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Depigmentation of gingiva using laser to lose weight – Healing After Gum Contouring

Many techniques have been used to remove the melanin pigmentation with different outcomes and factors such as patient comfort, postop care, and recurrence. The erbium laser gave a more aesthetic result as complete improvement despite that statistically there were no significant differences between the groups Table 5 , Figure 8.

Ethan Walker
Thursday, June 22, 2017
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  • After the procedure, the practitioner will prescribe you some post-care instructions which you have to follow during the healing process.

  • The results point out that lasers are an effective and a safe means to removal of hyperpigmentation from the gingiva.

  • Post-inflammatory fatigue in sarcoidosis: personality profiles, psychological symptoms and stress hormones. This is likely due to an increased production or deposition of melanin into the epidermis or dermis by labile melanocytes.

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The pain experienced by those patients has been largely studied in the context of postinfectious intestinal diseases. Additionally, many of the in-vivo studies are limited by the short length of the trials, and questions remain about the long-term efficacy and safety of the ingredients used in these studies. As yet, no study has been published to document the effects of this laser on striae. Sheel et al. Keywords: Ascorbic acid, depigmentation, gingival melanin hyperpigmentation, melanin pigmentation, melanogenesis, tyrosinase, Vitamin C.

Visual assessment was performed using the global photodamage score at baseline, 4, 8 and 12 weeks after the application of the cream Palmitoyl-KVK-L-ascorbic acid is an effective anti-aging agent that reduces wrinkles and abnormal skin pigmentation. There are a number of treatment options available for periorbital hyperpigmentation. Therefore, these results suggest that hyperpigmentation in SF may have a close relationship with immune development in SF, which can provide an important animal model to investigate the roles of melanocyte. The results showed that the C- PIH HK was able to discriminate those who agreed and those who disagreed related to the usefulness of individual health education p PIH for use in Hong Kong was evaluated. We already reported that genetically engineered resveratrol-enriched rice RR showed to down-regulate skin melanogenesis.

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Berlin: Quintessenz; The entire procedure was explained to the patient and written consent was obtained. Read the winning articles. The normal and pathological pigmentation of oral mucous membrane: A review. Incomplete epithelization, C.

Figure 1. Figure 3. Gingival pigmentation index GPI by Kumar et al. Healing was uneventful and no repigmentation occurred.

An Overview:

View at: Google Scholar A. Melanin pigmentation often occurs in the gingiva as a result of an abnormal deposition of melanin, due to which the gums may appear black, but the principles, techniques, and management of the problems associated with gingival melanin pigmentation are still not fully established. Figure 3.

Laser ablation is recently suggested as a most effective and reliable technique for depigmentation of melanin hyperpigmented gingiva. Ragul, N. Mann-Whitney test, Kruskal-Wallis test, and chi-square test were used to test the significance between variables. Accepted 03 Feb Address for correspondence: Dr. The patient was asked to mark the severity of the pain.

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BMB Rep. Effectiveness, safety, and wejght on quality of life of topical salicylic acid peels for treatment of postinflammatory hyperpigmentation in dark skin. Objective To document the psychosocial and self-esteem implications of acne and facial hyperpigmentation on newly admitted undergraduates. Farris PK. Intracellular melanin content was measured by tyrosinase assays. Genetic screening of the family revealed the same mutation in two daughters, both with similar cutaneous hyperpigmentation.

Ravi, S. Try out PMC Labs and tell us what you think. Bleeding Index, total treatment time, patient preference, lwser perception at the first 3 days, wound healing, and level of satisfaction were also compared. The color was assessed by three calibrated cosmetic dentists. The normal appearance of the gingiva is pink to light red, and this appearance may change due to many factors and might be noticeable causing aesthetic concerns. Figure 4.

The pigmentation is mostly localized at the anterior labial gingiva, affecting females more than males. The erbium laser gave a more aesthetic result as complete improvement despite that statistically there were no significant differences between the groups Table 5Figure 8. Rahul, and S. Figure 8. Statistically, still there are no significant differences.

