plethora of treatment modalities used for depigmentation, lasers have yielded promising results. This case series highlights the effectiveness of diode laser in the management of gingival melanin pigmentation. How to cite this article Reddy SS, Ayubi A, Ramachandra VK. Esthetic Management of Melanin Hyperpigmentation using Diode Laser: A Report of Four Cases. J Health Sci Res 2015;6(2): 56-59.

scholarly journals Diode Laser: An Ideal Option for Treatment of Gingival Hyperpigmentation

2013 ◽  
Vol 2 (2) ◽  
pp. 139-140
Author(s):  
Flavia Bittencourt Pazinatto
Keyword(s):  
Case Report ◽  
Diode Laser ◽  
Basal Layer ◽  
Medical Problem ◽  
Oral Epithelium ◽  
Melanin Pigmentation ◽  
Number Of Patients ◽  
Gingival Depigmentation

ABSTRACT Gingival hyperpigmentation are major concerns for a large number of patients visiting the dentist. Melanin hyperpigmentation usually does not present a medical problem, but patients usually complain of dark gums as unesthetic. Pigmentation of gingiva is commonly caused by deposition of melanin in the basal layer of oral epithelium. Gingival melanin pigmentation may be seen across all the races and at any age without gender predilection. This case report describes the application of semi conductor diode laser procedure for gingival depigmentation. How to cite this article Saini R, Pazinatto FB, Radnai M. Diode Laser: An Ideal Option for Treatment of Gingival Hyperpigmentation. Int J Experiment Dent Sci 2013;2(2): 139-140.

scholarly journals Photobiomodulation- Yes or No?. following laser gingival depigmentation: A case report

2021 ◽  
Vol 8 (2) ◽  
pp. 102-106
Author(s):  
Tualzik Thangmawizuali ◽  
Rahul Chopra ◽  
Swyeta Jain Gupta ◽  
Nikhil Sharma ◽  
Lakita Gulati ◽  
...  
Keyword(s):  
Wound Healing ◽  
Protein Synthesis ◽  
Case Report ◽  
Diode Laser ◽  
Inflammatory Process ◽  
Low Dose ◽  
Psychological Problem ◽  
Rna And Protein Synthesis ◽  
The Many ◽  
Gingival Depigmentation

Gingival hyperpigmentation in many esthetic concern patient poses a psychological problem and embarrassment. Among the many procedures used for gingival depigmentation, diode laser is considered as one which is highly accepted by the patient due to the absence of bleeding during and after procedure and being a fast and effective method. Literature have also stated the beneficial effect of low dose laser therapy on wound healing due to its potential to increase mitochondrial function, adenosine triphosphate (ATP), RNA, and protein synthesis which may further increase the cellular metabolism resulting in enhancement in wound healing and acceleration of the inflammatory process. This case report presents the use of diode laser for gingival depigmentation followed by laser photobiomodulation in an attempt to fasten the healing.

scholarly journals The Integration of a Dual-Wavelength Super Pulsed Diode Laser for Consistent Tissue Ablation in the Esthetic Zone: A Case Series

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Nur Hafizah Kamar Affendi ◽  
Rohana Ahmad ◽  
Farhad Vahidi ◽  
Mohd Zulkifli Hassan ◽  
Siti Nadia Rahimi
Keyword(s):  
Diode Laser ◽  
Case Series ◽  
Dual Wavelength ◽  
Tissue Ablation ◽  
Collateral Damage ◽  
Case Description ◽  
Laser Systems ◽  
Laser Devices ◽  
Larger Sample ◽  
Gingival Depigmentation

