Gingival depigmentation: A split mouth comparative study between scalpel and cryosurgery

Patil, Kaustubh P; Joshi, Vaibhav; Waghmode, Vijay; Kanakdande, Vinayak D

doi:10.4103/0976-237x.152964

Cited by 22 publications

(11 citation statements)

References 13 publications

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“…This was consistent with several clinical trials reporting the favorable clinical outcomes with the surgical stripping technique. 13 Corresponding with Patil et al, 11 The distribution of repigmentation in the presented case was patchy but did not affect the overall satisfaction level of the patient. The occurrence of re-pigmentation was noticed at the third month following the surgical intervention.…”

Section: Discussionsupporting

confidence: 53%

“…10 Other than LASER, using cryosurgery would have been inconvenient due to the lack of control over the duration and depth of freezing as well as the reported complication of postoperative swelling. 11 Electrosurgery, as well, have the disadvantage of unfavorable excessive tissue destruction, as well as more inflammatory response of the tissues compared to scalpel wounds. 12 In the presented case, the depigmentation step succeeded to reduce the pigmentation score from 3 to 1 according to the Dummett-Gupta Oral Pigmentation Index.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Simultaneous gingival depigmentation and crown lengthening in esthetic periodontal prosthodontic rehabilitation

Mubarak¹,

Moussa²,

Amer³

2022

IJPI

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Evolution in esthetic dentistry have reshaped the demand for having a perfect smile into a need. Enormous advancements in armamentarium, surgical techniques and material sciences have raised the aspiration of patients for having the desired esthetic outcomes in minimum dental visits. Ample cases are reported in the literature having excessive gingival display and hyper pigmentation treated with simultaneous gingivectomy and depigmentation. However, evidence for simultaneous depigmentation and crown lengthening with osseous resection are scarce. The patient in this paper had gingival hyper pigmentation and excessive gingival display with high osseous crest levels. Simultaneous depigmentation and crown lengthening with osseous recontouring was performed in a single visit. Prosthetic rehabilitation proceeded following healing to replace functionally and esthetically unpleasing anterior crowns, restore hard tissue wasting disease, as well as replace missing posterior teeth.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Simultaneous gingival depigmentation and crown lengthening in esthetic periodontal prosthodontic rehabilitation

Mubarak¹,

Moussa²,

Amer³

2022

IJPI

View full text Add to dashboard Cite

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“…Gingival abrasion technique using a large round diamond bur in a high-speed handpiece with abundant irrigation has also been practiced [ 9 ]. The main problem with this technique is the difficulty in controlling the depth of the depigmentation and obtaining adequate access [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Gingival Depigmentation Using Diode 980 nm and Erbium-YAG 2940 nm Lasers: A Split-Mouth Clinical Comparative Study

Harb¹,

El‐Sayed

Alkhabuli

2021

International Journal of Dentistry

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Aim of the Study. This study aimed to compare the effectiveness of diode laser (980 nm) and erbium-YAG laser (2940 nm) for gum depigmentation. Background. Gingival hyperpigmentation, “black gum,” refers to black discrete single or multiple pigments on the gingiva. Several factors may play a role in gingival hyperpigmentation ranging from physiologic pigmentation to manifestations of systemic diseases. Several techniques have been used for gingival depigmentation to lighten its color. Methods. Fifteen patients exhibiting nonsmoking melanin hyperpigmentation, with the mean age of 28.6 ± 7.8 years, were recruited. The facial gingiva of the anterior teeth and premolars of each jaw was divided into two halves. The right or left side of each jaw quadrant randomly received either diode laser operating at 980 nm wavelength or erbium-YAG laser at 2940 nm. Parameters such as degree of gingival depigmentation, bleeding, pain, patient satisfaction, and wound healing were assessed and compared between the two techniques. The subjects were followed up to six months for melanin pigmentation recurrence. Results. Both techniques were efficient for gingival depigmentation. Nevertheless, bleeding during surgery was statistically higher for Er:YAG laser technique as compared to diode laser. Wound healing showed statistically nonsignificant differences between the two lasers, although Er:YAG seems to give better outcomes than the diode. The patients were satisfied with both laser techniques during and after gingival depigmentation. However, the pain score was higher for Er:YAG laser than for diode laser. Conclusion. This study demonstrated that both lasers’ techniques are efficient for gingival depigmentation. However, diode laser seems to show less painful experience and relatively better bleeding control.

