Evaluation of electrosurgery and diode laser in gingival depigmentation

Abstract

Introduction: Gingival depigmentation is a surgical procedure done to eliminate or reduce gingival hyperpigmentation. Various techniques are employed such as scalpel de-epithelization, gingivectomy, electrosurgery, use of chemical agents, cryosurgery, and lasers. The present study was conducted to assess the efficacy of laser and electrosurgical procedure in reducing gingival pigmentation in terms of pain, wound healing, and recurrence of melanin pigmentation. Methodology: A prospective study was conducted on 40 subjects affected by melanin pigmentation. Group I patients were treated with electrosurgery and Group II patients with diode laser procedure. Evaluation for pain was done intraoperatively, 24 hours and 7 days using VAS. Wound healing and recurrence of pigmentation was assessed at one month and three months. Results: No significant difference was noted between the two groups for pain assessment at 7 days with P > 0.001. Both electrosurgery and laser group showed significant differences between intraoperative time period to 24 hours and 24 hours to 7 days at P < 0.001 for pain. Conclusion: Esthetic demands necessitate cosmetic gingival depigmentation procedure. Laser diode photoablation proves to be an effective and reliable technique in achieving the same.

Techniques for Gingival Depigmentation: The merits and demerits

“…Prolonged or repeated application of current to tissue induces heat accumulation and undesired tissue damage. Contact with periosteum or alveolar bone and vital teeth must be avoided (Yadav, Kumar et al 2022).…”

Management of gingival hyperpigmentation induced by increased ferritin level in a HbS‐β+ thalassemia patient using diode laser

“…Gingival hyperpigmentation has various causes; however, they can be classified as physiologic and pathologic factors. Many treatment modalities were used to manage gingival pigments, including traditional surgical techniques (bur abrasion or scalpel), 12 electrosurgery, 13 cryosurgery, 14 and laser techniques. 15,16 Here we report a case of a female patient with HbSβ + thalassemia that presented with mild symptoms of the disease, but is being regularly undergone blood transfusion, she was referred to the department of oral medicine with a chief complaint of unaesthetic appearance of dark gingiva, the patient underwent laser surgery to remove the gingival pigmentations.…”

“…Gingival hyperpigmentation has various causes; however, they can be classified as physiologic and pathologic factors. Many treatment modalities were used to manage gingival pigments, including traditional surgical techniques (bur abrasion or scalpel), 12 electrosurgery, 13 cryosurgery, 14 and laser techniques. 15 , 16…”

Principles and Applications of Oral Electrosurgery

“…Electrosurgery is often to perform frenectomies, allowing for precise tissue removal and minimal bleeding; 6. Biopsies: Electrosurgery can be used to perform incisional or excisional biopsies of oral lesions [2] , [3].…”