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.

scholarly journals Clinical Effectiveness of Gingival Depigmentation Using Conventional Surgical Scrapping and Diode Laser Technique: A Quasi Experimental Study

2016 ◽  
Vol 9 (3) ◽  
pp. 296 ◽  
Author(s):  
Reddy Nagati Raghavendra ◽  
M. Ragul ◽  
Al-Qahtani Nabeeh ◽  
K. S. Ravi ◽  
S. Tikare ◽  
...  
Keyword(s):  
Diode Laser ◽  
Statistical Difference ◽  
Clinical Effectiveness ◽  
Patient Comfort ◽  
Patient Acceptance ◽  
P Value ◽  
Laser Technique ◽  
Gingival Bleeding ◽  
Gingival Depigmentation

<p>Excessive gingival pigmentation is a major aesthetic concern in modern society, though it is not a medical problem they consider it as a negative attribute. Patients with gingival hyperpigmentation usually complain and request cosmetic therapy, particularly if the pigmentation is visible during speaking and smiling. Various depigmentation methods, including burr abrasion, cryosurgery, electro-surgery, split thickness flap excision and surgical scraping techniques have been used with varying degrees of success. Recently, lasers have been used to ablate cells containing and producing the melanin pigment. The present study was undertaken to compare the clinical effectiveness and patient comfort of surgical scrapping and diode laser technique used for gingival depigmentation for a follow up period of 6 months.20 subjects participated in this split mouth study. The clinical evaluation parameters included Extent and Intensity of gingival hyperpigmentation, post-operative gingival bleeding and pain. On follow up examination at 6<sup>th</sup> month there was no statistical difference in repigmentation extent and intensity between diode laser and surgical scraping techniques. The mean pain scores for treated sites with diode laser were significantly lower than surgical scrapping technique at 24 hours (t-value=2.430, p-value=0.02). The postoperative gingival bleeding at end of procedure was significantly lower with diode laser than surgical scrapping technique (p-value=&lt;0.0001). There was no statistical difference in postoperative re-pigmentation and clinical efficacy among the subjects between surgical scraping and diode laser technique at 6<sup>th</sup> month follow up. Diode laser technique provides better haemostasis and good visibility at the surgical site. The post-operative patient comfort is better at the surgical sites treated with diode laser than surgical scrapping method. Hence, both the techniques are used for depigmentation procedures depending on the severity and gingival biotype and patient acceptance.</p>

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 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 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 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 with Scalpel and Diode Laser

2012 ◽  
Vol 3 (4) ◽  
pp. 359-362 ◽  
Author(s):  
Amit Bhardwaj ◽  
Harpreet Singh Grover ◽  
Sanjay Lal
Keyword(s):  
Diode Laser ◽  
Therapeutic Option ◽  
Treatment Options ◽  
Treatment Modalities ◽  
Laser Technique ◽  
Reliable Technique ◽  
Free Gingival Graft ◽  
Gingival Graft ◽  
Very High ◽  
Gingival Depigmentation

ABSTRACT The complaint of black gums is common particularly in patients having a very high smile line and possess esthetic problems for them. The degree of gingival pigmentation depends on melanoblastic activity. Various treatment options are in practice for depigmentation which includes scalpel gingivectomy, free gingival graft surgery, use of chemicals, such as 90% phenol and 95% alcohol, bur abrasion, electrosurgery, cryosurgery and lasers. Among the various techniques lasers offer a promising therapeutic option since it is simple, painless and predictable. Laser has been recognized as the most effective and reliable technique having many advantages as compared to other conventional treatment modalities. It provides a bloodless and painless surgery. Here, we report gingival depigmentation of 21-year-old female patient using scalpel and laser technique. How to cite this article Bhardwaj A, Grover HS, Lal S. Gingival Depigmentation with Scalpel and Diode Laser. World J Dent 2012;3(4):359-362.

