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Management of Gingival Hyperpigmentation by scalpel surgery and Bur abrasion.(case Report )
  • shimaa Kotb
shimaa Kotb

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Natural Smile is the key to beauty. Dark gum is the most aesthetic problem that affects the smile of a large group of people especially those with high smile lines. These dark gingiva are considered natural melanin pigments contributing to the endogenous pigmentation of the gingiva. Aesthetics dentistry is a crucial and challenging era for all dentists.The gingival depigmentation procedure is a plastic periodontal surgery in which the gingival epithelium is scrapped with different techniques to remove the dark colour of the gingiva. The aim of this study was to shed light on the treatment modalities of gingival hyperpigmentation using scalpal surgery and/or bur abrasion techniques. Objective :The main concern of all dentists is to help patients feel satisfaction and self-confidence while talking and smiling. Treatment modalities for this condition include the surgical scalpel method ,cryotherapy ,electrotherapy and laser irradiation. In the present case series,the scraping technique was used which is simple, effective, and yields good results along with good patient satisfaction. Methods: Gingival depigmentation of a 19-year-old female patient was performed under local anesthesia with the scraping technique using a 15 no. Bard-Parker blade and in another case using a diamond bur at high speed for depigmentation. Discussion : The advantages of the procedure show psychological satisfaction to the patient. This case report describes the procedure for depigmentation of gingiva by surgical intervention which was successful and the patient was satisfied with the result Conclusion: Depigmentation of gingiva is a minimally invasive technique that can be performed at any dental clinic by using 15 no. The Bard-Parker blade with scraping technique which is simple, easy to perform, cost-effective, and above all, causes less discomfort and is esthetically acceptable to the patient.