Causes of Depigmentation:

Special eye glasses were worn by the patient and the staff to fulfill with the FDA laser safety rules. The oc of this study again agree with Hegde et al. Healing was faster in the erbium laser group compared with the diodes, as diodes have more thermal impact on the tissue Figure 11which will be responsible for these results [ 31 ]. Pressure was applied with sterile gauze soaked in local anesthetic agent to control hemorrhage during the procedure.

Patient satisfaction is presented in Table 6 and Figure 9. The patient was advised to use chlorhexidine mouthwash 12 hourly for 1 week. J Periodontol. Berlin: Quintessenz; Gingival pigmentation index GPI by Kumar et al.

The purpose of this article is to discuss some aspects of melanocyte biology and HIV-associated oral melanin hyperpigmentation. The domains of random sequence generation, allocation concealment, blinding, incomplete outcome data and selective reporting are addressed in the tool by a single entry for each study. Variability of skin tones throughout the world is well-documented, some skin tones being reported as more susceptible to pigmentation disorders than others, especially in Asia and India. Skin Experimental study 21 healthy Korean women aged between 41 and 55 years The cream with 0. What is the FOD?

INTRODUCTION

Figure 9. Color improvement for the three procedures and its percentage. Al-Qahtani, K. The esthetical results were excellent, and the patients were highly satisfied.

Hyperpigmented scars may weiight treated with tyrosinase inhibitors, IPL, and nonablative fractional lasers. A Systematic Review. The aim of this study was to investigate whether chronic post-inflammatory fatigue after clinical remission of the disease sarcoidosis is associated with specific dimensions of personality, psychological symptoms and baseline levels of stress hormones. We conclude that laser ablation for gingival depigmentation is one of the most pleasant, reliable, acceptable, and impressive techniques available for treating gingival melanin hyperpigmentation.

The degree of pigmentation varies from one person to another and depends on variety of factors especially the melanoblastic activity. These results concur with many previous papers where healing has been achievable using lasers with similar treatment procedures [ 11 — 25 ]. Cavaller, R. Dave, M. The normal appearance of the gingiva is pink to light red, and this appearance may change due to many factors and might be noticeable causing aesthetic concerns. Giliyar, S. Number of healed cases among the three treatments scored 10 days after treatment.

INTRODUCTION

It is known that melanin production is activated by many factors as mentioned above, hence, to reduce the relapse depigmentation of gingiva using laser to lose weight weifht prolong the time of the results, patients should avoid those factors especially smoking. National Center for Biotechnology InformationU. Pain is scored using VAS index of pain measurement Total 0. Local anesthesia was infiltrated in the maxillary anterior region from premolar to premolar Lignocaine with adrenaline in the ratio by weight. These results concur with many previous papers where healing has been achievable using lasers with similar treatment procedures [ 11 — 25 ].

Table 1. However, scalpel surgery causes unpleasant bleeding wright and after the operation and it is necessary to cover the exposed lamina propria with a periodontal pack for 7 to 10 days. There was no incidence of any repigmentation. Berlin: Quintessenz; Ganiger, A. Previous studies were used to evaluate the effect of laser gingival depigmentation using different parameters, techniques, and even different lasers and tools. View at: Google Scholar E.

Therefore, further studies are necessary to give an optimal recommendation on the use of Er:YAG laser in gingival melanin hyperpigmentation. A comparative clinical study with 12 months of follow-up. Figure 3. The gingiva appeared healthy and no repigmentation was observed at the end of 1 and 3 months [ Figure 18 ]. Special Issues. Author information Article notes Copyright and License information Disclaimer. Figure

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Caution was taken at the canine region to avoid bone exposure. FEBS J. The anti-melanogenic potency of nano-cRR also depended on pH and particle size. Materials and Methods: A total of 58 patients with OLP who attended the outpatient department of our institution were included in the study and a complete history, followed by thorough intraoral examination was done.

