Abstract
The health and suitability of mouth components play an important role towards defining facial attractiveness. An important component of the oral cavity is the color of the gingival tissue. Gingival melanin hyperpigmentation is caused by several reasons and affects people across ethnicity, race, age, and both gender. Lasers are presently being used for gingival melanin depigmentation. In this article, we reviewed studies on laser parameters, duration of gingival healing, pain perception during and after the operation, scores used for the evaluation of gingival melanin hyperpigmentation, follow-up period, treatment results, and recurrence reports. We conclude that laser ablation for gingival depigmentation is one of the most pleasant, reliable, acceptable, and impressive techniques available for treating gingival melanin hyperpigmentation.
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Geld PV, Oosterveld P, Heck GV, Kuijpers-Jagtman AM (2007) Smile attractiveness. Self-perception and influence on personality. Angle Orthod 77(5):759–765
Bahadure RN, Singh P, Jain E, Khurana H, Badole G (2013) Management of pigmented gingiva in child patient: a new era to the pediatric dentistry. Int J Clin Pediatr Dent 6(3):197–200. doi:10.5005/jp-journals-10005-1218
Bhanu MM, Kaur J, Das R (2012) Treatment of gingival hyperpigmentation with rotary abrasive, scalpel, and laser techniques: a case series. J Indian Soc Periodontol 16(4):614–619. doi:10.4103/0972-124X.106933
Kumar S, Bhat SG, Bhat MK (2012) Development in techniques for gingival depigmentation—an update. Indian J Dent 3:213–221
Meserendio Leo J, Pick Robert M (1995) Lasers in dentistry Chicago: quintessence. J Am Dent Assoc 126:1354–1356
Moshonov J, Stabholz A, Leopold Y, Rosenberg I, Stabholz A (2001) Lasers in dentistry. Part B—interaction with biological tissues and the effect on the soft tissues of the oral cavity, the hard tissues of the tooth and the dental pulp. Refuat Hapeh Vehashinayim 18(3–4):21–28, 107-108
Blayden J, Mott A (2013) Soft-tissue lasers in dental hygiene, 1st edn. Wiley, Oxford, p 20
Parker S (2007) Verifiable CPD paper: laser-tissue interaction. Br Dent J 202:73–81. doi:10.1038/bdj.2007.24
Niemz MH (2004) Laser-tissue interaction, fundamentals and applications. 3th revised ed, pp101-125. springer
Khalighi HR, Anbari F, Taheri JB, Bakhtiari S, Namazi Z, Pouralibaba F (2010) Review effect of low-power laser on treatment of orofacial pain. J Dent Res Dent Clin Dent Prospects 4(3):75–78
Sharon E, Azaz B, Ulmansky M (2000) Vaporization of melanin in oral tissues and skin with a carbon dioxide laser: a canine study. J Oral Maxillofac Surg 58(12):1387–1393
Atsawasuwan P (2000) Treatment of gingival hyperpigmentation for esthetic purposes by Nd:YAG laser: report of 4 cases. J Periodontal 71(2):315–321
Ozbayrak S, Dumlu A, Ercalik-Yalcinkaya S (2000) Treatment of melanin-pigmented gingiva and oral mucosa by CO2 laser. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90:14–15
Tal H, Oelgiessr D, Tal M (2002) Gingival depigmentation for aesthetic purposes using erbium:YAG laser: rationale and technique. Refuat Hapeh Vehashinayim 19(4):25–32, 69
Tal H, Oegiesser D, Tal M (2003) Gingival depigmentation by erbium:YAG laser: clinical observations and patient responses. J Periodontol 74(11):1660–1667
Esen E, CenkHaytac M, Ebru D (2004) Gingival melanin pigmentation and its treatment with the CO2 laser. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:522–527
Berk G, Atici K, Berk N (2005) Treatment of gingival pigmentation with Er, Cr:YSGG laser. J Oral Laser Appl 5(4):249–253
Coleton S (2006) Laser treatment of atypical oral pigmentation. A case report. N Y State Dent J 72(2):22–23
