Thumbigere-Math Vivek, Johnson Deborah K
J Int Acad Periodontol. 2014 Apr;16(2):50-4.
A 54-year-old female was referred for management of a large amalgam tattoo involving the alveolar mucosa between teeth #6 and #9. The lesion had been present for over 20 years following endodontic treatment of teeth #7 and #8. A two-stage surgical approach was used to remove the pigmentation, beginning with removal of amalgam fragments from the underlying bone and placement of a subepithelial connective tissue graft and acellular dermal matrix to increase soft tissue thickness subadjacent to the amalgam. Following 7 weeks of healing, gingivoplasty was performed to remove the overlying pigmented tissue. At the 21-month follow-up appointment, the patient exhibited naturally appearing soft tissue with no evidence of amalgam tattoo.
一名54岁女性因涉及6号牙和9号牙之间牙槽黏膜的大面积汞合金纹身而前来就诊。该病变在7号牙和8号牙根管治疗后已存在20多年。采用两阶段手术方法去除色素沉着，首先从下方骨组织中取出汞合金碎片，然后植入上皮下结缔组织移植物和脱细胞真皮基质，以增加汞合金下方的软组织厚度。愈合7周后，进行牙龈成形术以去除覆盖的色素沉着组织。在21个月的随访预约中，患者的软组织外观自然，无汞合金纹身迹象。
