Postsurgical clinical repigmentation of the cingivae

Dummett, Clifton O.; Bolden, Theodore E.

doi:10.1016/0030-4220(63)90299-8

Cited by 69 publications

(66 citation statements)

References 8 publications

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“…This may be a crucial point in the mechanism of action, (24,25) although the remaining melanocytes may be fewer than normal, yet they may produce enough melanin to re-pigment the newly formed mucosa during and after the healing period, thus equalizing the pigmentation with the surrounding tissue. (16) In the present study, it appeared that the melanocytes where not sufficiently destructed in all cases, so that repeated laser applications were necessary especially in the patients with fair and bad results. It was reported that, enough melanocytes are destroyed to remove the over pigmentation but, at the same time, some underlying melanocytes are not sufficiently affected by the heat to be destroyed.…”

Section: Discussionmentioning

confidence: 98%

“…There have been several reports on the cryosurgical treatment of a variety of oral lesions (15,16) but only Tal et al, (10) described the depigmentation of gingival by cryosurgery. Others reported the successful use of liquid nitrogen and cotton swabs to eliminate the pigmented areas.…”

Section: Discussionmentioning

confidence: 99%

“…Demand for treatment is usually made for esthetic reasons however; there is not much information in the literature about the depigmentation of the gingiva. Several treatment modalities were applied for the treatment of such melanotic spots Perlmutter et al, (7,15) and Dummett and Bolder (16) have reported surgical removal of portions of pigmented gingiva. After surgery, it was necessary to cover the exposed lamina propria with periodontal packs for 7to 10 days; the wound took 6 weeks to heal and left a delicate scar.…”

Section: Discussionmentioning

confidence: 99%

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The Use of Soft Tissue Diode Laser in the Treatment of Oral Hyper Pigmentation

Soliman

Thomali

Shammrani

et al. 2014

IJHS

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Objective: To evaluate the clinical effectiveness and patients' acceptance of soft tissue diode laser, for the elimination of hyper pigmented areas of the gingivae and buccal mucosa. Subjects and methods:Twenty patients complaining of dark localized areas in their gingivae of upper and lower jaws, or in cheek mucosa were included in this study. All are females ages ranged from 18-37 with average of 27.5 years. The patients were all not pregnant, and free from any systemic diseases, and had no other areas of hyperpigmentation. Results:Most of the patients (18 Pts.) required two treatment sessions to remove the melanotic lesions satisfactorily. The patients were seen after one, two, and three weeks respectively. Eight patients (40%) had a good response after one week , Ten patients (50%) had a very good response after two weeks, while only two patients (10%) had a bad result and required a third treatment session after two weeks. At the third week postoperatively in the successful cases, restoration of the normal gingival and mucosal texture and color was achieved with optimal esthetic results. Most of the patients had no postoperative discomfort including: pain, edema and disfigurement. Conclusion:The soft tissue diode laser can be considered as a reliable mean for elimination of melanotic lesions of the gingivae or buccal mucosa, and is well tolerated by the patients.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Use of Soft Tissue Diode Laser in the Treatment of Oral Hyper Pigmentation

Soliman

Thomali

Shammrani

et al. 2014

IJHS

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“…Dummet et al noticed repigmentation as early as 33 days. They noticed 100% repigmentation in dark complexioned individuals [14]. Kaur et al noted that the melanin pigmentation score decreased from 2.40 to 0.93.…”

Section: Discussionmentioning

confidence: 99%

Oral Re-Pigmentation After Depigmentation- A Short Review and Case Report

Hosadurga¹,

Nettemu²,

Singh³

et al. 2017

Dentistry

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Melanin is a pigment that contributes to our skin color. Hyperpigmentation where melanin is produced in excess quantity can cause significant esthetic problem. Facial aesthetics is affected by smile line. Gingiva is an integral component of facial esthetics. Hyperpigmentation in gingiva affects facial esthetics. Various surgical modalities have been employed to correct hyperpigmentation. But, repigmentation is seen few months post-surgery. But the intensity and degree varies. Considerable improvement in gingival esthetics can be successfully achieved. In the present case, hyperpigmentation was graded, scalpel technique was used for depigmentation, crown lengthening by gingivectomy and frenectomy was done to correct altered passive eruption and aberrant frenal attachment. Oral repigmentation was graded and followed up to 5 months. Significant improvement in aesthetics of maxillary and mandibular gingival esthetics was achieved.

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“…27 Dummet and Bolden observed partial recurrence of hyperpigmentation in six out of eight patients after gingivectomy at 1 to 4 months. 28 Nakamura et al described depigmentation with CO 2 laser in 10 patients. No repigmentation was seen in 1st year but four patients showed repigmentation by 24 months.…”

Section: Ijoldmentioning

confidence: 99%

Management of Gingival Pigmentation with Diode Laser: Is It a Predictive Tool?

Doshi¹,

Khandge²,

Byakod³

2012

International Journal of Laser Dentistry

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Today, an attractive smile is the vogue for many individuals. Gingival health and appearance are essential components for an attractive smile and removal of unsightly pigmented gingival is the need for a pleasant and confident smile. In some populations, gingival pigmentation seems to be a genetic trait and is irrespective of age and gender, hence gingival pigmentation is termed as physiologic or racial gingival pigmentation. Intraoral pigmentation is seen due to the presence of the fundamental pigment melanin that colors the tissues. Several treatment modalities have been suggested for gingival depigmentation. Many varying results have been observed, but the repigmentation has been documented to occur. The large variation in time of repigmentation may be related to the techniques used and the race of the patient. This case report demonstrates the probable cause of repigmentation where pigmentation has recurred limbs.

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Postsurgical clinical repigmentation of the cingivae

Cited by 69 publications

References 8 publications

The Use of Soft Tissue Diode Laser in the Treatment of Oral Hyper Pigmentation

The Use of Soft Tissue Diode Laser in the Treatment of Oral Hyper Pigmentation

Oral Re-Pigmentation After Depigmentation- A Short Review and Case Report

Management of Gingival Pigmentation with Diode Laser: Is It a Predictive Tool?

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