Cargando…

Comparative Evaluation of Gingival Depigmentation by Tetrafluroethane Cryosurgery and Surgical Scalpel Technique. A Randomized Clinical Study

INTRODUCTION: Importance of good smile cannot be underestimated in enhancement of beauty, self-confidence and personality of a person. Health and appearance of gingiva is an essential part of attractive smile. Gingival pigmentation gives rise to unesthetic smile line. In present world, with increasi...

Descripción completa

Detalles Bibliográficos
Autores principales: Narayankar, Suraj D., Deshpande, Neeraj C., Dave, Deepak H., Thakkar, Dhaval J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426174/
https://www.ncbi.nlm.nih.gov/pubmed/28566857
http://dx.doi.org/10.4103/ccd.ccd_1017_16
_version_ 1783235420894527488
author Narayankar, Suraj D.
Deshpande, Neeraj C.
Dave, Deepak H.
Thakkar, Dhaval J.
author_facet Narayankar, Suraj D.
Deshpande, Neeraj C.
Dave, Deepak H.
Thakkar, Dhaval J.
author_sort Narayankar, Suraj D.
collection PubMed
description INTRODUCTION: Importance of good smile cannot be underestimated in enhancement of beauty, self-confidence and personality of a person. Health and appearance of gingiva is an essential part of attractive smile. Gingival pigmentation gives rise to unesthetic smile line. In present world, with increasing awareness to esthetic, people have become highly concerned about black gums. Various treatment modalities like abrasion, scrapping, scalpel technique, cryosurgery, electrosurgery and laser are available for treatment of gingival pigmentation. The present study was conducted with an objective of comparing efficacy of gingival depigmentation by cryosurgery and scalpel technique. METHOD: A Randomized control split mouth study was conducted for 25 patients with gingival pigmentation. Gingival pigmentation Index (GPI) for pigmentation and Visual Analoug Scale (VAS) for pain was evaluated for both test (Cryosurgery) and control sites (Scalpel technique) at baseline, 1month, 3months and 6 months. RESULTS: GPI score was 3 and 2 for 21/25 and 4/25 control sites and was 22/25 and 3/25 test sites respectively at baseline. Both the groups showed significant reduction in GPI score i.e., 0 at 1 and 3 months interval after treatment. GPI score increased to 1 for 5/25 sites treated with scalpel technique and 2/25 sites treated with cryosurgery at 6 months interval (P =0.0691). This indicates recurrence rate for pigmentation is higher after scalpel treatment. VAS Score was 3 for 10/25 sites treated with scalpel and was 2 for 12/25 sites treated with cryosurgery (P <0.001). CONCLUSION: It can be concluded that cryosurgery can be effectively and efficiently used for depigmentation by keeping patients acceptance and comfort in mind and also the long term results and ease of use when compared to scalpel technique.
format Online
Article
Text
id pubmed-5426174
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-54261742017-05-31 Comparative Evaluation of Gingival Depigmentation by Tetrafluroethane Cryosurgery and Surgical Scalpel Technique. A Randomized Clinical Study Narayankar, Suraj D. Deshpande, Neeraj C. Dave, Deepak H. Thakkar, Dhaval J. Contemp Clin Dent Original Article INTRODUCTION: Importance of good smile cannot be underestimated in enhancement of beauty, self-confidence and personality of a person. Health and appearance of gingiva is an essential part of attractive smile. Gingival pigmentation gives rise to unesthetic smile line. In present world, with increasing awareness to esthetic, people have become highly concerned about black gums. Various treatment modalities like abrasion, scrapping, scalpel technique, cryosurgery, electrosurgery and laser are available for treatment of gingival pigmentation. The present study was conducted with an objective of comparing efficacy of gingival depigmentation by cryosurgery and scalpel technique. METHOD: A Randomized control split mouth study was conducted for 25 patients with gingival pigmentation. Gingival pigmentation Index (GPI) for pigmentation and Visual Analoug Scale (VAS) for pain was evaluated for both test (Cryosurgery) and control sites (Scalpel technique) at baseline, 1month, 3months and 6 months. RESULTS: GPI score was 3 and 2 for 21/25 and 4/25 control sites and was 22/25 and 3/25 test sites respectively at baseline. Both the groups showed significant reduction in GPI score i.e., 0 at 1 and 3 months interval after treatment. GPI score increased to 1 for 5/25 sites treated with scalpel technique and 2/25 sites treated with cryosurgery at 6 months interval (P =0.0691). This indicates recurrence rate for pigmentation is higher after scalpel treatment. VAS Score was 3 for 10/25 sites treated with scalpel and was 2 for 12/25 sites treated with cryosurgery (P <0.001). CONCLUSION: It can be concluded that cryosurgery can be effectively and efficiently used for depigmentation by keeping patients acceptance and comfort in mind and also the long term results and ease of use when compared to scalpel technique. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5426174/ /pubmed/28566857 http://dx.doi.org/10.4103/ccd.ccd_1017_16 Text en Copyright: © 2017 Contemporary Clinical Dentistry 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-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Narayankar, Suraj D.
Deshpande, Neeraj C.
Dave, Deepak H.
Thakkar, Dhaval J.
Comparative Evaluation of Gingival Depigmentation by Tetrafluroethane Cryosurgery and Surgical Scalpel Technique. A Randomized Clinical Study
title Comparative Evaluation of Gingival Depigmentation by Tetrafluroethane Cryosurgery and Surgical Scalpel Technique. A Randomized Clinical Study
title_full Comparative Evaluation of Gingival Depigmentation by Tetrafluroethane Cryosurgery and Surgical Scalpel Technique. A Randomized Clinical Study
title_fullStr Comparative Evaluation of Gingival Depigmentation by Tetrafluroethane Cryosurgery and Surgical Scalpel Technique. A Randomized Clinical Study
title_full_unstemmed Comparative Evaluation of Gingival Depigmentation by Tetrafluroethane Cryosurgery and Surgical Scalpel Technique. A Randomized Clinical Study
title_short Comparative Evaluation of Gingival Depigmentation by Tetrafluroethane Cryosurgery and Surgical Scalpel Technique. A Randomized Clinical Study
title_sort comparative evaluation of gingival depigmentation by tetrafluroethane cryosurgery and surgical scalpel technique. a randomized clinical study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426174/
https://www.ncbi.nlm.nih.gov/pubmed/28566857
http://dx.doi.org/10.4103/ccd.ccd_1017_16
work_keys_str_mv AT narayankarsurajd comparativeevaluationofgingivaldepigmentationbytetrafluroethanecryosurgeryandsurgicalscalpeltechniquearandomizedclinicalstudy
AT deshpandeneerajc comparativeevaluationofgingivaldepigmentationbytetrafluroethanecryosurgeryandsurgicalscalpeltechniquearandomizedclinicalstudy
AT davedeepakh comparativeevaluationofgingivaldepigmentationbytetrafluroethanecryosurgeryandsurgicalscalpeltechniquearandomizedclinicalstudy
AT thakkardhavalj comparativeevaluationofgingivaldepigmentationbytetrafluroethanecryosurgeryandsurgicalscalpeltechniquearandomizedclinicalstudy