Gingival depigmentation by mucoabrasion in the anterior sector. Case report

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Keywords

Melanosis
Gingiva
Hyperpigmentation
Esthetic Surgery

How to Cite

Agurto Mariluz, V., & Castro-Rodríguez, Y. (2021). Gingival depigmentation by mucoabrasion in the anterior sector. Case report. Duazary, 18(1). https://doi.org/10.21676/2389783X.3838

Abstract

Gingival melanosis is a frequent disorder that causes disagreement in the smile of patients. There are multiple treatments that offer favorable results and little or no recurrence. The purpose of the clinical cases was to evaluate the results offered by the mucoabrasion technique and the removal of melanin spots in the anterior sector. The cases included two female patients, without systemic diseases, which presented melanic spots on the clinical examination. The first case presented pigmentations in the upper jaw, while the second case presented pigmentations in both jaws. Depigmentation was done with and combined technique:  scalpel and bur abrasion. The melanic spots were completely eliminated in both cases with a complete technique, without the need for expensive equipment and no recurrence was observed after 6 months. The mucoabrasion technique is effective in treating gingival melanosis is easy to use, short-term operative, less time healing, with a postoperative period acceptable to the patient and economic costs.
https://doi.org/10.21676/2389783X.3838

References

1. Cicek Y, Ertas U. The normal and pathological pigmentation of oral mucous membrane: A review. J Contemp Dent Pract. 2003; 4:76-86. Doi: http://dx.Doi.org/10.5005/jcdp-4-3-76
2. Tal H, Oegiesser D, Tal M. Gingival depigmentation by Erbium:YAG laser: Clinical observations and patient responses. J Periodontol. 2003;74(11):1660-1667. Doi: http://dx.Doi.org/10.1902/jop.2003.74.11.1660
3. Murthy MB, Kaur J, Das R. Treatment of gingival hyperpigmentation with rotary abrasive, scalpel, and laser techniques: A case series. J Indian Soc Periodontol. 2012; 16(4): 614–619. Doi: http://dx.Doi.org/10.4103/0972-124X.106933
4. Malhotra S, Sharma N, Basavaraj P. Gingival Esthetics by Depigmentation. J Periodontal Med Clin Pract [Internet]. 2014 [Consultado 2019 Nov 08]; 01:79-84. Disponible en: https://pdfs.semanticscholar.org/868e/3d380262c92c644f086a233fd5c782a54f62.pdf.

5. Meza I, Rodriguez J, Garza B, Martinez G. Tratamiento de pigmentaciones gingivales fisiológicas. Uso del dimetiléter y propano. Reporte de un caso. Rev Mex Periodontol [Internet]. 2015 [Consultado 2019 Nov 12]; 6(1):16-20. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=59503

6. Grados SP, Castro YR, Bravo FC. Consideraciones clínicas en el tratamiento quirúrgico periodontal. 1.ª ed. Lima: AMOLCA; 2014. p. 255-257.

7. Chandna S, Kedige SD. Evaluation of pain on use of electrosurgery and diode lasers in the management of gingival hyperpigmentation: A comparative study. J Indian Soc Periodontol. 2015;19(1):49-55. Doi: http://dx.Doi.org/10.4103/0972-124X.145823.

8. Castro Y, Grados SP. Tratamiento de la melanosis gingival y evaluación de la repigmentación melánica. Reevaluación clínica al cabo de 2 años. Rev. Clin. Periodoncia Implantol. Rehabil. Oral. 2015:8(2) 139-143. Doi: http://dx.Doi.org/10.1016/j.piro.2015.06.001
9. Gupta G, Williams RE, Mackie RM. The labial melanotic macule. A review of 79 cases. Br J Dermatol [Internet]. 1997 [Consultado 2019 Nov 08]; 136(5):772-775. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/9205516
10. Reyes JB. Despigmentación gingival mediante mucoabrasión [Tesis de bachiller]. Guayaquil: Universidad de Guayaquil; 2016.
11. Dahiya R, Blaggana A, Panwar V, Kumar S, Kathuria A, Malik S. Clinical and histological comparison of platelet-rich fibrin versus non-eugenol periodontal dressing in the treatment of gingival hyperpigmentation. J Indian Soc Periodontol. 2019;23(4):345–350. Doi: http://dx.Doi.org/10.4103/jisp.jisp_688_18.
12. Debnath K, Chatterjee A. Clinical and histological evaluation on application of platelet concentrates on depigmented gingival epithelium. J Indian Soc Periodontol. 2018;22(2):150-157. Doi: http://dx.Doi.org/10.4103/jisp.jisp_342_17.
13. Miron RJ, Fujioka-Kobayashi M, Bishara M, Zhang Y, Hernandez M, Choukroun J. Platelet-Rich Fibrin and Soft Tissue Wound Healing: A Systematic Review. Tissue Eng Part B Rev. 2017;23(1):83-99. Doi: http://dx.Doi.org/10.1089/ten.TEB.2016.0233.
14. Bhusari BM, Kasat S. Comparison between scalpel technique and electrosurgery for depigmentation: A case series. J Indian Soc Periodontol. 2011;15:402–5. Doi: http://dx.Doi.org/10.4103/0972-124X.92580.
15. Müller S. Melanin-associated pigmented lesions of the oral mucosa: Presentation, differential diagnosis, and treatment. Dermatol Ther. 2010;23:220–9. Doi: http://dx.Doi.org/10.1111/j.1529-8019.2010.01319.x.
16. Gul M, Hameed MH, Nazeer MR, Ghafoor R, Khan FR. Most effective method for the management of physiologic gingival hyperpigmentation: A systematic review and meta-analysis. J Indian Soc Periodontol. 2019; 23:203-215. Doi: http://dx.Doi.org/10.4103/jisp.jisp_555_18
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