The surgical approach to gingival depigmentation for aesthetics: A Case Report

Nuzulul Ismi; Dewi Saputri

Authors

Nuzulul Ismi Syiah Kuala University Author
Dewi Saputri Syiah Kuala University Author

Keywords:

gingival depigmentation, physiological pigmentation, melanin

Abstract

Background: Physiological gingival pigmentation is a genetic changes in gingival color resulting from increased production and release of melanin in the gingival tissue and oral mucosa, so the condition becomes one of the important things in aesthetics for patients. Objective: This case report aims to see the results of gingival depigmentation surgical procedures in patients with clinical conditions of physiological gingival pigmentation. Case Report: A 27-year-old female patient presented with complaints of brown-black gums on the upper and lower jaw. Gingival depigmentation was performed using a surgical technique using a scalpel to remove pigmentation in the gingival area. Conclusion: Gingival hyperpigmentation is often a significant aesthetic problem for patients and requires treatment with a surgical intervention, one of the commonly used methods is gingival depigmentation with a scalpel surgical technique that shows satisfactory results with a relatively simple procedure and a low cost.

References

Tran TH, Le Q, Nguyen D, Do TT, Truong KN, Dang QV. Evaluation of Carbon Dioxide Laser – Assisted Treatment for Gingival Melanin Hyperpigmentation. Dent J. 2022;3–11.

Armogida NG, Rengo C, Cernera M, Iaculli F, Spagnuolo G. Transepithelial Gingival Depigmentation Using a New Protocol with Q-Switched Nd:YAG: An In Vivo Observational Study. Dent J. 2023;11(2):1–9.

Ahmed S, Almonea N, AlMarzooq R, Alnemri S, Zafeir D. Use and Success Rate of Lasers in the Treatment of Gingival Melanin Pigmentation: A Systematic Review. Int J Pharm Res Allied Sci. 2023;12(1):26–31.

Chaudhary DS, Parwani SR, Barkhade S, Gajbhiye M, Parwani R, Sikka G, et al. Physiological Gingival Melanin Hyperpigmentation Treatment with Injectable Vitamin C and Scalpel Technique: A Randomised Controlled Clinical Trial. Int J Dent. 2023;(1):1–8.

Taher Agha M, Polenik P. Laser Treatment for Melanin Gingival Pigmentations: A Comparison Study for 3 Laser Wavelengths 2780, 940, and 445 nm. Int J Dent. 2020;(1):1–11.

Maddaleno AS, Camargo J, Mitjans M, Vinardell MP. Melanogenesis and Melasma Treatment. Cosmetics. 2021;8(1):1–11.

Sanadi RM, Deshmukh RS. Expression of Tyrosinase Gene in Gingiva: A Pilot Study. J Oral Maxillofac Pathol. 2022;26(3):1–4.

Shahna N, Suchetha A, Sapna N, Darshan B, Apoorva S. Gingival Pigmentation : A Review of Literature. Int J Appl Dent Sci. 2019;5(2):83–91.

Natesan SC, Ramakrishnan BP, Krishnapillai R, Thomas P. Biophysiology of Oral Mucosal Melanocytes. J Heal Sci Res. 2019;10(2):47–51.

Castro-Rodríguez Y. Gingival Melanosis : A Review of Diagnosis and Treatment Criteria. Odontoestomatologia. 2019;21(33):54–61.

Chagra J, Bouguezzi A, Sioud S, Hentati H, Selmi J. Gingival Melanin Depigmentation by 808 nm Diode Laser: Report of a Case. Case Rep Dent. 2020;(1):1–5.

Muruppel AM, Jagadish Pai BS, Bhat S, Parker S, Lynch E. Laser-Assisted Depigmentation-an Introspection of The Science, Techniques, and Perceptions. Dent J. 2020;8(88):1–20.

Negi R, Gupta R, Dahiya P, Kumar M, Bansal V, Kaur Samlok J. Ceramic Soft Tissue Trimming Bur: A New Tool for Gingival Depigmentation. J Oral Biol Craniofacial Res. 2018;9(1):1–24.

Yadav S, Shubham K, Chandra, C, Bhatia LK, Iqbal H, Bhowmick D. Evaluation of Electrosurgery and Diode Laser in Gingival Depigmentation. J Pharm Clin Res. 2022;14(1):S851–4.

Inchingolo F, Inchingolo AD, Palumbo I, Guglielmo M, Balestriere L, Casamassima L, et al. Management of Physiological Gingival Melanosis by Diode Laser Depigmentation versus Surgical Scalpel: A Systematic Review. Dentistry Review. 2024;4(3):100146