Comparison between scalpel technique and electrosurgery for depigmentation: A case series

Background:Gingival depigmentation is a periodontal plastic surgical procedure whereby the gingival hyperpigmentation is removed by various techniques such as electrosurgery, cryosurgery, abrasion with diamond bur and lasers. The aim of this study was to determine the pain levels during the gingival depigmentation procedure using electrosurgery and lasers.Materials and Methods:Twenty patients, both male and female, between the ages of 20 and 40 years were randomly allocated into two groups of 10 patients each: Those undergoing depigmentation with electrosurgery (Group I) and those by diode lasers (Group II). Patients of both groups were asked to define the level of pain and discomfort by using the Visual Analog Scale (VAS) intraoperatively, 24 h post-operatively and 1 week post-operatively.Results:Both the groups showed a decrease in the pain levels, which was statistically highly significant 1 week post-operatively when compared 24 h post-operatively. There was a statistically highly significant difference in the pain levels between the electrosurgery and the lasers groups after 24 h (P < 0.001), with the lasers group demonstrating lesser pain and discomfort. Although there was no significant difference between the two groups intraoperatively and 1 week post-operatively on comparison, lesser mean scores were observed for the lasers group.Conclusion:The growing concern for esthetic requires the removal of hyperpigmentated gingival areas to create a confident and pleasant smile, which could be easily attained by using either electrosurgery or lasers. This study concluded that lasers produce lesser pain and discomfort compared with electrosurgery during gingival depigmentation.

Section: Discussionmentioning

confidence: 99%

Evaluation of pain on use of electrosurgery and diode lasers in the management of gingival hyperpigmentation: A comparative study

Chandna

Kedige

2015

“…Although several techniques are currently in use, the scalpel technique is still the most widely employed as it is most economical compared to other techniques, which require more advanced armamentarium and is therefore highly recommended in consideration of the equipment constraints in developing countries. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 3 ] Earlier studies have shown no significant difference in the density of distribution of melanocytes between light-skinned, dark skinned and black individuals. [ 4 ] However, melanocytes of dark skinned and black individuals are uniformly highly reactive, in light-skinned individuals, melanocytes are highly variable in reactivity. [ 5 6 7 ]…”

Section: Introductionmentioning

confidence: 99%

Comparison of two different depigmentation techniques for treatment of hyperpigmented gingiva

Gupta

Kumar

Khatri

et al. 2014

Introduction:Demand for cosmetic therapy of gingival melanin pigmentation is common. Re-pigmentation after gingival depigmentation is an important point. The aim of this study is to evaluate the effect of surgical scraping and electrosurgery on postoperative pain, healing and recurrence of pigmentation.Materials and Methods:Fifteen patients with esthetic concern related to black gums were selected and treated by surgical scraping with respect to right quadrant and electrosurgery with respect to left quadrant. Patients were recalled post-operatively to evaluate healing and recurrence of pigmentation. Each patient was asked to complete the Visual Analogue Scale (VAS) index cards 2 and 24 hours postoperatively.Results:In the initial post-operative period, VAS index cards showed that the discomfort and pain level associated with electrosurgery was significantly higher than conventional scalpel surgery (P < 0.05). Clinically delayed healing was observed in the electrosurgically treated site. Electrosurgery showed better results as compared to epithelial excision for recurrence of pigments. At the end of 15 months, 7 sites in the scalpel excision group showed recurrence, whereas only 4 site showed recurrence in the electrosurgically treated group.Conclusion:The methods used here produced desired results and above all, the patients were satisfied with the outcome. Increased pain level and clinically delayed healing was associated with electrosurgery as compared to scalpel surgery, whereas repigmentation occurred more frequently in scalpel-treated sites.

“…An esthetic smile does not only create an impact on the viewers but it also enhances the personality and self-confidence of the individual. [1] Various factors contribute to the composition of an esthetic smile such as shape, color, and position of teeth and gingiva. [1] Of these, the color of gingiva plays a significant role in the overall smile esthetics.…”

Section: Introductionmentioning

confidence: 99%

“…[1] Various factors contribute to the composition of an esthetic smile such as shape, color, and position of teeth and gingiva. [1] Of these, the color of gingiva plays a significant role in the overall smile esthetics. [1] The color of gingiva is affected by some factors, including the thickness of the epithelium, the degree of keratinization, size of blood vessels, and color pigments within the epithelium.…”

Section: Introductionmentioning

confidence: 99%

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

Gul

Hameed

Nazeer

et al. 2019

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.