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 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 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 Use of an advanced collagen matrix dressing on patients with complex chronic lower extremity ulcers: A case series

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110136
Author(s):  
Afsaneh Alavi ◽  
Jeannine Archer ◽  
Patricia Coutts
Keyword(s):  
Wound Healing ◽  
Lower Extremity ◽  
Ethylenediaminetetraacetic Acid ◽  
Case Series ◽  
Standard Of Care ◽  
Collagen Matrix ◽  
Contact Layer ◽  
Complete Healing ◽  
Average Decrease

The objective of this case series was to assess the wound healing effectiveness of a collagen matrix wound dressing containing partially denatured collagen, carboxymethyl cellulose, alginate and ethylenediaminetetraacetic acid in chronic lower extremity ulcers. A total of nine patients with refractory lower extremity ulcers were treated with the collagen contact layer in addition to standard of care. Wound healing progress was measured at 2, 4 and 8 weeks. An average decrease in wound size of 73% was achieved across patients at week 8, with complete healing in two patients. The intervention was easy to use and well tolerated by patients. The results of this study, although preliminary, suggest that the advanced collagen matrix dressing represents an effective and safe treatment strategy for healing refractory chronic lower extremity ulcers of varying etiologies. Further investigation is needed to evaluate efficacy in a larger randomized clinical trial with focus on cost-effectiveness and impact on patient’s quality-of-life.

scholarly journals Soft Tissue Applications of Er,Cr:YSGG Laser in Pediatric Dentistry

2017 ◽  
Vol 10 (2) ◽  
pp. 188-192 ◽  
Author(s):  
Ferah Rehman ◽  
Vivek Chaturvedy
Keyword(s):  
Soft Tissue ◽  
Laser Energy ◽  
Case Series ◽  
Pediatric Dentistry ◽  
Patient Comfort ◽  
Operating Efficiency ◽  
Hard Tissue ◽  
Contact Mode ◽  
Tooth Structure ◽  
Dental Tissues

ABSTRACT Soft tissue laser, such as diode and Nd:YAG lasers were initially used in soft tissue lesions because of its increased success rate. It was because of the fact that these lasers were well-absorbed by chromophores, such as hemoglobin and melanin which are found abundant in the oral mucosa. The introduction of erbium family in 1990 comprising the Er:YAG and Er,Cr:YSGG lasers made the hard tissue laser a boon for dentistry. Erbium, chromium-doped yttrium, scandium, gallium and garnet (Er,Cr:YSGG) was introduced in 1997 for the surgical needs of clinical dentistry in general practice. The erbium belongs to the rare earth which is embedded in a host crystal. The actual lasing process takes place in the Er ion Er3+. Two host crystals consisting of yttrium, aluminum, and garnet (Y3A5O12) and yttrium, scandium, gallium, and garnet (Y3Sc2Ga3O12) are added to the erbium. The interest to use these hard tissue laser in the treatment of soft tissue lesion was because of the properties of these lasers which are well-absorbed by chromophore water apart from hydroxy appetite crystals. Erbium laser energy is absorbed by collagen, hydroxyapatite, and water components. It allows the laser to cut soft tissue, tooth structure, and bone. In the noncontact mode, the incision is scalpel-like, with very little hemostasis. In contact mode, it performs soft tissue sculpting with adequate hemostasis. The Er,Cr:YSGG is the world's most advanced dental laser, which is ideal all-tissue laser because all dental tissues contain water, for the multidisciplinary dentist who performs a broad spectrum of procedures. It delivers the highest level of clinician control, operating efficiency, flexibility in tip, and accessory selection. For optimal clinical results and patient comfort in hard and soft tissue procedures, the erbium lasers have set a new standard of clinical performance. The present case series aims to highlight the various soft tissue applications of Er,Cr:YSGG (Waterlase Biolase®, Biolase, Inc, San Clemente, California, USA) in pediatric patients. How to cite this article Kumar G, Rehman F, Chaturvedy V. Soft Tissue Applications of Er,Cr:YSGG Laser in Pediatric Dentistry. Int J Clin Pediatr Dent 2017;10(2):188-192.

