Black to Pink: Clinical Evaluation of Two Different Surgical Approaches for the Treatment of Hyperpigmentation

Abstract

Background Gingival hyperpigmentation poses an esthetic concern to many patients. Techniques available to perform these procedures are mucosal stripping by scalpel, bur abrasion, partial thickness flap, gingivectomy, free gingival grafts, by use of chemotherapeutic agents, electrosurgery, cryosurgery and lasers. This paper compares two different surgical approaches for the treatment of hyperpigmentation with their advantages and disadvantages. Methods Gingival depigmentation procedure of the maxillary gingiva was carried out by scalpel technique and mandibular gingiva by electrosurgical method. Results Both the techniques yielded satisfactory results in eliminating the hyperpigmented areas. Follow-up was done after 1, 2 and 4 weeks and 1 year. At the end of 1 week, patient expressed slight tenderness and discomfort with the mandibular gingiva treated with electrosurgical method. Repigmentation appeared after 1 year on both arches but with less pigmentation on maxillary gingiva compared with mandibular gingiva. Conclusion Scalpel technique offers advantage of being easy, effective, less discomfort with esthetically acceptable results in comparison with electrosurgical method.

MELANOPLASTIA: RELATO DE CASO CLÍNICO/ Melanoplasty: clinical case report

“…A hiperpigmentação gengival fisiológica é vista como traço genético e independe da idade e gênero (BHATSANGE, JAPATI, 2011). Está presente em todos os grupos étnicos, sendo mais prevalente em pessoas negras.…”

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

“…Different treatment modalities are available for the management of gingival hyperpigmentation that can be broadly classified into two categories: methods that remove pigments and methods that mask the pigment. [1011] Removal of pigment can be done by surgical and nonsurgical or chemical methods. [1011] Surgical methods mainly include scalpel surgery, laser ablation, bur abrasion, electrocautery, cryosurgery, and radiosurgery.…”

“…[1011] Removal of pigment can be done by surgical and nonsurgical or chemical methods. [1011] Surgical methods mainly include scalpel surgery, laser ablation, bur abrasion, electrocautery, cryosurgery, and radiosurgery. [1011] Nonsurgical method mainly refers to chemical cauterization.…”

“…[1011] Surgical methods mainly include scalpel surgery, laser ablation, bur abrasion, electrocautery, cryosurgery, and radiosurgery. [1011] Nonsurgical method mainly refers to chemical cauterization. [1011] The methods that mask the gingival pigments include gingival grafting procedures and use of acellular dermal matrix allograft, etc.…”

“…[1011] Nonsurgical method mainly refers to chemical cauterization. [1011] The methods that mask the gingival pigments include gingival grafting procedures and use of acellular dermal matrix allograft, etc. [1011]…”