Introduction. A diode laser is one of the universally compact accepted laser systems used fundamentally for soft tissue applications. Most diode laser devices have a single wavelength of either 810 nm for superior coagulation or 980 nm for tissue ablation. In these case series, the use of dual wavelengths (810 nm and 980 nm) in combination with super pulsing has provided a cleaner cut (no charring) with faster healing that eases the placement of the final restoration in the esthetic zone. Case Description. The present case series describe four cases in the esthetic zone that achieved hemostasis ablation without collateral damage to enhance gingival balance of definitive restoration. The gingivoplasty and gingivectomy modes are used to achieve efficient tissue ablation. Although there is no specific mode indicated in the FDA laser requirement for gingival depigmentation, the procedure could be safely performed with the dual-wavelength diode laser Result. All four patients revealed a good esthetic outcome and reported no pain postoperatively. Healing was uneventful, and definitive restoration was delivered within two to four weeks postoperatively. Conclusion. Within the limitation of these case series, the dual-wavelength super pulsed diode laser has the capacity to deliver peak powers resulting in efficient cutting and less tissue charring and also as an alternative tool for removal of gingival pigmentation. Prospective clinical research with larger sample size is needed for conclusive results.

scholarly journals Gingival melanin depigmentation by 810 nm diode laser

2018 ◽  
Vol 12 (01) ◽  
pp. 149-152 ◽  
Author(s):  
Eser Elemek
Keyword(s):  
Diode Laser ◽  
Case Series ◽  
Complete Healing ◽  
Chief Complaint ◽  
Patient Comfort ◽  
Main Role ◽  
Continuous Mode ◽  
Heavy Smoking ◽  
Melanin Pigmentation ◽  
Maxilla And Mandible

ABSTRACTThe color of gingiva is determined by number and size of blood vessels, thickness of epithelium, keratinization degree, and melanin pigments present in epithelium. Melanocytes, located in basal and suprabasal layers of epithelium, are the cells that produce melanin pigments which play a main role for pigmentation of gingiva. In this case series, the use of 810 nm diode laser for depigmentation of gingiva is presented. Two female patients applied with a chief complaint of “darkened gums” due to heavy smoking. In intraoral examination, diffuse melanin pigmentation was observed in both the maxilla and mandible. Under the local anesthesia, 810 nm diode laser was applied for depigmentation at 1.3 W power in continuous mode. Patients were recalled at weeks 1, 4, and 12 to evaluate the healing and recurrence rate. Both the patients had no postoperative pain or edema, and complete healing was observed at week 12. This study revealed that depigmentation with 810 nm diode laser is successful in terms of esthetics and patient comfort.

scholarly journals Laser Treatment for Melanin Gingival Pigmentations: A Comparison Study for 3 Laser Wavelengths 2780, 940, and 445 nm

2020 ◽  
Vol 2020 ◽  
pp. 1-11 ◽  
Author(s):  
Manaf Taher Agha ◽  
Pavel Polenik
Keyword(s):  
Wound Healing ◽  
Patient Satisfaction ◽  
Main Type ◽  
Gingival Tissue ◽  
Comparison Study ◽  
Normal Appearance ◽  
Melanin Pigmentation ◽  
Histological Studies ◽  
Pain Duration ◽  
Gingival Depigmentation

The normal appearance of the gingiva is pink to light red, and this appearance may change due to many factors and might be noticeable causing aesthetic concerns. In the Gulf area, the gingival melanin pigmentation is of the main type of concern, and patients expect the pigmentation to be removed for aesthetic reasons. Many techniques have been used to remove the melanin pigmentation such as using surgical blades, diamond or ceramic burs, chemicals, and lasers. This study is comparing the results of three lasers (Er, Cr, YSGG 2780 nm, Diode 940 nm, and 445 nm) in the removal of melanin gingival depigmentation. Clinical outcome parameters including bleeding, wound healing, pain, duration of procedure, color improvement, patient satisfaction, and relapse rate after 2 years were assessed. Conclusion. Within the limitation of this study, all three wavelengths were fast, effective in peeling the pigmentations and well tolerated by the patients. The esthetical results were excellent, and the patients were highly satisfied. Suggestion. To have a bigger number of samples in future papers, and histological studies might be included to explore the different impacts of each wavelength on the gingival melanin pigmentation specifically and on the gingival tissue generally.

