Journal of Dental Specialities
  • Year: 2016
  • Volume: 4
  • Issue: 1

Pink in, black out: Gingival depigmentation-a clinical study

  • Author:
  • Mehak Gera1,, Shubhi Chaudhary2, Amandeep Singh Dhillon3, Vidya Dodwad4, Shubra Vaish5, Bhavna Jha Kukreja6
  • Total Page Count: 5
  • Page Number: 31 to 35

1, Department of Periodontics, I. T.S Centre for Dental Studies and Research, Delhi-Meerut road, Muradnagar, Ghaziabad, Uttar Pradesh, India

2, Department of Periodontics, I. T.S Centre for Dental Studies and Research, Delhi-Meerut road, Muradnagar, Ghaziabad, Uttar Pradesh, India

3Postgraduate student, Department of Periodontics, I. T.S Centre for Dental Studies and Research, Delhi-Meerut road, Muradnagar, Ghaziabad, Uttar Pradesh, India

4Professor and Head, Department of Periodontics, I. T.S Centre for Dental Studies and Research, Delhi-Meerut road, Muradnagar, Ghaziabad, Uttar Pradesh, India

5Professor, Department of Periodontics, I. T.S Centre for Dental Studies and Research, Delhi-Meerut road, Muradnagar, Ghaziabad, Uttar Pradesh, India

6Senior Lecturer, Department of Periodontics, I. T.S Centre for Dental Studies and Research, Delhi-Meerut road, Muradnagar, Ghaziabad, Uttar Pradesh, India

*Address for Correspondence: Mehak Gera, Department of Periodontics, I. T.S Centre for Dental Studies and Research, Delhi-Meerut road, Muradnagar, Ghaziabad, Uttar Pradesh, INDIA E-mail: gera.mehak@gmail.com

Online published on 20 September, 2016.

Abstract

Recurrence of pigmentation is seen to be associated with gingival melanin depigmentation, which starts with melanocytic migration from the adjacent free gingiva. The extent and rate of recurrence varies according to various treatment procedures used and time period of follow-up. The aim of this study is to compare surgical stripping and diode LASER techniques for gingival depigmentation and to evaluate clinical repigmentation.

In this study, 20 sites from 10 patients with bilateral melanin hyperpigmentation were treated with surgical stripping and diode LASER techniques. Changes in Dummett Oral Pigmentation Index (DOPI) from baseline to 3 months postoperatively were recorded.

At the 3-month postoperative visit, 53% of the scalpel group and 46% of the diode LASER group showed clinical repigmentation. Paired t test was used for statistical analysis. Change in DOPI score was statistically significant.

After gingival depigmentation, clinical repigmentation is an outcome of histologic changes in the melanocyte activity. Gingival depigmentation carried out by surgical stripping remains the gold standard, however diode LASER is seen nowadays as an upcoming treatment modality.

Keywords

Cell Biology, Hyperpigmentation, LASERs, Pain