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Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique: A clinical study

AIM: The present study was undertaken to evaluate patient response and recurrence of pigmentation following gingival depigmentation carried out with a surgical blade and diode laser. MATERIALS AND METHODS: Twenty patients who were esthetically conscious of their dark gums and requested treatment for...

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Autores principales: Grover, Harpreet Singh, Dadlani, Himanshu, Bhardwaj, Amit, Yadav, Anil, Lal, Sanjay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4239748/
https://www.ncbi.nlm.nih.gov/pubmed/25425820
http://dx.doi.org/10.4103/0972-124X.142450
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author Grover, Harpreet Singh
Dadlani, Himanshu
Bhardwaj, Amit
Yadav, Anil
Lal, Sanjay
author_facet Grover, Harpreet Singh
Dadlani, Himanshu
Bhardwaj, Amit
Yadav, Anil
Lal, Sanjay
author_sort Grover, Harpreet Singh
collection PubMed
description AIM: The present study was undertaken to evaluate patient response and recurrence of pigmentation following gingival depigmentation carried out with a surgical blade and diode laser. MATERIALS AND METHODS: Twenty patients who were esthetically conscious of their dark gums and requested treatment for the same were selected for this study. Complete phase I therapy was performed for all the patients before performing the gingival depigmentation procedures with laser and scalpel on a split-mouth basis. Patients were evaluated for pain (1 day, 1 week), wound healing and melanin repigmentation (Melanin Pigmentation Index) immediately and at 1 week, 1 month and 3 months, respectively. RESULTS: The final results were statistically analyzed and significance was evaluated. The results of this study indicated that both scalpel and laser were efficient for gingival depigmentation. Comparative pain assessment (P = 0.148) and repigmentation scores (P = 0.288) at various time intervals between the two groups did not show any statistical significance. CONCLUSION: Both the procedures did not result in any post-operative complications and the gingiva healed uneventfully. When compared, both the techniques were found to be equally efficacious. Care must be taken to assess the gingival biotype and the degree of pigmentation in deciding which technique is to be used. CLINICAL SIGNIFICANCE: Various methods of depigmentation are available with comparable efficacies. Depigmentation is not a clinical indication but a treatment of choice where esthetics is a concern and is desired by the patient.
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spelling pubmed-42397482014-11-25 Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique: A clinical study Grover, Harpreet Singh Dadlani, Himanshu Bhardwaj, Amit Yadav, Anil Lal, Sanjay J Indian Soc Periodontol Original Article AIM: The present study was undertaken to evaluate patient response and recurrence of pigmentation following gingival depigmentation carried out with a surgical blade and diode laser. MATERIALS AND METHODS: Twenty patients who were esthetically conscious of their dark gums and requested treatment for the same were selected for this study. Complete phase I therapy was performed for all the patients before performing the gingival depigmentation procedures with laser and scalpel on a split-mouth basis. Patients were evaluated for pain (1 day, 1 week), wound healing and melanin repigmentation (Melanin Pigmentation Index) immediately and at 1 week, 1 month and 3 months, respectively. RESULTS: The final results were statistically analyzed and significance was evaluated. The results of this study indicated that both scalpel and laser were efficient for gingival depigmentation. Comparative pain assessment (P = 0.148) and repigmentation scores (P = 0.288) at various time intervals between the two groups did not show any statistical significance. CONCLUSION: Both the procedures did not result in any post-operative complications and the gingiva healed uneventfully. When compared, both the techniques were found to be equally efficacious. Care must be taken to assess the gingival biotype and the degree of pigmentation in deciding which technique is to be used. CLINICAL SIGNIFICANCE: Various methods of depigmentation are available with comparable efficacies. Depigmentation is not a clinical indication but a treatment of choice where esthetics is a concern and is desired by the patient. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4239748/ /pubmed/25425820 http://dx.doi.org/10.4103/0972-124X.142450 Text en Copyright: © Journal of Indian Society of Periodontology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Grover, Harpreet Singh
Dadlani, Himanshu
Bhardwaj, Amit
Yadav, Anil
Lal, Sanjay
Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique: A clinical study
title Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique: A clinical study
title_full Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique: A clinical study
title_fullStr Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique: A clinical study
title_full_unstemmed Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique: A clinical study
title_short Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique: A clinical study
title_sort evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique: a clinical study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4239748/
https://www.ncbi.nlm.nih.gov/pubmed/25425820
http://dx.doi.org/10.4103/0972-124X.142450
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