scholarly journals Comparison of Diode Laser and Conventional Method in Treatment of Gingival Melanin Hyperpigmentation

2021 ◽  
Author(s):  
Revan Birke Koca-Ünsal ◽  
Gökhan Kasnak ◽  
Erhan FIRATLI
Keyword(s):  
Wound Healing ◽  
Diode Laser ◽  
Pain Perception ◽  
Surgical Techniques ◽  
Patient Comfort ◽  
P Value ◽  
Laser Technique ◽  
Treatment Groups ◽  
Significant Difference ◽  
Laser Group

Purpose: The goal of this study is to compare the scalpel and diode laser methods for treating gingival hyperpigmentation in terms of postoperative discomfort and wound healing. Materials & Methods: Sixteen systemically healthy individuals diagnosed with light or moderate gingival hyperpigmentation were enrolled for this study. Patients were randomly assigned to one of two treatment groups: scalpel or laser. Dummett’s oral pigmentation index was recorded at baseline. Early wound healing and post-operative discomfort were evaluated on the 7th day by using the VAS form. Comparisons between the groups were tested using the Mann-Whitney U test and P-value < 0.05 was considered significant. Results: Total epithelization was observed in the laser group, whereas the epithelization was incomplete in the scalpel group at the end of the observation period. The pain perception on the first two days after the surgery was significantly higher in the scalpel group than in the laser group. (p=0,002 and p=0,038, respectively). No significant differences were found between the fourth- and seventh-day when surgical techniques were compared regarding pain perception (p>0,05). Similarly, pain perceptions of female and male individuals showed no significant difference (p>0,05). Conclusion: In the treatment of gingival hyperpigmentation, both surgical techniques were clinically successful. Although the treatment process was long, according to the results of our study, the laser technique is superior to the scalpel method in terms of patient comfort. The choice of the method may vary depending on the available equipment and the clinician’s preference or request of the patient.

scholarly journals Comparison between Scalpel and Laser technique for gingival depigmentation-A Split mouth study.

2020 ◽  
Author(s):  
Lashika Tambe ◽  
Rajesh Gaikwad ◽  
Chitra Patil ◽  
Shrutika B. Borade
Keyword(s):  
Visual Analogue Scale ◽  
Diode Laser ◽  
Analogue Scale ◽  
Soft Tissues ◽  
Psychological Impact ◽  
Laser Technique ◽  
Significant Difference ◽  
Age Range ◽  
Periodontal Plastic Surgery ◽  
Gingival Depigmentation

INTRODUCTION An esthetic smile is a perfect balance between hard and soft tissues of the mouth. Gingiva plays an important role in the esthetic appearance of an individual. Gingival pigmentation is considered to be unaesthetic by patients, and it may have a psychological impact on them. Gingival depigmentation is a periodontal plastic surgery procedure, and variety of depigmentation techniques have been described in the literature. The aim of this study was to compare the efficacy of diode laser and scalpel in gingival depigmentation procedure. MATERIAL AND METHOD A total of 12 patients with age range between 20 -40 years were selected in the randamized, split mouth study. The maxillary arch was divided into two segments: 1.Segment I- right first premolar to right central incisors. 2.Segment II- left first premolar to left central incisors. These two segments were randomly assigned to surgical scalpel and diode laser techniques modalities. The research included the following clinical evaluation parameters at baseline and 3 months: Dummet Oral Pigmentation Index (DOPI) by Dummet and Gupta (1964)and VAS for pain. RESULTS There is clinically no significant difference between the Dummet Oral Pigmentation Index (DOPI)and Visual analogue scale for pain between Laser and Scalpel for gingival depigmentation. CONCLUSION Therefore, within the limitation of this study it can be concluded that scalpel technique is still considered the gold standard treatment for gingival depigmentation. KEY WORDS- diode laser, Visual analogue scale (VAS), Dummet Oral Pigmentation Index (DOPI).

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