Evaluation of Microneedling as a Treatment Option for Gingival Hyperpigmentation: A Randomized Controlled Clinical Trial.

Abstract

Background:In individuals who have an excessive gingival display, gingival hyperpigmentation is an aesthetic issue. The goal of this study was to examine the effectiveness of the minimally invasive microneedling (MN) approach in the treatment of gingival hyperpigmentation. Patients and methods:A total of 40 people with gingival hyperpigmentation were split into two groups at random. Group I: was managed with the surgical scalpel method, whereas group II was managed with MN approach. At the time of the procedures, the bleeding was compared. On the first and seventh days after the depigmentation procedures, wound healing and pain severity were assessed while at 1 month and 6 months following the treatments, the oral pigmentation indices were assessed. Results:When compared to baseline data, both groups demonstrated a substantial reduction in oral pigmentation indices at 1 and 6 months, while group I demonstrated a statistically significant (P≤0.05) improvement compared to group II. There was a significant decrease (P≤0.001) in the bleeding index and pain severity and improvement in wound healing in MN treated group compared to the surgically-treated group. Conclusion:MN successfully reduces gingival hyperpigmentation and might be regarded as an alternative minimally invasive treatment option.

Pink Gingiva is it the Needle or the Light!

“…Ozsagir et al conducted a study recently, in which they contrasted the use of i-PRF alone or in conjunction with microneedling for gingival augmentation. They came to the conclusion that, compared to the group utilizing only i-PRF, the group using i-PRF in conjunction with micro-needling displayed a statistically significant increase in gingival thickness after six months [9].…”

“…According to histological analysis of melanocytes after MN, this results in fibroblast proliferation and increased extracellular matrix deposition. A decrease in melanocytes, and basal membrane remodeling [9]. Additionally, increased keratinocyte turnover improves the removal of melanin from the epithelium.…”

“…Derma pen was laid perpendicular to the gingiva and MN was carried out in horizontal, vertical, and diagonal directions until micro bleeding was visible [6]. The patient received a total of 4 sessions of MN spaced out by 7 days intervals [7]. The patient was instructed to mouthwash for 1 week followed by an analgesic tablet to use as needed.…”