Tratamento de pigmentações melânicas com instrumentos rotatórios e lâmina de bisturi Treatment of melanic pigmentations with rotary instruments and scalpel blade

Abstract

Introduction: Oral pigmentary lesions may have different clinical characteristics, ranging from physiological pigmentation, such as melanin spots, to something more serious, such as malignant melanoma. Due to the great variety of pigmented lesions, the treatments are varied and individualized. Objective: This clinical case reports a case of melanocytic removal through a surgical technique that associates rotary instruments and scalpel blade. Case report: A 45-year-old patient, melanoderma, sought care at the Positivo University, complaining about the dark spots visible on his gum, and the discomfort they caused him when smiling. After the clinical examination, the presence of melanocytic pigmentation was diagnosed and the proposed treatment was surgical removal of spots with a drill and scalpel blade. In the immediate postoperative period, the patient presented good healing and reported only mild burning in the first three days. After 60 days, the gingiva was healed, with no relapsing spots. Conclusion: The technique chosen was effective because it presented adequate healing and absence of relapse of the pigmentation in the postoperative follow-up

Relação entre biótipos periodontais e reabilitação com próteses fixas

“…É uma alteracaõ da cor da gengiva a partir de uma hiperatividade de melanoćitos, produzindo em grande quantidade a proteína melanina, entre a camada basal e espinhosa do epiteĺio bucal. Ela pode ser classificada basicamente a partir de duas etiologias: endoǵena ou exoǵena (Spada, et al, 2018). Fonte : Spada, et al, (2018).…”

“…Ela pode ser classificada basicamente a partir de duas etiologias: endoǵena ou exoǵena (Spada, et al, 2018). Fonte : Spada, et al, (2018).…”

High-power laser in the treatment of gingival pigmentation: an integrative review of the literature

“…Between different types of pigmentation, it can be seen that there is no gender preference for their occurrences. It is characterized by diffuse melanic pigmentation and multi-location and its prevalence varies in different ethnic groups, especially black, asian, and mediterranean [2,3].…”

“…It can be accomplished by various techniques, such as wear with scalpel blade, drill wear, cryosurgery and electrosurgery. An alternative method used to remove melanin and gingival pigmentation is laser [3].…”

“…Each laser has therapeutic applications, but not all of them produce the same effects. In addition, the effect of the laser varies with emission parameters and irradiated tissue, and may even have different effects in a single tissue [3,8]. Some high-power lasers emit light with wavelengths in the infrared band of the electromagnetic spectrum, and are being used as an alternative method for the removal of this pigmentation, either by interaction of some absorbent chromophores found in the tissue, either by ablation process, interaction with water molecules present in it [2,3,8].…”