The hyperpigmentation was esthetically displeasing and laser-assisted depigmentation of the gingiva in the anterior region from canine to canine in the maxilla was planned. After removing the entire pigmented epithelium along with a thin layer of connective tissue with the acrylic rotary abrasive, the exposed surface was irrigated with saline. Table 4. The use of scalpel technique for the depigmentation is the most economical as compared to other techniques, which require more advanced armamentarium.

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Currently available topical products for hyperpigmentation are limited by their potential for irritation, lack of demonstrated efficacy or regulatory concerns. A total of 22, articles were found after electronic search. Vitamin C in dermatology. Pigmentary disorders such as melasma and postinflammatory hyperpigmentation PIH can cause psychological and emotional distress and can pose a negative impact on a person's health-related quality of life. The construct validity, internal consistency, and test-retest reliability were evaluated in two waves.

Lastly, those lesions that are not amenable to medical or surgical giniva may experience some improvement with cosmetic camouflage. In both study groups we observed: higher concentration of beta-hCG, higher percentage of the positive biochemical prenatal tests and abnormal uterine artery Doppler waveform. Maxillary or mandibular left or right quadrants were randomly subjected to photoablative deepithelialization with either Er:YAG or diode laser. Postinflammatory hyperpigmentation in patients with skin of color.

International Journal of Dentistry

Support Center Support Center. The normal appearance of the gingiva is pink to light red, and this appearance may change due ddpigmentation many factors and might be noticeable causing aesthetic concerns. These results agree with many papers that used the lasers and notified that the high control in bleeding is achieved when using them [ 11 — 2532 ]. Masilana, R.

We herein report a case of Gingiva using disease caused by tuberculosis characterized by atypical hyperpigmentationnoted as exacerbation of the pigmentation of freckles and the occurrence of new freckles, that was diagnosed in the presence of active pulmonary tuberculosis. These small, darkened patches are usually found Scar revision options for erythematous scars include moist exposed burn ointment MEBOonion extract, silicone, methyl aminolevulinate-photodynamic therapy MAL-PDTpulsed dye laser, intense pulsed light IPLand nonablative fractional lasers. Therapies for these conditions include topical agents and resurfacing procedures. Although there are few differences in the incidence and pathophysiology of acne across various races and ethnicities, there is some evidence that black patients may have larger sebaceous glands and increased sebum production. Antioxidant, cell-protective, and anti-melanogenic activities of leaf extracts from wild bitter melon Momordica charantia Linn var abbreviata Ser cultivars. Our professional team takes care of your dental needs and gives you a personalized treatment plan to help you smile more confidently with healthy pink gums.

What is the FOD? Depigmebtation 4, 8, and 12 week follow-up visits, a blinded investigator assessed efficacy and tolerability using standardized scales. The authors have reported a favorable outcome, suggesting the possible effect of Vitamin C on melanin pigmentation. The results showed that the C- PIH HK was able to discriminate those who agreed and those who disagreed related to the usefulness of individual health education p PIH for use in Hong Kong was evaluated. In addition, pre- and post-treatment with topical preparations for PIH prevention may be needed.

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Side effects include neurotoxicity and acute renal tubular necrosis. These are mentioned below:. In this review we examine the evidence of neuroinflammation in post-concussion syndrome and the potential role systemic inflammation plays in post-concussion syndrome like symptoms.

Vitamin C was found to be effective in depigmentation as a result depigmenattion its direct effect on melanogenesis. Moreover, there are some cost factors that can affect the actual price of the treatment. General healing time ranges from one week to ten days. Is there a possible effect of Vitamin C on melanin pigmentation? Retinoids and azelaic acid have been widely used to treat acne. To investigate the inhibitory effects of a gel containing ascorbic acid 2-glucoside AS-G gel on gingival melanin pigmentation.

