The gingival complex plays a vital role in the overall esthetics of a smile. Melanin, a brown pigment, is the most common natural pigment contributing to endogenous pigmentation of the gingiva. For depigmentation of gingiva different treatment modalities have been reported like bur abrasion, scraping, partial thickness flap, cryotherapy, electrosurgery and laser but repigmentation of the melanin pigment after surgical procedure is noted and considered in a high percentage. The present article describes and discusses one case of gingival melanin pigmentation, a 23-year-old female, who is medically fit and free of any systemic condition, complaining of dark pigmented gingivae. The CO2 laser device (OpusDuo Aqualite EC Lumens group of companies Germany) was used for treatment delivered in the present case. The clinical view 6 months after the treatment shows healthy gingival color. Conclusion: Treatment of hyperpigmentation by CO2 laser radiation in a defocused mode was found to be a safe, effective procedure and easy to perform. Postoperative patient satisfaction in term of esthetics and pain was excellent. The gingivae healed uneventfully and completely regenerated with no infection or scarring. No repigmentation occurred after 6 months period. Based on these observations, CO2 laser is a good treatment choice for gingival depigmentation.
| Published in | International Journal of Clinical and Developmental Anatomy (Volume 1, Issue 1) |
| DOI | 10.11648/j.ijcda.20150101.12 |
| Page(s) | 8-12 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2015. Published by Science Publishing Group |
Melanin, Gingiva, Pigmentation, CO2 Laser, Depigmentation
| [1] | Cicek Y, Ertas U. The normal and pathological pigmentation of oral mucous membrane: a review. J Contemp Dent Pract. 2003; 4(3):76-86. |
| [2] | Talib Najjar, DMD, MDS, PhD; Chief Editor: William D James, MD Emedicine; Disorders of Oral Pigmentation: Jan 9, 2014; medscape.com/article/1078143-overview. |
| [3] | Dummett CO. Oral tissue color changes (I). Quint Int, Dent Digest. 1979; 10 (11): 39-45. |
| [4] | Dummett CO. A classification of oral pigmentation. Mil Med 1962; 127:839- 840. |
| [5] | Leston JM, Santos AA, Varela-Centelles PI, Garcia JV, Romero MA, Villamor LP. Oral mucosa: Variations from normalcy, Part II. Cutis 2002; 69(3):215-217. |
| [6] | Dummett CO. Physiologic pigmentation of the oral and cutaneous tissues in the Negro. J Dent Res 1946 Dec; 25 (6): 421-432. |
| [7] | Kankamedala AK Geetha A, Ramakrishnan .Management of Gingival Hyperpigmentation by the Surgical Scalpel Technique – Report of Three Cases. J Clin Diag Res. 2010 April 2341 ;( 4): 2341-2346 |
| [8] | RoshnaT, NandakumarK. Anterior esthetic gingival depigmentation and crown lengthening: Report of a case. J Contemp Dent Pract 2005 August ;( 6)3:139-47. |
| [9] | Tal H, Landsberg J, Kozlovsky A. Cryosurgical depigmentation of the gingival. A case report. J Clin Periodontol 1987 Nov; 14(10):614-7. |
| [10] | Malhotra S, Sharma N, Basavaraj P. Gingival Esthetics by Depigmentation. J Periodontal Med Clin Pract. 2014; 01: 79-84 |
| [11] | Almas K, Sadig W. Surgical treatment of melanin-pigmented gingival; an esthetic approach. Ind J Dent Res.2002 April- Jun; 13(2):70-3. |
| [12] | Sharmila Verma, Meera Gohil, Vandana Rathwa; Gingival Depigmentation: Indian Journal of Clinical Practice, Vol. 23, No. 12, May 2013 |
| [13] | Gnanasekhar JD, Al-Duwairi YS. Electro surgery in dentistry. Quint Int 1998; 29(10)649-54. |
| [14] | Bishop K. Treatment of unsightly oral pigmentation: A case report. Dent Update 1994; 21(6):236-237. |
| [15] | Tal H, Oegiesser D, Tal M. Gingival depigmentation by Erbium: YAG laser: Clinical observation and patient responses. J Periodontol 2003 Nov; 74(11):1660-7. |
| [16] | Hasegawa A, Okagi H. Removing melagenous pigmentation using 90 percent phenol with 95 percent alcohol. Dent Outlook 1973; 42:673-676. |
| [17] | Tamizi M, Taheri M. Treatment of severe physiological gingival pigmentation with free gingival autograft. Quint Int 1996 Aug; 27(8):555-8. |
| [18] | Taba M Jr, Grisi MF, Pontes CC, Novaes AB Jr The use of acellular dermal matrix allograft for the elimination of gingival melanin pigmentation: case presentation with 2 years of follow up. Pract Proced Esthet Dent 2002, 14(18):619-23 |
| [19] | Dummet CO: First symposium on oral pigmentation. J Periodontol, 1960; 31(5): 345-385. |
| [20] | Cicek Y: The Normal and Pathological Pigmentation of Oral Mucous Membrane: A Review. J Contemp Dent Pract, 2003; 4(3): 76-86. |
| [21] | Midda M . Laser in periodontics. Periodont Clin Invest 1992; 14:14-20 |
| [22] | Pick RM, Coluard MD. Current state of laser in soft tissue dental surgery. J Periodontol 1993; 64:589-602. |
| [23] | Cohen ER, ammous W. laser in periodontic (position paper) J Periodontol 1996:67:826-830. |
| [24] | Pontes AE, Pontes CC, Souza SL, Novaes AB (Jr), Grisi MF, Taba M (Jr.): Evaluation of the efficacy of the acellular dermal matrix allograft with partial thickness flap in the elimination of gingival melanin pigmentation. A comparative clinical study with 12 months of follow-up. J Esth Resto Dent, 2006; 18(3):135-143 |