Azzeh MM (2007) Treatment of gingival hyperpigmentation by erbium-doped:yttrium, aluminum, and garnet laser for esthetic purposes. J Periodontol 78(1):177–184
Rosa DS, Aranha AC, Eduardo Cde P, Aoki A (2007) Esthetic treatment of gingival melanin hyperpigmentation with Er:YAG laser: short-term clinical observations and patient follow-up. J Periodontol 78(10):2018–2025
Gupta G (2011) Management of gingival hyperpigmentation by semiconductor diode laser. J Cutan Aesthet Surg 4(3):208–210
Simşek Kaya G, YapiciYavuz G, Sümbüllü MA, Dayi E (2012) A comparison of diode laser and Er:YAG lasers in the treatment of gingival melanin pigmentation. Oral Surg Oral Med Oral Pathol Oral Radiol 113(3):293–299. doi:10.1016/j.tripleo.2011.03.005
Thangavelu A, Elavarasu S, Jayapalan P (2012) Pink esthetics in periodontics–gingival depigmentation: a case series. J Pharm Bioallied Sci 4(Suppl 2):S186–190. doi:10.4103/0975-7406.100267
Doshi Y, Khandge N, Byakod G, Patil P (2012) Management of gingival pigmentation with diode laser: is it a predictive tool? IJOLD 2(1):29–32
Hegde R, Padhye A, Sumanth S, Jain AS, Thukral N (2013) Comparison of surgical stripping; erbium-doped:yttrium, aluminum, and garnet laser; and carbon dioxide laser techniques for gingival depigmentation: a clinical and histologic study. J Periodontol 84(6):738–748. doi:10.1902/jop.2012.120094
Kaushik N, Srivastava N, Kaushik M, Gaurav V (2013) Efficacy of different techniques of gingival depigmentation: a comparative evaluation with a case report. IJOLD 3(2):68–72
Ozturan S, Usumez A (2013) CASE REPORT. Aesthetic treatment of gingival hyperpigmentation by Er:YAG laser. Journal of the Laser and Health Academy 1:52–54.
Fekrazad R, Chiniforush N (2014) One visit providing desirable smile by laser application. J Lasers Med Sci 5(1):47–50
Giannelli M, Formigli L, Lasagni M, Bani D (2013) A new thermographic and fluorescent method for tuning photoablative laser removal of the gingival epithelium in patients with chronic periodontitis and hyperpigmentation. Photomed Laser Surg 31(5):212–218. doi:10.1089/pho.2012.3457
Ribeiro FV, Cavaller CP, Casarin RC, Casati MZ, Cirano FR, Dutra-Corrêa M, Pimentel SP (2014) Esthetic treatment of gingival hyperpigmentation with Nd:YAG laser or scalpel technique: a 6-month RCT of patient and professional assessment. Lasers Med Sci 29(2):537–544. doi:10.1007/s10103-012-1254-5
Dummett CO, Gupta OP (1964) Estimating the epidemiology of the oral pigmentation. J Natl Med Assoc 56:419–420
Dummett CO, Barens G (1971) Oromucosal pigmentation: an updated literary review. J Periodontal 42(11):726–736
Takashi H, Tanaka K, Ojima M, Yuuki K (2005) Association of melanin pigmentation in the gingiva of children with parents who smoke. Pediatrics 116:e186–190
Hedin CA (1977) Smokers’ melanosis. Occurrence and localization in the attached gingiva. Arch Dermatol 113(11):1533–1538
Ishii S, Aoki A, Kawashima Y, Watanabe H, Ishikawa L (2002) Application of an Er:YAG laser to remove gingival melanin hyperpigmentation-treatment procedure and clinical evaluation. J Jpn soc Laser Dent 13:89–96
Acknowledgments
We are extremely grateful to the members of the Laser Research Department, especially Dr Seyed Masoud Mojahedi, Dental Faculty, Shahid Beheshti University of Medical Science.
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Bakhshi, M., Rahmani, S. & Rahmani, A. Lasers in esthetic treatment of gingival melanin hyperpigmentation: a review article. Lasers Med Sci 30, 2195–2203 (2015). https://doi.org/10.1007/s10103-015-1797-3
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DOI: https://doi.org/10.1007/s10103-015-1797-3