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International journal of odontostomatology

On-line version ISSN 0718-381X

Abstract

VASSOLER, Fabiano et al. Gingival Melanin Depigmentation With Diode Laser - Case Report. Int. J. Odontostomat. [online]. 2019, vol.13, n.4, pp.481-485. ISSN 0718-381X.  http://dx.doi.org/10.4067/S0718-381X2019000400481.

The pigmented lesions of the oral cavity may be endogenous or exogenous. Endogenous lesions are benign and usually caused by melanin, and they are called gingival melanin pigmentations. 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 and mandibular portions. After local anesthesia, we started depigmentation with 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 postoperative results.

Keywords : depigmentation; hyperpigmentation; laser; repigmentation.

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