scholarly journals A Comparative Clinical Study on Surgical Blade and Diode Laser in the Treatment of Gingival Melanin Pigmentation

2021 ◽  
Vol 10 (10) ◽  
pp. 689-693
Author(s):  
Somit Kumar Jain ◽  
Nina Shenoy ◽  
Mehul Kumar Chourasia ◽  
Amitha Ramesh
Keyword(s):  
Wound Healing ◽  
Clinical Study ◽  
Diode Laser ◽  
Pain Perception ◽  
Rank Test ◽  
Side Group ◽  
Melanin Pigmentation ◽  
Comparative Clinical Study ◽  
Group 2 ◽  
Group 1

BACKGROUND Gingival melanin pigmentation (GMP) is a common aesthetic concern. The gold standard for depigmentation, is surgery. Recently soft tissue lasers have gained popularity. The purpose of this study was to compare and evaluate the clinical efficacy of surgical blade and laser treatment in terms of pain perception and wound healing outcomes, 7 and 14 days following the procedures for the treatment of gingival depigmentation. METHODS This 14 day follow up comparative clinical study, utilized a split mouth design, in the anterior region. Fifteen patients with moderate to heavy bilateral gingival pigmentation were included as per the criteria by Dummett et al. The patients’ right side (group 1) was treated with surgical blade and the left side (group 2) with diode laser (Picasso, AMD LASERS™) by a trained clinician. Pain perception was assessed using Visual Analog Scale (VAS) and wound healing was assessed using clinical parameters. RESULTS Data was analysed using paired t test and Wilcoxon’s signed rank test. P value of < 0.05 was considered statistically significant. On day 7, more than 70 % patients had slight pain in group 1. Whereas, 47 % experienced no pain in group 2. The mean difference in VAS scores between the groups at day 7, was statistically significant. No statistically significant distinction in wound healing was observed 7 days following both procedures. No pain, and complete epithelialisation was noted in both groups on day 14. CONCLUSIONS Pain experienced by the patients was slightly more in the scalpel group compared to laser. There was no difference in wound healing between both groups. KEY WORDS GMP, Gingival Melanin Pigmentation, VAS Scale, Depigmentation, Wound Healing, Laser, Surgical Blade, Split Mouth Design

scholarly journals GINGIVAL DEPIGMENTATION BY GINGIVAL CERAMIC TRIMMER

2020 ◽  
Vol 6 (1) ◽  
pp. 43-48
Author(s):  
Kabyik Goldar ◽  
Krishna Kumar Chaubey ◽  
Swati Agarwal ◽  
Tanya Agarwal
Keyword(s):  
Case Series ◽  
Cost Effective ◽  
Laser Method ◽  
Current Trends ◽  
Chemical Agents ◽  
Healing Index ◽  
Lower Pain ◽  
Negative Role ◽  
Present World ◽  
Gingival Depigmentation

Cosmetic desires have improved with time and current trends speak volumes about gingival esthetics and smile designing. Gingival hyperpigmentation plays a negative role in an otherwise acceptable 'smile window'. In the present world, people are concerned more about their esthetics. Several techniques have been employed such as scalpel, electrosurgery, cryosurgery, chemical agents, abrasion, and laser method for the removal of melanin hyperpigmentation. The present case series were aimed to assess the efficacy of gingival soft tissue ceramic trimmer in gingival hyperpigmentation. Pain index (VAS), healing index (Landry, Turnbull & Howley index) and pigmentation index (Takashi et al. 2005) were evaluated to assess its efficacy. The results showed that ceramic trimmer has a lower pain index and a better healing index and delayed re-pigmentation index than rest all other procedures. Thus, it can be concluded that ceramic trimmer might prove to be a boon in achieving aesthetic satisfaction and could be used for depigmentation as it is very cost-effective, readily available and acceptable to the patient.

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