A Successful Esthetic Approach of Gingival Depigmentation Using Microneedling Technique and Ascorbic Acid (Vitamin C)

Mostafa, Diana; M.AlOtaibi, Shaden

doi:10.1155/2022/3655543

Cited by 10 publications

(11 citation statements)

References 34 publications

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“…In our study, we established excellent aesthetic outcomes that are compatible with a case report that was done by Mostafa D, who applied AA to gingival mucosa using the MN technique, resulting in complete gingival depigmentation that lasted for six months [7]. Also, these results were in agreement with the clinical trial that was established by Yussif et al, who injected 1-1.5 ml of the AA (200-300 mg) intraepithelially in the gingival mucosa of 40 patients and identified a statistically significant reduction in the incidence of pigmentation and area of pigmentation with a mean of 0.737 [8].…”

Section: Discussionsupporting

confidence: 86%

“…Surgical techniques have shown early recurrence after 15 days to six months [30][31][32], while lower recurrence results were documented after 12-48 months when using laser and cryosurgery for GD [32][33][34]. On the other hand, recurrence of GP using ascorbic acid was reported in varying studies after six to nine months [7,8,35].…”

Section: Discussionmentioning

confidence: 99%

“…All of these techniques involve the elimination of the epithelium layer along with the underlying connective tissue to regenerate a new gingival epithelium without melanin. Also, some researchers studied the role of ascorbic acid in the management of gingival melanin pigmentation [6][7][8]. The technique selection should primarily depend on the dentist's clinical experience and patient preferences [9,10].…”

Section: Introductionmentioning

confidence: 99%

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Gingival Depigmentation Using Microneedling Technique With Topical Vitamin C: A Prospective Case Series

Mostafa¹,

A.Alaizari²,

M.AlOtaibi³

et al. 2023

Cureus

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IntroductionGingival pigmentation is mainly physiological due to the production of melanin. This study aimed to evaluate the effectiveness of a microneedling technique using topical ascorbic acid in treating gingival hyperpigmentation. MethodsA case-series study was established, and 16 out of 42 participants enrolled in this study according to the inclusion and exclusion criteria. A microneedling technique was performed using a Dermapen instrument, followed by the topical application of ascorbic acid on the pigmented gingiva. Variations in the Dummett oral pigmentation index (DOPI) and Hedin melanin index (HMI) scores were considered for each patient. A one-month follow-up was conducted on all patients. ResultsAll the reported cases demonstrated noticeable improvement at the end of the sessions. Moreover, seven patients showed complete depigmentation of the gingiva. Analysis using paired T-tests showed a statistically significant lower post-treatment DOPI score with a mean difference of 1.8 ± 0.7, 95% CI: 0.17-1.49. Similarly, the HMI score was lower post-treatment with a mean difference of 3.1 ± 0.7, 95% CI: 2.74-3.50. ConclusionsMicroneedling combined with topical ascorbic acid is a novel, non-invasive dental technique that can effectively treat gingival hyperpigmentation.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Gingival Depigmentation Using Microneedling Technique With Topical Vitamin C: A Prospective Case Series

Mostafa¹,

A.Alaizari²,

M.AlOtaibi³

et al. 2023

Cureus

Self Cite

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“…Besides, neovascularization and neocollagenesis are introduced by the migration and proliferation of fibroblasts and the laying down of the intercellular matrix, which gives the tightening look of the mucosa (Fabbrocini et al, 2009 ; Majid et al, 2014 ). Furthermore, Mostafa and Alotaibi ( 2022 ) reported that MN with ascorbic acid was effective in gingival depigmentation, resulting in the healthy pink apperance of the gingiva.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of microneedling technique using coconut and sesame oils on the severity of gingival inflammation and plaque accumulation: A randomized clinical trial

Mostafa

Alarawi

AlHowitiy

et al. 2022

Clinical & Exp Dental Res

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Objectives In our research, we evaluated the effect of coconut and sesame oils using the microneedling technique on gingival inflammation and plaque accumulation among patients with gingivitis by creating microholes in the gingiva to facilitate the concentration and entrance of the oils through gingival tissues. Materials and Methods Twenty‐four patients with clinically diagnosed plaque‐induced gingivitis were selected from Vision dental hospital, Riyadh, KSA, and assigned to one of three groups randomly; group A consisted of eight participants who were treated with dermapen and topical coconut oil, group B had eight participants who were treated with dermapen and topical sesame oil, and group C involved eight patients who received periodontal mechanical treatment only. Postintervention gingival status and plaque status for all participants were assessed using a modified average gingival index and a plaque index at Weeks 1, 2, and 4. Results Groups A and B experienced highly significant reductions in gingival indices, while group C showed reduced scores but was not significantly notable. On the contrary, the three studied groups exhibited no significant difference in the reduction of plaque indices when compared altogether. Conclusion Our study demonstrated an effective novel technique that revealed a noticeable improvement in gingival status and a reduction in the average gingival index and plaque index.

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“…Melanin pigmentation in the oral cavity is classified differently according to its color degree, gingival position, and gingival color alteration [ 19 ]. In this study, preoperative assessment of each case was achieved using the GPI (gingival pigmentation index), in which scores were as follows [ 20 ]: 0 = absence of pigmentation.…”

Section: Methodsmentioning

confidence: 99%

Long-Term Esthetically Depigmented Gingiva in a Short Operative Duration, Using Two Modes of 940 nm Diode Lasers—A Randomized Clinical Trial

Hamzah

Alattar

Salman

2022

International Journal of Dentistry

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Aim. This study aims to compare the effectiveness of the two modes of 940 nm diode lasers on gingival depigmentation. Methods. Twenty patients (11 females and 9 males) participated in this study; they were free of any systemic or local condition and randomly assembled into two groups: continuous wave (CW) and pulsed groups, in contact modes. The diode laser was of 940 nm wavelength and 1-2 W irradiation power for the two modes in all cases. A single session of irradiation was applied to the facial gingivae of the upper and lower anterior segments. Photographs were taken preoperatively and postoperatively for all patients, and a questionnaire and follow-up were carried out for the next four weeks and after three years. Results. The intraoperative duration of both modes was considerably short, with a short chair time subsequently. A statistically significant decrease in the intensity of pain, discomfort, and bleeding p ≤ 0.05 was noticed during the first week of follow-up within each group. Nonetheless, the two groups showed a close pattern of decline with no statistically significant differences between them. It was also clear that pain and discomfort were strongly correlated with each other within each group, and the correlation was statistically significant. On the other hand, carbonization was minimal in a few cases treated with CW mode but still not statistically significant. Finally, although the gingival pigmentation index (GPI) differences were not statistically significant between the two groups, they were significant within each group. Conclusions. The diode laser (940 nm) offered an effective and safe modality, providing an optimal aesthetic result that can meet patient satisfaction with minimal pain, bleeding, discomfort, intraoperative time, and the possibility of recurrence in the treatment of gingival hyperpigmentation.

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A Successful Esthetic Approach of Gingival Depigmentation Using Microneedling Technique and Ascorbic Acid (Vitamin C)

Cited by 10 publications

References 34 publications

Gingival Depigmentation Using Microneedling Technique With Topical Vitamin C: A Prospective Case Series

Gingival Depigmentation Using Microneedling Technique With Topical Vitamin C: A Prospective Case Series

The effectiveness of microneedling technique using coconut and sesame oils on the severity of gingival inflammation and plaque accumulation: A randomized clinical trial

Long-Term Esthetically Depigmented Gingiva in a Short Operative Duration, Using Two Modes of 940 nm Diode Lasers—A Randomized Clinical Trial

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