  • However, in darker races, the choice of the peeling agent becomes relatively limited; so, there is the need for priming agents and additional maintenance peels.

  • View at: Google Scholar G. The need and demand for esthetics requires the removal of unsightly pigmented gingival areas to create a pleasant and confident smile, which altogether may alter the personality of an individual.

  • Both modalities have good effects on treating atrophic scars. Keep yourself away from smoking or tobacco.

  • It also plays a significant role in collagen synthesis,[ 10 ] provides photoprotection[ 11 ] and reduces the melanin,[ 12 ] scavenger free radicals [ 13 ] and immunomodulation.

Journal overview. Rathod and S. Bleeding during the treatment for the three groups is presented in Table 2 and Figure 5. Topical anesthetic gel was applied to the surgical field.

Test statistics Bleeding directly after surgery Color improvement Pain is scored loose VAS index Satisfaction with treatment after 6 months Wound healing after 10 days Relapse after two years Duration of the procedure measured in minutes Chi-squared 4. The patient was recalled after 1 month and 3 months for evaluation of any repigmentation [ Figure 12 ]. Thus, Er:YAG laser seems to be safe and useful in melanin depigmentation procedure. Figure 4. Melanin pigmentation index MPI by Hanioka et al.

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Keratinocyte-derived ET-1 upregulation possibly plays a significant role in the pathogenesis of pigmented disorders, such as friction uwing, caused by mechanical stress. RESULTS: There was a statistically significant change in prevalence of bleeding after treatment, as none of the cases showed any signs of bleeding 1 week, 1 month and 3 months after ablation. With laser and bleaching, patients can speak and eat immediately after the completion of treatment.

Difficulty may be traced to physician or patient reluctance losd use certain agents or interventions, failure to identify and avoid contributing factors, and insufficient attention paid to the psychosocial aspects of the disease. This study highlights the efficacy of diode laser for photoablative deepithelialization of hyperpigmented gingiva. The PIH scale may help health professionals to introduce the concept of self-management to their patients and provide assessment of areas of self-management. No studies have compared fractional microplasma radio frequency RF technology with the carbon dioxide fractional laser system CO2 FS in the treatment of atrophic acne scars in the same patient. It is a common issue that some people experience, their gums appear dark with white teeth and that looks very unattractive. Results: We found that the male to female ratio affected with OLP was and the most common form of OLP that was seen was the reticular subtype.

At 4, 8, and 12 week follow-up visits, a blinded investigator assessed efficacy and tolerability using standardized scales. This provides for assessment of effect of Vitamin C alone on melanin pigmentation. Studies excluded from the analysis Twenty-three studies were excluded, in which 2 were animal studies, 8 were in vitro studies, 2 were case reports, 7 were studies where Vitamin C was used along with other agents, 2 were studies where Vitamin C was used for the purpose of scar reduction, 1 study where Vitamin C was used in conjunction with iontophoresis and 1 study where Vitamin C was used in conjunction with fluorescent pulsed light FPL. In six cases where follow-up data were available, there was a significant reversal of hyperpigmentation at 12 weeks following parenteral cobalamin therapy. However, little is known about possible risk factors of chronic post-inflammatory fatigue. Try to avoid such meals which affect your mouth or gums.

Fractional resurfacing is a new concept of skin rejuvenation whereby zones of micro thermal injury are generated in the skin with the use of a 1,nm laser. Plast Reconstr Surg Glob Open. Effects of ascorbic acid on gingival melanin pigmentation in vitro and in vivo. In addition, patients should be counseled on If your gums are a dark cause of periodontal diseases.

The MPI score also showed that there was no recurrence of pigmentation at 3 months. The pigmentation uing mostly localized at the anterior labial gingiva, affecting females more than males. Patients have been selected and diagnosed, and the pigmentation underwent assessments using two indices:. At the end of 1 month, re-epithelization was complete and healing was found to be satisfactory [ Figure 17 ].

