Center J M, Mancini S, Baker G I, Mock D, Tenenbaum H C
Mount Sinai Hospital Department of Dentistry, Toronto, ON.
J Periodontol. 1998 Jun;69(6):724-8. doi: 10.1902/jop.1998.69.6.724.
The purpose of this report is to describe the management of gingival vitiligo in a black female. This patient was referred by her psychiatrist to the Mount Sinai Hospital Dental Department (Toronto) for assessment of progressive loss in gingival pigmentation. According to her psychiatrist this loss of pigmentation, which the patient indicated may be considered in Africa as a hallmark of HIV infection, was a significant exogenous factor in relation to the patient's ongoing clinical depression. After obtaining informed consent, a modification of a tattooing method used for skin was applied to the patient's attached gingival tissues. Test sites were tattooed prior to performing full gingival tattooing under local anaesthesia. The results demonstrate that it was possible to restore this patient's gingival pigmentation in a highly esthetically acceptable manner. The resulting coloration was reminiscent of the patient's natural pigmentation that had been lost ostensibly because of her systemic disorder. Our findings also showed that the artificial pigmentation established via the tattoo method was stable 4 months postoperatively and continues to be stable, as expected. A profound improvement in the patient's mood was noted.
本报告旨在描述一名黑人女性牙龈白癜风的治疗情况。该患者由其精神科医生转介至西奈山医院牙科部门（多伦多），以评估牙龈色素沉着的进行性丧失。据其精神科医生称，患者指出这种色素沉着丧失在非洲可能被视为艾滋病毒感染的标志，这是与患者持续临床抑郁症相关的一个重要外部因素。在获得知情同意后，对用于皮肤的纹身方法进行了改良，并应用于患者的附着牙龈组织。在局部麻醉下进行全牙龈纹身之前，先对测试部位进行纹身。结果表明，以高度美观可接受的方式恢复该患者的牙龈色素沉着是可行的。所产生的颜色让人想起患者因全身性疾病而明显丧失的自然色素沉着。我们的研究结果还表明，通过纹身方法建立的人工色素沉着在术后4个月稳定，并且如预期的那样持续保持稳定。患者的情绪有了显著改善。
