Efficacy of Different Techniques of Gingival Depigmentation: A Comparative Evaluation with a Case Report

Excessive gingival pigmentation is a major esthetic concern for many people. Melanin pigmentation is known to be caused by melanin granules within the gingival epithelium. Smile is determined not only by the shape, the position, and the color of the teeth, but also by the gingival tissues. Gingival health and appearance are essential components of an attractive smile. It is not a medical problem, but it feels unesthetic for the patient and particularly in patients having a very high lip/smile line. Depigmentation is not a clinical indication but a treatment of choice where esthetics is a concern and is desired by the patient. For depigmentation of gingival, different treatment modalities have been reported such as bur abrasion, scraping, partial thickness flap, cryotherapy, electrosurgery, and laser. The present case series describes two simple and effective surgical depigmentation techniques treated with diode laser and electrosurgery.

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“…The selection of a technique for depigmentation is based on clinician's experience, patient's affordability, and preferences. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

“…Demerits of scalpel technique are excessive bleeding in the operating area, postoperative pain, and discomfort. [ 7 ] To overcome these difficulties, electrocautery procedure has been employed in the field of dentistry.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of depigmentation techniques in split-mouth design with electrocautery and laser

2015

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“…It is necessary to manage GMP although it is not a medical problem, but it is a considerable aesthetic issue especially for patients with gummy smile. Various treatments were used for this purpose including abrasion with a scalpel and a diamond bur, gingivectomy, electrosurgery, cryosurgery, chemical treatments by agents such as 90% phenol and 95% alcohol, methods with grafts from less pigmented areas such as free gingival autografts or cellular dermal matrix allografts and lasers.…”

Section: Introductionmentioning

confidence: 99%

A comparative clinical study between the efficacy of Nd:YAG laser and Diode laser in the management of physiologic gingival melanin pigmentation

Alasbahi

Hamadah

2018

Oral Surgery

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Objective Recently, laser surgery has been used extensively in the treatment of gingival melanin pigmentation (GMP). Several lasers have been utilised for this purpose. This study compares the use of Nd:YAG and diode in treating of GMP based on healing period, recurrence and patient’s acceptability. Materials and Methods Twenty patients with moderate/severe GMP were included in this split mouth study. Nd:YAG with a free running pulse mode, wavelength of 1064 nm, was used to treat GMP of the two right quadrants. However, diode with a continuous mode, wavelength of 980 nm, was used to treat GMP on the left side. Clinical assessment of each laser quadrant was made in 1 week, 1, 3, 6 and 9 months post‐operatively. Results Clinical examination showed that the complete healing of gingiva occurred in a period between 1 week (30% diode, 40% Nd:YAG) and 4 weeks (70% diode, 60% Nd:YAG). Post‐operatively, after 9 months, most patients were satisfied with the procedure, although a recurrence was of 35% of the sample. Statistical analyses did not demonstrate differences between Nd:YAG and diode lasers with regard to all studied variables (P > 0.05). Conclusions Both Nd:YAG and diode lasers are effective in the management of physiologic gingival pigmentations although recurrence is still recognised.

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“…4 ). The 100% clinical success of laser pulpotomy in our study could be attributed to its non-invasive and non-pharmaceutical nature of technique, efficient control of hemorrhage, 17 decontamination 18 and sterilization 17 effect simultaneously with preservation of the radicular pulp, 17 and faster pulpal wound healing that did not affect either the Inflammatory function of monocytes and endothelial cells or the adhesion of endothelial cells. 17…”

Section: Resultsmentioning

confidence: 67%

Laser Pulpotomy—An Effective Alternative to Conventional Techniques: A 12 Months Clinicoradiographic Study

Gupta

Rana

Srivastava

et al. 2015

International Journal of Clinical Pediatric Dentistry

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Background: Vital pulpotomy is a single-stage procedure of surgical amputation of the coronal portion of exposed vital pulp, usually as a means of preserving the vitality and function of the remaining radicular portion.Aims and objectives: The aim of this study was to compare the clinical and radiographic success rates for ferric sulfate (FS), electrosurgery (ES) and laser pulpotomy in human primary molars.Materials and methods: In a randomized clinical trial, 30 primary molars indicated for pulpotomy in children aged 4 to 10 years were treated using either a FS (10 teeth), ES technique (10 teeth) and laser (10 teeth). Following the pulpotomy, the teeth were evaluated for clinical and radiographic success at 3, 6, 9 and 12 months on the basis of the presence of pain, sinus, mobility, internal and external resorption, periapical radiolucency, calcification in the canal and bone loss.Statistical analysis: The data were assessed with Chi-square test.Results: After 12 months of follow-up, both clinical and radiographic success rates were 100% in the laser group but only 80% in both ES and FS groups. There was statistically significant difference between the success rates of three groups (p < 0.05).Conclusion: Laser pulpotomy showed better clinical as well as radiographical results than ES and FS pulpotomy. Laser pulpotomy was also found superior in terms of operating time, patient cooperation, ease of use and pain. Although results of the study showed the failure rates for electrosurgical pulpotomy to be equal to those for FS pulpotomy, electrosurgical pulpotomy being a nonpharmacological technique considered more favorable. Further studies using larger sample size and longer evaluation periods are suggested.How to cite this article: Gupta G, Rana V, Srivastava N, Chandna P. Laser Pulpotomy–An Effective Alternative to Conventional Techniques: A 12 Months Clinicoradiographic Study. Int J Clin Pediatr Dent 2015;8(1):18-21.

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Efficacy of Different Techniques of Gingival Depigmentation: A Comparative Evaluation with a Case Report

Cited by 15 publications

References 99 publications

Comparative evaluation of depigmentation techniques in split-mouth design with electrocautery and laser

Comparative evaluation of depigmentation techniques in split-mouth design with electrocautery and laser

A comparative clinical study between the efficacy of Nd:YAG laser and Diode laser in the management of physiologic gingival melanin pigmentation

Laser Pulpotomy—An Effective Alternative to Conventional Techniques: A 12 Months Clinicoradiographic Study

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