Kela Netal, Salian Shrishti, Dhadse Prasad, Patil Ruchita, Punse Sanehi
Department of Periodontics and Implantology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jul 20;16(7):e64999. doi: 10.7759/cureus.64999. eCollection 2024 Jul.
The pigmented lesions of the oral cavity may be endogenous or exogenous. Among the options for depigmenting these areas, laser therapy stands out for being a minimally invasive procedure. This study aims to report a clinical case of the gingival depigmentation technique using a high-power diode laser in the anterior maxillary region, for the ablation of the pigmented tissue to improve gingival aesthetics. The patient had an aesthetic complaint of the darkened aspect of the gingiva in the anterior maxillary portions. After local anesthesia, we started depigmentation with a high-power diode laser and performed ablation from the attached gingiva toward the free marginal gingiva. The patient returned after 30 and 180 days presenting healthy gingiva and absence of melanin repigmentation. Thus, we concluded that the diode laser was a good alternative for melanin depigmentation because it is a procedure with lower morbidity and satisfactory results.
口腔色素沉着病变可能是内源性的或外源性的。在这些区域的色素沉着去除方法中，激光治疗因其微创性而备受关注。本研究旨在报告一例使用高功率二极管激光在上颌前部区域进行牙龈色素沉着去除技术的临床病例，用于消融色素沉着组织以改善牙龈美观。患者对上颌前部牙龈颜色变深存在美学方面的诉求。局部麻醉后，我们开始使用高功率二极管激光进行色素沉着去除，并从附着龈向游离龈边缘进行消融。患者在30天和180天后复诊，牙龈健康且无黑色素重新沉着。因此，我们得出结论，二极管激光是黑色素沉着去除的良好选择，因为该手术发病率较低且效果令人满意。
