Case Report of International Journal of Case Reports
Comparative Evaluation of Healing following Gingival Depigmentation Procedures using Four Techniques: a report of 5 cases
1Dr Shreya Shetty, Bds, Mds (Periodontics), Ficoi*, 2 Dr Aruna Vanka, Bds, Mds( Periodontics).
1Associate Professor, Dentistry Program, IBN SINA National College of Medical Sciences, Jeddah, KSA; 2Consultant Periodontist, FMS Hospital, Hyderabad, India.
Background:The outcomes of techniques employed for depigmentation are varied and no one method can be deemed as ideal. The present case series is an evaluation of 4 popular depigmentation procedures `carried out today.
Material and methods: 5 patients with non-syndrome associated gingival hyperpigmentation in all 4 quadrants based on Dummetts scoring criteria were included. Healing and pain were assessed following depigmentation carried out by scalpel, bur, electro surgery and laser in the 4 quadrants respectively and followed up for a period of 2 years.
Results: Healing following Scalpel method and laser were better than bur and electro surgery. Post-operative pain was less with the use of scalpel and laser when compared to the other 2 techniques at the end of 1month. Pain was still evident at the site of electro surgery at the end of 2 months. However at the end of 3, 6 months and 1 and 2 years there was no difference in all 4 techniques.
Conclusion: Better treatment outcomes were observed with the scalpel and laser techniques than bur and electrosurgery.
CONFLICT OF INTEREST: NIL
SOURCE OF FUNDING: The study has not been funded by any party or organisation as such, and any expenses incurred for the same were minimal and borne by the authors.
Keywords: Comparative Evaluation, Healing, Gingival Depigmentation Procedures, Four Techniques
How to cite this article:
Shreya Shetty and Aruna Vanka.Comparative Evaluation of healing following gingival depigmentation procedures using four Techniques: a report of 5 cases. International Journal of Case Reports, 2018 2:24. DOI: 10.28933/ijcr-2018-05-2801.
1. A Karydis, Bland P, Shiloah J. “Management of Oral Melanin Pigmentation” Journal of the Tennessee Dental Association 2012 ; 92 : 10-16.
2. Fowler EB, Breault LG, Galvin BG. Enhancing physiologic pigmentation utilizing a free gingival graft. Pract Periodontics Aesthet Dent 2000;12:193-96.
3. Tal H, Landsberg J, Kozlovsky A. Cryosurgical depigmentation of the gingival. A case report. J Clin Periodontol 1987;14:614-7.
4. Yeh CJ. Cryosurgical treatment of melanin-pigmented gingiva. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998, 86:660-3.
5. Arikan F, Gürkan A. Cryosurgical treatment of gingival melanin pigmentation with tetrafluoroethane. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103:452-7.
6. Prasad D, Sunil S, Mishra R, Sheshadri. Treatment of gingival pigmentation: A case series. Indian J Dent Res 2005; 6:171-6.
7. Ko HJ, Park JW, Suh JY, Lee JM. Esthetic treatment of gingival melanin hyperpigmentation with a Nd:YAG laser and high speed rotary instrument: comparative case report. J Periodontal Implant Sci. 2010;40:201-5.
8. Tal H, Oegiesser D, Tal M. Gingival depigmentation by Erbium:YAG laser: clinical observation and patient responses. J Periodontol 2003;74:1660-7.
9. K. Almas, and W. Sadiq, “Surgical treatment of melanin-pigmented gingiva: An esthetic approach,” Indian Journal of Dental Research, vol. 13, no. 2, pp. 70-73, 2002.
10. S. A. Mokeem, “Management of gingival hyperpigmentation by surgical abrasion-Report of three cases,” Saudi Dental Journal, vol. 18, no. 3, pp. 162-166, 2006.
11. Malhotra S, Sharma N, Basavaraj P, “Gingival Esthetics by Depigmentation”. J Periodontal Med Clin Pract 2014; 01:79-84.
12. Rahul Kathariya, A. R. Pradeep. Split mouth de-epithelization techniques for gingival depigmentation: A case series and review of literature. J Indian Soc Periodontol. 2011; 15(2): 161–168.
13. Putter OH, Ouellet D, Putter A, Vilaboa D, Vilaboa B, Fernandez M. A non-traumatic technique for removing melanotic pigmentation lesions from the gingiva: Gingiabrasion. Dent Today 1994; 13: 58–60.
14. Shah R, Modi M. Pink is in, black is out: gingival depigmentation: a case report. Dent Today 2010; 5(3): 23-24.
15. S. K. Kasagani, R. Nutalapati, and R. B. Mutthineni, “Esthetic depigmentation of anterior gingiva-A case series,” New York State Dental Journal, vol. 78, no.3, pp. 26-31, 2012.
16. Atsawasuwan P, Greethong K, Nimmanon V. Treatment of gingival hyperpigmentation for esthetic purposes by Nd:YAG laser: report of 4 cases. J Periodontol 2000;71:315-21.
17. Perlmutter S, Tal H. Repigmentation of the gingiva following surgical injury. J Periodontol. 1986;57:48–50.
18. Hegde R, Padhye A, Sumanth S, Jain AS, Thukral N. Comparison of Surgical Stripping, Er: YAG Laser and CO Laser Techniques for Gingival 2 Depigmentation: A Clinical & Histological Study. J Periodontol 2013;84(6):728-48. doi:1902/jop.2012.120094.
19. Y. Cicek, “The normal and pathological pigmentation of oral mucous membrane: A review,” Journal of Contemporary Dental Practice 2003; 4(3), 76-86.
20. Bergamaschi O, Kon S, Doine AI, Ruben MP. Melanin repigmentation after gingivectomy: A 5-year clinical and transmission electron microscopic study in humans. Int J Periodontics Restorative Dent 1993;13(1):85-92.
21. Perlmutter S, Tal H. Repigmentation of the gingiva following surgical injury. J Periodontol 1986;57:48–50.