Comparison of Nd:YAG Laser and Surgical Stripping for Treatment of Gingival Hyperpigmentation: A Clinical Trial

Basha, Mohammed Irfan; Hegde, Rashmi; Sumanth, S; Sayyed, Salman; Tiwari, Anupriya; Muglikar, Sangeeta

doi:10.1089/pho.2014.3855

Cited by 15 publications

(38 citation statements)

References 23 publications

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“…We performed infiltration anesthesia with 2 % mepivacaine before starting the surgery due to the presence of adrenaline as a vasoconstrictor, enhancing the anesthetic effect and reducing transoperative bleeding. Similarly, authors (Kaur & Das, 2012;Soliman et al;Ponnaiyan et al;Murthy et al;Gupta et al;Basha et al, 2015) also performed infiltration anesthesia before the procedures. However, Sims¸ek Kaya et al did not perform anesthesia before the procedure, because one of the objectives of the study was to assess trans-and postoperative pain, comparing diode laser and Er:YAG laser.…”

Section: Discussionmentioning

confidence: 99%

Gingival Melanin Depigmentation With Diode Laser - Case Report

Vassoler

Magro

et al. 2019

Int. J. Odontostomat.

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The pigmented lesions of the oral cavity may be endogenous or exogenous. Endogenous lesions are benign and usually caused by melanin, and they are called gingival melanin pigmentations. Among the options for depigmenting these areas, laser therapy stands out for being a minimally invasive procedure. This study aims to report a clinical case of the gingival depigmentation technique using a high-power diode laser in the anterior maxillary region, for the ablation of the pigmented tissue to improve gingival aesthetics. The patient had an aesthetic complaint of the darkened aspect of the gingiva in the anterior maxillary and mandibular portions. After local anesthesia, we started depigmentation with high-power diode laser and performed ablation from the attached gingiva toward the free marginal gingiva. The patient returned after 30 and 180 days presenting healthy gingiva and absence of melanin repigmentation. Thus, we concluded that the diode laser was a good alternative for melanin depigmentation because it is a procedure with lower morbidity and satisfactory postoperative results.

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Section: Discussionmentioning

confidence: 99%

Gingival Melanin Depigmentation With Diode Laser - Case Report

Vassoler

Magro

et al. 2019

Int. J. Odontostomat.

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“…Diode lasers have various wavelengths and have been commonly used to treat gingival depigmentation with no side effects. Diode Lasers rely on their affinity for colored pigments like melanin and their ablative property targets the melanin present in melanocytes of basal and suprabasal layers of epithelium that absorb and convert light energy into heat by photo thermolysis [3]. This case report highlights a case of gingival pigmentation treated successfully by 810 nm diode laser.…”

Section: Introductionmentioning

confidence: 94%

Esthetic Management of Gingival Melanin Hyperpigmentation by 810 nm Diode Laser

Singh¹

2018

OAJDS

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Gingival hyperpigmentation and excessive gingival display are the main esthetic concerns of a large number of patients visiting a dentist. The color of gingiva is determined by the vascular supply, the thickness of epithelium, its degree of keratinization and the presence of melanin granules which are produced in melanosomes of melanocytes. Melanocytes are located in basal and supra basal layers of the epithelium and are responsible for the melanin pigmentation of the gingiva. Gingival hyperpigmentation can occur irrespective of age or sex and can vary from linear/ diffuse/ triangular patches of light brown to dark brown or bluish black color. Melanin pigmentation is a physiological pigmentation and no treatment is required for same but in the present cosmetic and esthetic era, a number of patients are conscious of the dark patches of pigmentation and request for its treatment. Among a plethora of available treatment modalities for this condition, laser has shown to be the most promising solution. This case report highlights the effectiveness of 810 nm diode laser in treating gingival hyperpigmentation.

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“…Basha et al (2015) [14] compared depigmentation done using the Nd:YAG laser at 3 W, 30 mJ per pulse, in contact mode, using a 300 µm fiber tip, under topical anesthetic only, on one quadrant of the maxillary arch, in contrast to surgical stripping of the pigmented gingiva done with a no. 15 scalpel under local anesthetic injection on the contralateral quadrant of the maxillary arch in 20 patients using a split-mouth approach.…”

Section: Contact Modementioning

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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Comparison of Nd:YAG Laser and Surgical Stripping for Treatment of Gingival Hyperpigmentation: A Clinical Trial

Abstract: From the present study it can be concluded that Nd:YAG laser can be used as an alternative technique for gingival depigmentation. However, surgical stripping continues to remain as a cost-effective procedure.

Cited by 15 publications

References 23 publications

Gingival Melanin Depigmentation With Diode Laser - Case Report

Gingival Melanin Depigmentation With Diode Laser - Case Report

Esthetic Management of Gingival Melanin Hyperpigmentation by 810 nm Diode Laser

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

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