Reconstruction of Large Bone Defects and Complex Non-Unions Using a Free Fibular Bone Graft and a Supplementary Allograft

2020 ◽  
Author(s):  
Selina Gaida ◽  
Uwe Schweigkofler ◽  
Wibke Moll ◽  
Michael Sauerbier ◽  
Reinhard Hoffmann
Keyword(s):  
Bone Graft ◽  
Case Series ◽  
Bone Defects ◽  
Bone Transplantation ◽  
Patient Comfort ◽  
Masquelet Technique ◽  
Specialized Center ◽  
Free Fibula ◽  
Large Bone ◽  
Large Bone Defects

AbstractLarge bone defects or complex pseudarthrosis represent an interdisciplinary challenge. Established surgical procedures include autogenous cancellous bone graft, the Masquelet technique or bone transfer via segment transport as well as free microvascular bone transplantation. However, the successful use of all these techniques requires a specialized center with great interdisciplinary expertise. In the following case series we describe the technique of free fibula transplantation and additional allograft. In both cases a good functional result with full mechanical strength of the affected extremity and satisfactory patient comfort has been achieved. In the second case, implant failure with the necessity of revision endoprosthetics occurred during the procedure.

scholarly journals diode laser for excisional biopsy of pyogenic granuloma: a case series

2017 ◽  
Vol 5 (2) ◽  
pp. 112
Author(s):  
Gaurav Mahajan ◽  
Aditi Gautam
Keyword(s):  
Diode Laser ◽  
Traumatic Injury ◽  
Case Series ◽  
Surgical Excision ◽  
Excisional Biopsy ◽  
Pyogenic Granuloma ◽  
Low Grade ◽  
Giant Cell Granuloma ◽  
Hormonal Factors ◽  
Peripheral Giant Cell Granuloma

Pyogenic granuloma is one of the inflammatory hyperplasias seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection and in reality arises in response to various stimuli such as low- grade local irritation, traumatic injury or hormonal factors. The clinical diagnosis of such lesion can be quite challenging because of its close resemblance to certain malignancies like peripheral giant cell granuloma, kaposi’s sarcoma, non hodgkin’s lymphoma etc. for excisional biopsy, options available are conventional surgical excision, electrocautery or lasers. In this report, we seek to highlight the therapeutic advantages achieved with a soft tissue diode laser in the treatment of pyogenic granuloma.

scholarly journals Aminogam® Gel Allows Faster Wound Healing after Oral Surgery by Formation of Mature Connective Tissue with Low Vascular Density and Reducing Inflammatory Infiltration. A Retrospective Study on 580 Cases with Histological and Confocal Laser Investigation

2020 ◽  
Vol 10 (3) ◽  
pp. 1105
Author(s):  
Saverio Capodiferro ◽  
Angela Tempesta ◽  
Sabina Bucci ◽  
Eugenio Maiorano ◽  
Gianfranco Favia ◽  
...  
Keyword(s):  
Wound Healing ◽  
Diode Laser ◽  
Oral Surgery ◽  
Vascular Malformations ◽  
Sodium Hyaluronate ◽  
Healing Time ◽  
Complete Healing ◽  
Confocal Laser ◽  
Vascular Density ◽  
Inflammatory Infiltration

Reduction of the wound healing time after surgical procedures along with good hemostasis, and the reduction of post-surgical edema, pain and infective complications are generally desirable to both clinicians and patients. Recently, a gel compound containing sodium hyaluronate and four synthetic aminoacids (glycine, leucine, proline, lysine) and marketed as Aminogam® (Errekappa Euroterapici, Italy), has been proposed as a medical device promoting faster wound healing after oral surgery procedures. To assess its achievable clinical benefits, we studied retrospectively 580 cases (290 study cases and 290 control cases) undergoing oral surgery and receiving Aminogam ® gel application. More precisely, cases were divided into 7 groups on the bases of the kind of surgery (teeth extraction, oral surgery in patients taking bisphosphonates, surgical treatment of jaw osteonecrosis related to bisphosphonates therapy, placement of endosseous implants, diode laser surgery of oral mucosa lesions with second intention healing without stitches, diode laser photocoagulation of slow flow vascular malformations and bone surgery). In all instances, Aminogam® gel was applied at least five times a day until the wound healed completely. We compared the elapsed time between surgery and complete healing with Aminogam® application compared to control cases receiving no other drug treatment. Our results confirmed that the overall time of healing is certainly reduced in cases receiving Aminogam® gel regardless of the kind of oral surgery.

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