Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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CASE SERIES
Year : 2012  |  Volume : 16  |  Issue : 4  |  Page : 614-619

Treatment of gingival hyperpigmentation with rotary abrasive, scalpel, and laser techniques: A case series


Department of Periodontics, Army College of Dental Sciences, Secunderabad, Andhra Pradesh, India

Correspondence Address:
M Bhanu Murthy
Army College of Dental Sciences, Jai Jawahar Nagar, CRPF Road, Chennnapur, Ranga Reddy District, Secunderabad, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-124X.106933

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Melanin pigmentation often occurs in the gingiva as a result of an abnormal deposition of melanin, due to which the gums may appear black, but the principles, techniques, and management of the problems associated with gingival melanin pigmentation are still not fully established. Depigmentation procedures such as scalpel surgery, gingivectomy with free gingival autografting, electrosurgery, cryosurgery, chemical agents such as 90% phenol and 95% alcohol, abrasion with diamond bur, Nd: YAG laser, semiconductor diode laser, and CO 2 laser have been employed for removal of melanin hyper pigmentation. The following case series describes three different surgical depigmentation techniques: scalpel surgery, abrasion with rotary abrasive, and a diode laser. Better results of depigmentation were achieved with diode laser than conventional scalpel and with rotary abrasion with respect to esthetics. The results point out that lasers are an effective and a safe means to removal of hyperpigmentation from the gingiva. Healing was uneventful and no repigmentation occurred.


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