| [25] | Ozbayrak S, Dumlu A, Ercalik-Yalcinkaya S: Treatment of melanin-pigmented gingiva and oral mucosa by CO2 laser. Oral Surg Oral Med Oral Path Oral Radio Endo, 2000; 90 (1):14-15. |
| [26] | Mokeem SA: Management of Gingival Hyperpigmentation by Surgical Abrasion: Report of Three Cases. Saud Dent J, 2006; 18(3), 162-166. |
| [27] | Deepak Prasad, S Sunil, Mishra Sheshadri: Treatment of gingival pigmentation: A case series. Ind J dent Res, 2005; 16:171-176. |
APA Style
Ahmed M. S. Hegazy, Bakr Ahmed Bakr, Ehab Kamal Ali Hassan. (2015). Treatment of Gingival Hyperpigmentation Using CO2 Laser: A Case Report. International Journal of Clinical and Developmental Anatomy, 1(1), 8-12. https://doi.org/10.11648/j.ijcda.20150101.12
ACS Style
Ahmed M. S. Hegazy; Bakr Ahmed Bakr; Ehab Kamal Ali Hassan. Treatment of Gingival Hyperpigmentation Using CO2 Laser: A Case Report. Int. J. Clin. Dev. Anat. 2015, 1(1), 8-12. doi: 10.11648/j.ijcda.20150101.12
AMA Style
Ahmed M. S. Hegazy, Bakr Ahmed Bakr, Ehab Kamal Ali Hassan. Treatment of Gingival Hyperpigmentation Using CO2 Laser: A Case Report. Int J Clin Dev Anat. 2015;1(1):8-12. doi: 10.11648/j.ijcda.20150101.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijcda.20150101.12,
author = {Ahmed M. S. Hegazy and Bakr Ahmed Bakr and Ehab Kamal Ali Hassan},
title = {Treatment of Gingival Hyperpigmentation Using CO2 Laser: A Case Report},
journal = {International Journal of Clinical and Developmental Anatomy},
volume = {1},
number = {1},
pages = {8-12},
doi = {10.11648/j.ijcda.20150101.12},
url = {https://doi.org/10.11648/j.ijcda.20150101.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcda.20150101.12},
abstract = {The gingival complex plays a vital role in the overall esthetics of a smile. Melanin, a brown pigment, is the most common natural pigment contributing to endogenous pigmentation of the gingiva. For depigmentation of gingiva different treatment modalities have been reported like bur abrasion, scraping, partial thickness flap, cryotherapy, electrosurgery and laser but repigmentation of the melanin pigment after surgical procedure is noted and considered in a high percentage. The present article describes and discusses one case of gingival melanin pigmentation, a 23-year-old female, who is medically fit and free of any systemic condition, complaining of dark pigmented gingivae. The CO2 laser device (OpusDuo Aqualite EC Lumens group of companies Germany) was used for treatment delivered in the present case. The clinical view 6 months after the treatment shows healthy gingival color. Conclusion: Treatment of hyperpigmentation by CO2 laser radiation in a defocused mode was found to be a safe, effective procedure and easy to perform. Postoperative patient satisfaction in term of esthetics and pain was excellent. The gingivae healed uneventfully and completely regenerated with no infection or scarring. No repigmentation occurred after 6 months period. Based on these observations, CO2 laser is a good treatment choice for gingival depigmentation.},
year = {2015}
}
TY - JOUR T1 - Treatment of Gingival Hyperpigmentation Using CO2 Laser: A Case Report AU - Ahmed M. S. Hegazy AU - Bakr Ahmed Bakr AU - Ehab Kamal Ali Hassan Y1 - 2015/05/22 PY - 2015 N1 - https://doi.org/10.11648/j.ijcda.20150101.12 DO - 10.11648/j.ijcda.20150101.12 T2 - International Journal of Clinical and Developmental Anatomy JF - International Journal of Clinical and Developmental Anatomy JO - International Journal of Clinical and Developmental Anatomy SP - 8 EP - 12 PB - Science Publishing Group SN - 2469-8008 UR - https://doi.org/10.11648/j.ijcda.20150101.12 AB - The gingival complex plays a vital role in the overall esthetics of a smile. Melanin, a brown pigment, is the most common natural pigment contributing to endogenous pigmentation of the gingiva. For depigmentation of gingiva different treatment modalities have been reported like bur abrasion, scraping, partial thickness flap, cryotherapy, electrosurgery and laser but repigmentation of the melanin pigment after surgical procedure is noted and considered in a high percentage. The present article describes and discusses one case of gingival melanin pigmentation, a 23-year-old female, who is medically fit and free of any systemic condition, complaining of dark pigmented gingivae. The CO2 laser device (OpusDuo Aqualite EC Lumens group of companies Germany) was used for treatment delivered in the present case. The clinical view 6 months after the treatment shows healthy gingival color. Conclusion: Treatment of hyperpigmentation by CO2 laser radiation in a defocused mode was found to be a safe, effective procedure and easy to perform. Postoperative patient satisfaction in term of esthetics and pain was excellent. The gingivae healed uneventfully and completely regenerated with no infection or scarring. No repigmentation occurred after 6 months period. Based on these observations, CO2 laser is a good treatment choice for gingival depigmentation. VL - 1 IS - 1 ER -
Information
Email: