Amalgam Tattoo (Localized Argyria)

Bell, Craig

doi:10.1001/archderm.1952.01530290099014

Cited by 9 publications

(2 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Amalgam tattoo ( Figure 4 ) is probably the most common form of LA [ 91 , 92 , 93 ]. It is is a common and easily recognizable entity that results from the impregnation of silver-contained dental amalgam into oral mucosa following tooth restoration procedures [ 92 , 94 , 95 , 96 , 97 , 98 ]. A flat, dark-blue mucosal lesion near a restored tooth is highly indicative of an amalgam tattoo, with size varying from small, millimetric lesions to larger ones, with a minority of these even exhibiting radiopacity and potentially triggering a foreign body reaction [ 92 , 95 ].…”

Section: Argyria Subtypesmentioning

confidence: 99%

Clinical and Forensic Aspects of the Different Subtypes of Argyria

Mota

Dinis-Oliveira

2021

JCM

View full text Add to dashboard Cite

Argyria encompasses the different cosmetic alterations that can develop if enough silver particles deposit in a specific tissue, typically in the skin, ranging from localized dark-blue macules to a generalized slate-gray/bluish tinge following systemic absorption. This work aims to fully review the state of the art regarding pathophysiology, diagnosis, treatment, and relevant clinical and forensic features of argyria. Argyria has been diagnosed in a wide range of ages, both sexes and varied ethnicities, with no known individual predisposing factors. Ultraviolet radiation with subsequence increases of melanin production aggravates the discoloration due to a reduction in the silver deposits. Physical examination and silver exposure in the anamnesis can be highly suggestive of the diagnosis, but a histopathological analysis with Energy-Dispersive X-ray Spectroscopy is required to unequivocally determine the discoloration etiology. Safe and effective treatment has only been accomplished with laser techniques, though only a few cases have been reported and with limited follow-up time. In conclusion, argyria typically has an occupational or iatrogenic etiology. It should be suspected when a patient presents with typical skin or eye lesions. A seemingly viable treatment modality, with laser technology, is finally within the horizon.

show abstract

Section: Argyria Subtypesmentioning

confidence: 99%

Clinical and Forensic Aspects of the Different Subtypes of Argyria

Mota

Dinis-Oliveira

2021

JCM

View full text Add to dashboard Cite

show abstract

“…[2][3][4][5][6][7][8][9] The pigmented areas vary from very small spots to large areas that can extend over multiple teeth and cause serious esthetic problems. Despite awareness about this phenomenon for many years, 10 treatment methods are yet to be established, because of difficulties associated with treatment procedures and the lack of suitable instruments. Previous case studies' findings have shown that surgical treatments to remove pigmented gingiva, namely, connective tissue grafts (CTGs) [11][12][13] and free gingival grafts (FGGs), 14 are invasive, complicated, and not always effective at removing tattoos, and these procedures are associated with risks, including postsurgical gingival recession and defects.…”

Section: Introductionmentioning

confidence: 99%

A novel minimally‐invasive approach for metal tattoo removal with Er:YAG laser

Mikami

Mizutani

Nagai

et al. 2021

J Esthet Restor Dent

View full text Add to dashboard Cite

Objective: Few effective and established treatment methods can remove gingival metal or amalgam tattoos. With this case series, we aimed to demonstrate the use of a novel minimally invasive technique to remove metal tattoos using an erbium-doped yttrium aluminum garnet (Er:YAG) laser. Materials and Methods:We retrospectively collected clinical data from 18 patients who had undergone Er:YAG laser treatment to remove metal tattoos. Minimal gingival ablation using an Er:YAG laser directed towards the pigmented area was performed, which exposed metal debris within the connective tissue that was carefully removed. A dental microscope was employed to identify the metal debris, for accurate irradiation, and to minimize wounding by reducing invasion. Postoperative gingival color and morphology, and visual analog scale as a patient-reported outcome assessing postoperative pain were evaluated.Results: All patients' metal tattoos were removed completely and safely during short procedures. Considerable esthetic improvements and favorable wound healing were achieved with almost no postoperative pain or complications. Conclusion:The findings from this case series suggest that this novel minimally invasive therapy for metal tattoo removal that involved the Er:YAG laser is effective and safe, is associated with successful outcomes, and contributes greatly to patients' esthetic satisfaction.Clinical Significance: Metal tattoo removal using an Er:YAG laser safely and successfully improved gingival esthetics. This novel technique is much simpler and less invasive than conventional periodontal plastic surgery, and it may be more reliable regarding esthetic gingival improvements as it is associated with favorable wound healing, and it could offer significant benefits to patients by alleviating physical and mental stresses via reduced chair time and postoperative pain.

show abstract

The mechanism of gingiva metallic pigmentations formation

et al. 2008

View full text Add to dashboard Cite

The occurrence of blue-grey areas in the soft tissue represents one of the problems affecting patients whose teeth have been restored using metallic materials. It is generally accepted that it is caused by mechanical penetration of a metallic material into the soft tissue. Several facts indicate that this mechanism is not general. The aim of the study was to determine an alternative mechanism of the origin of pigmentations, based on the corrosion interaction of metallic materials used in prosthodontics with the oral environment. The study was comprised of an analysis of pigment particles, determination of exposure conditions of metallic materials in vivo and laboratory evaluation of corrosion properties of the studied materials. Particles containing silver, sulphur and/or selenium could be seen in ultra-thin sections in the lamina propria gingivae. Comparison of the corrosion laboratory results with the results of in vivo measurements indicated the intensification of corrosion under these conditions. Amalgams and silver-containing alloys used for teeth restorations may release silver under the conditions of the oral cavity. The formation of soluble silver compounds in the sulcular area or in a crevice between the crown and the cast post-and-core reconstruction facilitates their transport to the soft tissue and subsequent deposition.

show abstract

Amalgam Tattoo (Localized Argyria)

Cited by 9 publications

References 2 publications

Clinical and Forensic Aspects of the Different Subtypes of Argyria

Clinical and Forensic Aspects of the Different Subtypes of Argyria

A novel minimally‐invasive approach for metal tattoo removal with Er:YAG laser

The mechanism of gingiva metallic pigmentations formation

Contact Info

Product

Resources

About