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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

August 1996
Volume 27 , Issue 8

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Treatment of severe physiologic gingival pigmentation with free gingival autograft


Pages: 555-558
PMID: 9161259

Melanin is normally found in the skin of all people, and normal pigmentation of the intraoral tissues is a relatively frequent finding. The highest rate of gingival pigmentation has been observed at the incisors. Until recently, however, very little attention has been paid to the esthetic treatment of sever gingival pigmentation. To answer the cosmetic demand for a pleasing smile, pigmented gingiva was replaced with an unpigmented free gingivasl autograft in 10 patients. AT least two areas in each patient were grafted. In all 10 areas in which the recipient site received full-thickness bed preparation , no evidence of repigmentation was found after 4.5 years. Of the 10 areas that received partial-thickness bed preparation, only one exhibited repigmentation (after 1 year

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