A comparative evaluation of two different techniques for esthetic management of gingival melanin hyperpigmentation: A clinical study

Gufran, Khalid

doi:10.4103/2348-2915.180109

Cited by 7 publications

(7 citation statements)

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“…A total of 4989 studies with relevant titles were further scrutinized based on eligibility criteria. After removing studies on basis of irrelevant objective, protocols only, no abstract, no full text, in vitro studies, different study designs, only 25 studies[12131421222324252627282930313233343536373839404142] were finally selected to be included for data extraction. The PRISMA flow chart of the process is shown in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

“…[23] Minimum follow-up was of 24 h, and the maximum follow-up was of 15 months. [3627] Out of 25 studies, 17 studies compared laser,[1214212223252628303132343637383941] 3 compared cryosurgery,[132442] 2 electrocautery,[2735] one radiosurgery[29] and 2 combination of laser and electrocautery, laser and graft. [3340] The control group in all the studies was surgical stripping.…”

Section: Resultsmentioning

confidence: 99%

“…Majority of the studies have studied the diode laser. [212225263032333536383940] Rest used Nd-YAG[23121428] and Er-YAG laser [Table 1]. [313437] The parameters assessed in the included studies along with the measurement scale are mentioned in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…[21] Ten out of 25 studies have reported no significant between the compared treatment modalities for depigmentation level achieved. [21222324273133354142] 16 out of 25 studies reported postoperative pain and discomfort. [12131421222324252728313436374142]…”

Section: Resultsmentioning

confidence: 99%

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Most effective method for the management of physiologic gingival hyperpigmentation: A systematic review and meta-analysis

Gul

Hameed

Nazeer

et al. 2019

J Indian Soc Periodontol

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Background and Aim: Gingival hyperpigmentation is an esthetic problem. The aim of the present study was to identify most effective treatment modality for managing generalized physiological gingival pigmentation. Materials and Methods: A systematic review and meta-analysis were done (1919 to October 2018) using PubMed, CINHAL, Dental and Oral Science, and manual searches. Twenty-five articles were finally reviewed. Only human clinical trials were considered with physiological gingival pigmentation treated with different depigmentation methods and compared with surgical stripping. The outcome was the achievement of gingival depigmentation and its recurrence. RevMan software was used for data analysis. Results: Of 26,132 articles, 25 met the inclusion criteria. Seventeen were randomized control trials and 8 were nonrandomized control trials. Most of the studies were on laser. The control group was scalpel surgery. Majority of studies showed no difference in compared treatment modality. A meta-analysis compared laser ablation with surgical stripping revealed a nonsignificance difference regarding recurrence ( P = 0.75) and depigmentation ( P = 0.23) and a statistically significant difference regarding postoperative pain favoring laser ablation ( P ≤ 0.05). Conclusions: Surgical stripping has been the conventional treatment of choice, but our review showed that new techniques are equally effective or even better. Laser especially diode laser was the most frequently used technique and showed better esthetic outcomes, less pain, faster healing, and patients' preference and satisfaction after treatment. However, laser showed more regimentation at 6-month evaluation. More good quality randomized controlled trials with different depigmentation methods are needed to draw strong conclusions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Most effective method for the management of physiologic gingival hyperpigmentation: A systematic review and meta-analysis

Gul

Hameed

Nazeer

et al. 2019

J Indian Soc Periodontol

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“…Gufran (2016) [41] compared depigmentation with scalpel and electrosurgery. The loop electrode was used, in combination with a fully rectified current, in the intention of cutting smoothly and also providing coagulation.…”

Section: Electrosurgerymentioning

confidence: 99%

Laser-Assisted Depigmentation—An Introspection of the Science, Techniques, and Perceptions

Muruppel

Pai²,

Bhat

et al. 2020

Dentistry Journal

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Background: Gingival hyperpigmentation is a major concern for a significant number of patients, as a relevant aesthetic or cosmetic need. Oral melanin pigmentation is considered to be multifactorial and could be related to physiological or even pathological reasons and can be the consequence of a variety of local or systemic factors. This pigmentation varies individually across races or age groups and is without any gender predilection. Evidence gleaned from literature is presented from case–control studies and from the authors’ own research work in prospective, split-mouth, double-blinded, clinical trials comparing treatment modalities in effecting depigmentation. Methods: A systematic review of published articles, using suitable assay criteria, was carried out to formulate a consensus on laser-assisted modalities. A total of 295 published sources were subject to critical analysis and resulted in six papers that were subject to data scrutiny. Additionally, evidence is presented on clinical protocols and treatment outcomes. Results: Analysis of randomized clinical studies identified the use of two laser wavelength groups—near infrared diode and erbium group of mid-infrared lasers. Several areas of analysis were examined, and inconsistent degrees of significance were obtained to establish which laser group was optimal and if they were any better than scalpel depigmentation. Conclusion: A definitive conclusion is wanting as studies with scientific and standardized protocols of evaluation are yet to provide a take on comparative assessments between different techniques of depigmentation.

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Gingival depigmentation with diode and Er,Cr:YSGG laser: evaluating re-pigmentation rate and patient perceptions

et al. 2021

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A comparative evaluation of two different techniques for esthetic management of gingival melanin hyperpigmentation: A clinical study

Cited by 7 publications

References 0 publications

Most effective method for the management of physiologic gingival hyperpigmentation: A systematic review and meta-analysis

Most effective method for the management of physiologic gingival hyperpigmentation: A systematic review and meta-analysis

Laser-Assisted Depigmentation—An Introspection of the Science, Techniques, and Perceptions

Gingival depigmentation with diode and Er,Cr:YSGG laser: evaluating re-pigmentation rate and patient perceptions

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