Gingival Depigmentation Using Diode 980 nm and Erbium-YAG 2940 nm Lasers: A Split-Mouth Clinical Comparative Study.

Zaid Kamel Jnaid Harb,Jumma Alkhabuli,Walid El-Sayed,Stefano Pagano

doi:10.1155/2021/9424793

Zaid Kamel Jnaid Harb, Jumma Alkhabuli + Show 2 more

Open Access

https://doi.org/10.1155/2021/9424793

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Abstract

Background Gingival hyperpigmentation, “black gum,” refers to black discrete single or multiple pigments on the gingiva. Several factors may play a role in gingival hyperpigmentation ranging from physiologic pigmentation to manifestations of systemic diseases. Several techniques have been used for gingival depigmentation to lighten its color. Methods Fifteen patients exhibiting nonsmoking melanin hyperpigmentation, with the mean age of 28.6 ± 7.8 years, were recruited. The facial gingiva of the anterior teeth and premolars of each jaw was divided into two halves. The right or left side of each jaw quadrant randomly received either diode laser operating at 980 nm wavelength or erbium-YAG laser at 2940 nm. Parameters such as degree of gingival depigmentation, bleeding, pain, patient satisfaction, and wound healing were assessed and compared between the two techniques. The subjects were followed up to six months for melanin pigmentation recurrence. Results Both techniques were efficient for gingival depigmentation. Nevertheless, bleeding during surgery was statistically higher for Er:YAG laser technique as compared to diode laser. Wound healing showed statistically nonsignificant differences between the two lasers, although Er:YAG seems to give better outcomes than the diode. The patients were satisfied with both laser techniques during and after gingival depigmentation. However, the pain score was higher for Er:YAG laser than for diode laser. Conclusion This study demonstrated that both lasers' techniques are efficient for gingival depigmentation. However, diode laser seems to show less painful experience and relatively better bleeding control.

Highlights

Cosmetic dentistry has attracted more attention among the public as it can empower the self-confidence of individuals
Melanocyte-progenitor cells migrate from the neural crest and rest in the basal layer of the skin epidermis and epithelium of mucous membranes, where they undergo maturation as melanocytes. e ratio of melanocytes to keratinocytes in the basal layer ranges from 1 : 10 to 1 : 15, this may vary at different growth and development stages [5]
E hemostasis effect was evaluated by visual examination and based on the amount of bleeding noticed during the surgical procedure using bleeding index (BI) (Table 3), while the wound healing was assessed on the first day, one week and one month after the surgery [9] using the wound healing index (WHI) (Table 3)

Summary

Research Article

Gingival Depigmentation Using Diode 980 nm and Erbium-YAG 2940 nm Lasers: A Split-Mouth Clinical Comparative Study. Is study aimed to compare the effectiveness of diode laser (980 nm) and erbium-YAG laser (2940 nm) for gum depigmentation. E right or left side of each jaw quadrant randomly received either diode laser operating at 980 nm wavelength or erbium-YAG laser at 2940 nm. Parameters such as degree of gingival depigmentation, bleeding, pain, patient satisfaction, and wound healing were assessed and compared between the two techniques. Both techniques were efficient for gingival depigmentation. Bleeding during surgery was statistically higher for Er:YAG laser technique as compared to diode laser. Diode laser seems to show less painful experience and relatively better bleeding control

Introduction

One or more short continuous ribbons of pigmentation

Results

Discussion

Second postoperative day