Rosa, A. He complained of dark gums [ Figure 7 ] and requested for any cosmetic treatment which would eventually enhance the aesthetics on smiling. The patient was asked to mark the severity of the pain. Al-Qahtani, K. Wound healing is scored 10 days after treatment Total Complete healing Partial healing Groups 1.

J Oral Laser Appl. Healing documented in the 1 st recall after 10 daysnote that depigmentation of gingiva using laser to lose weight the cases have been completely healed in the 2 nd patient recall. The melanin depigmentation is in the Gulf region considered as racial, and as it is impossible to control the activity of the melanocytes, this makes the relapse more likely to happen with time. Patient satisfaction is presented in Table 6 and Figure 9. Because the patient was under anesthesia, evaluation of pain was done 1 day postoperatively. Thus, Er:YAG laser seems to be safe and useful in melanin depigmentation procedure. Keywords: Diode laser, gingiva, hyperpigmentation, melanin.

We have previously found that mycelia culture broth of eight kinds of traditional herbal extracts fermented pf Phellinus linteus previously named as 8-HsPLCB not only inhibited melanin and tyrosinase activity, but also reduced the contents of melanogenesis-related proteins, including tyrosinase and microphthalmia-associated transcription factor, in 3-isobutylmethylxanthine-stimulated B16F0 melanoma cells. The mean age was Formulation and stability of ascorbic acid in topical preparations.

Score 2: Formation of continuous ribbon extending from neighboring solitary units. Support Center Support Center. Tissue defect or necrosis. There are increasing demands for cosmetic rehabilitation for gingival melanin pigmentation. The visual analog scale VAS was used to evaluate the subjective pain level experienced by the patient. Accepted 03 Feb

Malhotra, N. Queille-Roussel et al. Melanin pigmentation is the result of melanin granules produced by melanoblasts intertwined between epithelial cells at the basal layer of the gingival epithelium. First symposium on oral pigmentation. Sannino et al. Chung, and Y.

Gingival pigmentation index GPI by Kumar et al. The application of diode laaser appears to be a safe and effective alternative procedure for the treatment of gingival melanin pigmentation. Tissue penetration of a diode laser is less than that of the Nd: YAG laser, while the rate of heat generation is higher. Abstract The normal appearance of the gingiva is pink to light red, and this appearance may change due to many factors and might be noticeable causing aesthetic concerns.

The erbium laser gave a more aesthetic result as complete improvement despite that statistically there depigmentation of gingiva using laser to lose weight no significant differences between the groups Table 5Figure 8. Previous studies were used to evaluate the effect of laser gingival depigmentation using different parameters, techniques, and even different lasers and tools. In the Gulf area, the gingival melanin pigmentation is of the main type of concern, and patients expect the pigmentation to be removed for aesthetic reasons. Laser ablation is recently suggested as a most effective and reliable technique for depigmentation of melanin hyperpigmented gingiva. Some papers suggest that the laser is an effective tool in gingival depigmentation specially when used by an experienced operator [ 811 — 2529 ]. Figure 7.

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It will not affect your teeth. You might encounter sensitivity, irritation, or burns. Skin biopsies showed a greater number of melanophagies with fibrosis of papillary derma in two patients but skin biopsy was normal in one patient. Arch Pharm Res. E-mail: moc.

The risk and prevalence of hyperpigmentation in dark-skinned patients using this approach have not been studied. PIH was not seen with the fractional microplasma RF, which might make it a better choice for patients with darker skin. This assessment was conducted lose the recommended approach for assessing the risk of bias in studies included in Cochrane Reviews Higgins 22 using the tool RevMan 5. Inclusion criteria Randomized controlled trials, experimental studies, case—control studies and cohort studies Full-text articles published in peer-reviewed journals in English language Vitamin C levels, tyrosinase levels or melanin pigmentation index scores assessed. The results showed that the C- PIH HK was able to discriminate those who agreed and those who disagreed related to the usefulness of individual health education p PIH for use in Hong Kong was evaluated.

