Campbell Casey M, Deas David E
10th Dental Squadron, U.S. Air Force Academy, Colorado Springs, CO, USA.
J Periodontol. 2009 May;80(5):860-4. doi: 10.1902/jop.2009.080613.
A 56-year-old female presented for periodontal treatment with a large amalgam tattoo located in alveolar mucosa on the facial aspect of her maxillary central incisors. The lesion had been present for 42 years since having endodontic surgery at teeth #8 and #9 after a traumatic childhood incident.
A two-stage surgical approach was used to eliminate the lesion, beginning with a subepithelial connective tissue graft to increase tissue thickness subjacent to the amalgam tattoo. After 6 weeks of healing, the overlying pigmented tissue was removed using laser surgery to expose the underlying grafted connective tissue.
After 2 months of healing following laser surgery, the amalgam pigmentation was completely removed, with good color match and an increased width of keratinized tissue at the surgical site.
A relatively large amalgam tattoo in the esthetic zone can be adequately removed by a two-stage procedure using grafted palatal connective tissue and laser deepithelialization.
一名56岁女性因牙周治疗前来就诊，其上颌中切牙唇侧牙槽黏膜处有一个较大的汞合金纹身。该病变自童年时期一次创伤性事件后在8号和9号牙进行牙髓手术后已存在42年。
采用两阶段手术方法消除病变，首先进行上皮下结缔组织移植以增加汞合金纹身下方的组织厚度。愈合6周后，使用激光手术切除覆盖的色素沉着组织，以暴露下方移植的结缔组织。
激光手术后愈合2个月后，汞合金色素沉着完全消除，手术部位颜色匹配良好，角化组织宽度增加。
美学区域相对较大的汞合金纹身可通过使用腭部结缔组织移植和激光去上皮化的两阶段手术充分去除。
