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The American Journal of Esthetic Dentistry

Edited by Richard J. Simonsen, DDS, MS

ISSN 2162-2833 (print) • ISSN 2162-2841 (online)

The American Journal of Esthetic Dentistry
Fall 2013
Volume 3 , Issue 3

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Esthetic Rehabilitation of Gingival Melanin Hyperpigmentation Using a 980-nm Semiconductor Diode Laser: Clinical Observations and 1-Year Follow-up

Niharika Jain, BDS, MDS/Vipul Shrivastava, BDS, MDS/Abhishek Gupta, BDS, MDS

Pages: 194199
DOI: 10.11607/ajed.0069

Normal pigmentation of the intraoral tissues is a relatively frequent finding; however, gingival melanin hyperpigmentation is more prevalent in some populations and especially in African, East Asian, or Hispanic individuals. The degree of melanin pigmentation varies from person to person. Gingiva is the most common site of pigmentation in the oral cavity, and gingival hyperpigmentation can compromise the overall esthetics of the smile, particularly in patients with excessive gingival display or so-called gummy smiles. Until recently, little attention has been paid to the esthetic treatment of severe gingival pigmentation. This case report highlights a painless method of gingival depigmentation using a 980-nm diode laser to achieve an esthetically pleasing smile in a patient with a high lip line. The 1-year clinical follow-up showed uneventful gingival healing and no repigmentation. Am J Esthet Dent 2013;3:194199. doi: 10.11607/ajed.0069

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