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

Patil KP, Joshi V, Waghmode V, Kanakdande V - Contemp Clin Dent (2015)

Bottom Line: Gingival hyperpigmentation is a major esthetic concern for many people.Although it is not a medical problem, many people complain of dark gums as unesthetic.Gingival depigmentation is a periodontal plastic surgical procedure, whereby the hyperpigmentation is removed or reduced by various techniques.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics and Oral Implantology, Dr. D. Y. Patil Dental College and Hospital, Pune, India.

ABSTRACT
Gingival hyperpigmentation is a major esthetic concern for many people. Although it is not a medical problem, many people complain of dark gums as unesthetic. Gingival depigmentation is a periodontal plastic surgical procedure, whereby the hyperpigmentation is removed or reduced by various techniques. For depigmentation of gingival, different treatment modalities have been reported, such as scalpel, cryosurgery, electrosurgery, lasers, etc., this article compares the management of three cases with scalpel and cryosurgery and also highlights the relevance of cryosurgery.

No MeSH data available.


Related in: MedlinePlus

Case II: Preoperative (a) case I: Preoperative, (b) depigmentation using scalpel technique, (c) excised specimen, (d) immediate postoperative, (e) depigmentation using cryosurgery technique, (f) the frozen site thawed spontaneously within 1 min, (g) ghosting effect (2nd day), (h) postoperative 4 weeks follow-up
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Figure 1: Case II: Preoperative (a) case I: Preoperative, (b) depigmentation using scalpel technique, (c) excised specimen, (d) immediate postoperative, (e) depigmentation using cryosurgery technique, (f) the frozen site thawed spontaneously within 1 min, (g) ghosting effect (2nd day), (h) postoperative 4 weeks follow-up

Mentions: A 23-year-old male patient visited the Department of Periodontology, complaining of dark gums. History revealed that it was present since childhood suggestive of physiological melanin pigmentation [Figure 1a]. Patient was systemically healthy without any habits. Patient's oral hygiene was good. Patient was explained about the treatment options available and the possibility of repigmentation after certain period. Phase I therapy was carried out during the initial visit. A split mouth approach comparing scalpel technique with that of cryosurgery was planned. Local infiltration of lignocaine was administered. At the maxillary left anterior region from central incisor to canine (anterior esthetic segment), a conventional/traditional technique was used, wherein a #15 blade is used for depigmentation [Figure 1b–d].


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

Patil KP, Joshi V, Waghmode V, Kanakdande V - Contemp Clin Dent (2015)

Case II: Preoperative (a) case I: Preoperative, (b) depigmentation using scalpel technique, (c) excised specimen, (d) immediate postoperative, (e) depigmentation using cryosurgery technique, (f) the frozen site thawed spontaneously within 1 min, (g) ghosting effect (2nd day), (h) postoperative 4 weeks follow-up
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374330&req=5

Figure 1: Case II: Preoperative (a) case I: Preoperative, (b) depigmentation using scalpel technique, (c) excised specimen, (d) immediate postoperative, (e) depigmentation using cryosurgery technique, (f) the frozen site thawed spontaneously within 1 min, (g) ghosting effect (2nd day), (h) postoperative 4 weeks follow-up
Mentions: A 23-year-old male patient visited the Department of Periodontology, complaining of dark gums. History revealed that it was present since childhood suggestive of physiological melanin pigmentation [Figure 1a]. Patient was systemically healthy without any habits. Patient's oral hygiene was good. Patient was explained about the treatment options available and the possibility of repigmentation after certain period. Phase I therapy was carried out during the initial visit. A split mouth approach comparing scalpel technique with that of cryosurgery was planned. Local infiltration of lignocaine was administered. At the maxillary left anterior region from central incisor to canine (anterior esthetic segment), a conventional/traditional technique was used, wherein a #15 blade is used for depigmentation [Figure 1b–d].

Bottom Line: Gingival hyperpigmentation is a major esthetic concern for many people.Although it is not a medical problem, many people complain of dark gums as unesthetic.Gingival depigmentation is a periodontal plastic surgical procedure, whereby the hyperpigmentation is removed or reduced by various techniques.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics and Oral Implantology, Dr. D. Y. Patil Dental College and Hospital, Pune, India.

ABSTRACT
Gingival hyperpigmentation is a major esthetic concern for many people. Although it is not a medical problem, many people complain of dark gums as unesthetic. Gingival depigmentation is a periodontal plastic surgical procedure, whereby the hyperpigmentation is removed or reduced by various techniques. For depigmentation of gingival, different treatment modalities have been reported, such as scalpel, cryosurgery, electrosurgery, lasers, etc., this article compares the management of three cases with scalpel and cryosurgery and also highlights the relevance of cryosurgery.

No MeSH data available.


Related in: MedlinePlus