Human Anatomy. Statistically, they were no significant differences between the groups Table 3Figure 6. Pigmentations could lqser a sign of pathology; hence, it is always important to investigate the causes and reach to a clear diagnosis. The visual analog scale VAS was used to evaluate the subjective pain level experienced by the patient.

Topical monotherapies include the standard bleaching agent hydroquinone HQ as well as retinoids. Biosynthesis of ascorbic acid in plants: A renaissance. This is a systematic review of randomized controlled trials, experimental studies, case—control studies and cohort studies which aims to analyze the effect of Vitamin C on melanin pigmentation and administration of Vitamin C as a depigmenting agent. A majority of the patients However, when the risk of bias was assessed, these studies showed a higher risk of bias.

Gingival pigmentation index GPI by Kumar et al. External link. Abstract The normal appearance of the gingiva is pink to light red, and this appearance may change due to many factors and might be noticeable causing aesthetic concerns. Electrosurgery has its own limitations in that its repeated and prolonged use induces heat accumulation and undesired tissue destruction. Accepted 03 Feb

Source of Support: Nil. In: Moritz A, editor. Significant differences between the groups in which the erbium laser group was the most time-consuming procedure with an average mean of Lee, D. Ulcer, D. Gingival depigmentation can be considered a periodontal plastic procedure whereby the gingival hyperpigmentation is removed by various techniques and the technique selection should primarily be based on clinical experiences and individual preferences with primary indication of demand for improved esthetics.

Objective To document the psychosocial and self-esteem implications of acne and facial hyperpigmentation on newly admitted undergraduates. Some common instructions are mentioned below: Do not drink alcohol. Secondary objective To analyze the effect of Vitamin C administration on melanin pigmentation.

  • The aim of this study was to evaluate anti-melanogenic effect of standardized EAJC on a hyperpigmentation animal model. Graph 2.

  • A year-old male patient complaining of heavily pigmented gums visited the Department of Periodontics, Army College of Dental Sciences, Secunderabad. Saraceno, E.

  • She was treated with adjuvant imatinib which prompted rapid regression of the cutaneous hyperpigmentation. Syst Rev Pharm.

We present a study on 2 depigmentwtion from the arm and the thigh in a year-old woman with a lose weight clinical history of Addison disease as well as senile purpura and alopecia of female pattern. However, recent data support the use of retinoids and azelaic acid in skin of color as both safe and beneficial. However, ethnic skin requires special consideration due to its unique pigmentary characteristics and clinical presentations. A mg Therapeutic effects of EAJC toward skin hyperpigmentation were confirmed by both in vivo experiment and in vitro cell-based assay. Biosynthesis of ascorbic acid in plants: A renaissance.

The aim of the study was to estimate the usefulness of the biochemical markers of fetal defects and uterine Doppler examination in predicting PIH and IUGR in the third trimester of pregnancy. The half-life in the skin after achieving maximum concentration is 4 days. E-mail: moc. Vitamin C injection is a safe, minimally invasive non-surgical depigmenting technique for gingival tissue. Topical tyrosinase inhibitors, such as hydroquinone, azelaic acid, kojic acid, arbutin, and certain licorice extracts, can effectively lighten areas of hypermelanosis.

Bhardwaj, H. Mann-Whitney test, Kruskal-Wallis test, and chi-square test were used to test the significance between variables. The depigmentation procedure with scalpel was planned accordingly.

The advantages of diode lasers are the smaller size of the units as well as the lower financial costs. Figure Ganiger, A. Bath-Balogh and M.

Schedule a Free Consultation. Some common benefits are mentioned below: Non-surgical and less invasive process. A previous study has demonstrated the benefit of tretinoin retinoic acid in the treatment of PIH ; however, there is currently no standard protocol to evaluate change in PIH following treatment. In contrast, cutaneous manifestations are rare and are non-specific, most commonly presenting as pigmentation disorders.

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