Article by : Dr.Aparna Pandya
As Phillis Diller has rightly said- “A smile is a curve that sets everything straight.”
In this selfie era where people are increasingly conscious about their personal appearance, a perfect smile is an integral part of the overall look. When optimal harmony exists between these three components-teeth, perioral tissues and gums, the result is a picture-perfect smile or like some would say-the ideal selfie smile.
Hyper-pigmentation of the gingiva can hamper the entire look of a person, matter how handsome/pretty one is, and thus takes away the confidence to smile your way to glory.
What is gingival-hyperpigmentation?
We know that the colour of the gingiva has a crucial role in the overall aesthetics. Melanin is one of the main pigments contributing to the normal colour of the oral mucosa. They vary in colour from brown, black or blue depending on the vascularity of the overlying tissue and thickness of the overlying epithelium.
Indications of gingival depigmentation:
A critical concern in the management of hyperpigmented gingiva is a relapse or gingival repigmentation. Repigmentation refers to the clinical appearance of melanin pigment following a period of clinical depigmentation. As it depends on methodology and follow-up period, the duration of repigmentation is controversial from one technique to other. However, the majority of the available literature has shown lower recurrence rate for cryosurgery and lasers.
in patients with the excessive gingival display, demand for depigmentation therapy is mostly seen. The selection of a technique is determined by the gingival biotype, clinician’s expertise, patient preferences, and recurrence rate. Although a wide range of techniques have been employed, cryosurgery followed by lasers has been reported to be superior techniques with better aesthetic results and low rate of recurrence.
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