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“…There seems to be a lesser amount of post-op pain for cryosurgery and laser surgical procedures compared to other gingival depigmentation techniques. [9][10][11][12][13][14][15] The lesser amount of postop pain for the laser is due to the coagulation of protein on the wound surface that serves as a biological wound dressing. In addition, the laser has the ability to seal the sensory nerve endings.…”

Section: The Level Of Individuals' Satisfactionmentioning

confidence: 99%

“…In the present study, the laser was also a better option compared to cryosurgery. Patil et al 15 used 940 nm diode laser to treat an 18-year-old woman who suffered from gingival physiologic hyperpigmentation. After 1 week, the gingiva had no pigmentation, but after 6 months, pale patches appeared, and after 1 year the recurrent pigmentation was larger.…”

Section: Gpimentioning

confidence: 99%

A Comparison of 940 nm Diode Laser and Cryosurgery With Liquid Nitrogen in the Treatment of Gingival Physiologic Hyperpigmentation Using Split Mouth Technique: 12 Months Follow Up

et al. 2019

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Introduction: Gingival hyperpigmentation is excessive deposition of melanin pigments in the epithelium of gingiva which affects facial esthetics. Various surgical methods for gingival depigmentation have been used to treat the darkened color of pigmented gingiva. This study compared the use of 940 nm diode laser and liquid nitrogen cryosurgery in the treatment of gingival physiologic hyperpigmentation in terms of gingival depigmentation, postoperative pain, healing duration, pigmentation recurrence, and patients’ satisfaction. Methods: Fifteen systemically healthy patients (11 females and 4 males; 17-35 years of age) with bilateral gingival physiologic hyperpigmentation were enrolled in this split-mouth randomized study. Maxillary anterior labial gingiva of each patient was divided into left and right halves, and each half was randomly depigmented by either laser or cryosurgery. Patients were given questionnaires to evaluate the procedures and were followed up in 3, 7, 10, 17 and 21 days postoperatively for the assessment of gingival healing and 1, 3, 6 and 12 months after the treatments to detect any sign of pigmentation recurrence. Results: The severity of post-op pain measured by visual analogue scale (VAS) was mild to average and showed no significant difference between the 2 modalities (P>0.05). There was no considerable swelling or hemorrhage after the treatment procedures and the healing duration was significantly shorter in laser (P<0.05). The degree of pigmentation in all gingival sites treated by laser reached and remained at zero until the last follow up (1 year) and reached zero in 9 out of 15 cryosurgerytreated sites. All patients were completely satisfied with the laser, and 9 out of 15 were completely satisfied with cryosurgery. No pigmentation recurrence was observed during any follow-up periods. Conclusion: Removal of gingival physiologic hyperpigmentation by laser therapy and cryotherapy was effective and safe. The efficiency of the laser was better than cryotherapy.

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Gingival depigmentation: A split mouth comparative study between scalpel and cryosurgery

Cited by 22 publications

References 13 publications

Simultaneous gingival depigmentation and crown lengthening in esthetic periodontal prosthodontic rehabilitation

Simultaneous gingival depigmentation and crown lengthening in esthetic periodontal prosthodontic rehabilitation

Gingival Depigmentation Using Diode 980 nm and Erbium-YAG 2940 nm Lasers: A Split-Mouth Clinical Comparative Study

A Comparison of 940 nm Diode Laser and Cryosurgery With Liquid Nitrogen in the Treatment of Gingival Physiologic Hyperpigmentation Using Split Mouth Technique: 12 Months Follow Up

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