Surgical treatment of gingival pigmentation versus laser: Efficacy, aesthetic and functional outcomes
DOI:
https://doi.org/10.33448/rsd-v13i3.45312Keywords:
Esthetics; Laser; Pigmentation; Oral surgical procedures; Therapeutics.Abstract
This study aimed to investigate the approaches and outcomes of surgical treatment of gingival pigmentation compared to laser treatment, aiming to understand the efficacy and aesthetic and functional outcomes associated with these procedures. It is an integrative review that included studies with primary data published between January 2015 and November 2023, in English, Portuguese and Spanish languages, excluding case reports, abstracts and editorials. The descriptors/keywords used were: "Aesthetic and Functional Outcomes"; "Gingival Dyschromia"; "Gingival Pigmentation"; "Laser Treatment"; "Surgical Interventions". The databases ScienceDirect, PubMed and SciELO were selected. After applying the eligibility criteria, 113 studies were identified in the databases, and 6 were selected to compose the final sample of this review. The selected studies aimed to evaluate gingival depigmentation techniques, such as surgery with scalpel, injection of vitamin C, and application of Nd: YAG, diode and Er,Cr: YSGG lasers. By investigating the approaches and outcomes of surgical treatment of gingival pigmentation compared to laser treatment, it was found that the results obtained from the various studies analyzed provide a comprehensive overview of the current scenario of these interventions, providing important information for clinical practice, such as versatility in treatment, patient comfort and effectiveness in healing.
References
Altayeb, W., Hamadah, O., Alhaffar, B. A., Abdullah, A., & Romanos, G. (2021). Gingival depigmentation with diode and Er,Cr:YSGG laser: Evaluating re-pigmentation rate and patient perceptions. Clinical Oral Investigations, 25(9), 5351–5361. https://doi.org/10.1007/s00784-021-03843-6
Araújo, R. J. G. de, Brilhante, F. V., Ferreira, D. K. A., & Nascimento, B. de F. K. S. do. (2017). Tratamento de discromia gengival causada por melanose racial, realizado por meio de despigmentação com dermoabrasão: Relato de caso comparativo de duas técnicas. Journal of Clinical Dentistry and Research, 14(1), 106–111. https://doi.org/10.14436/2447-911x.14.1.106-111.oar
Babu, A., Shajahan, F., Thomas, P., & Mathew, D. G. (2020). Oral pigmented disorders: A review. International Journal Of Drug Research And Dental Science, 2(4), 94–104. https://doi.org/10.36437/ijdrd.2020.2.4.M
Basha, M. I., Hegde, R. V., Sumanth, S., Sayyed, S., Tiwari, A., & Muglikar, S. (2015). Comparison of nd:yag laser and surgical stripping for treatment of gingival hyperpigmentation: A clinical trial. Photomedicine and Laser Surgery, 33(8), 424–436. https://doi.org/10.1089/pho.2014.3855
Castro-Rodríguez, Y. (2019). Melanosis gingival, una revisión de los criterios para el diagnóstico y tratamiento. Odontoestomatología, 21(33), 54–61. https://doi.org/10.22592/ode2019n33a7
Egg, N. S. de O., Castro, C. D. L. S., Rodrigues, F. N., & Cury, V. F. (2009). Melanose racial e outras lesões pigmentadas da cavidade bucal: Revisão de literatura. Periodontia, 49–55. https://pesquisa.bvsalud.org/portal/resource/pt/lil-587911
Gholami, L., Moghaddam, S. A., Rigi Ladiz, M. A., Molai Manesh, Z., Hashemzehi, H., Fallah, A., & Gutknecht, N. (2018). Comparison of gingival depigmentation with Er,Cr:YSGG laser and surgical stripping, a 12-month follow-up. Lasers in Medical Science, 33(8), 1647–1656. https://doi.org/10.1007/s10103-018-2501-1
Gul, M., Hameed, M. H., Nazeer, M. R., Ghafoor, R., & Khan, F. R. (2019). Most effective method for the management of physiologic gingival hyperpigmentation: A systematic review and meta-analysis. Journal of Indian Society of Periodontology, 23(3), 203–215. https://doi.org/10.4103/jisp.jisp_555_18
Holanda, J. K. N., Souza, L. D. G., Custódio, L. L. P., Silva, M. L. D., Costa, A. T. A., Monteiro, D. L. A., Santos, R. O., Silva, I. N. F., Costa, A. J., Sales, G. B., Alencar, J. B., Neto, S. C. R., & Sousa, J. N. L. (2021). Hiperpigmentação em mucosa oral de pacientes usuários de cloroquina e hidroxicloroquina: Revisão de literatura. Research, Society and Development, 10(5), e30010514528–e30010514528. https://doi.org/10.33448/rsd-v10i5.14528
Holmstrup, P., Plemons, J., & Meyle, J. (2018). Non-plaque-induced gingival diseases. Journal of Clinical Periodontology, 45(S20), S28–S43. https://doi.org/10.1111/jcpe.12938
Jacob, O., Kosala, M., & Panwar, M. (2021). Evaluation of treatment outcome in gingival hyperpigmentation with scalpel Vis-a-Vis Laser: A split-mouth study. Indian Journal of Dental Sciences, 13(4), 251. https://doi.org/10.4103/IJDS.IJDS_161_20
Kumari, Dr. N., Agarwal, Dr. N., Tripathi, Dr. P., Saxena, Dr. V. S., Shukla, Dr. S., & Naaz, Dr. S. (2022). Pigmented lesions of the oral cavity: A review. Saudi Journal of Oral and Dental Research, 7(11), 276–279. https://doi.org/10.36348/sjodr.2022.v07i11.002
Meligy, N., Ahmed, O. E., & El-Shall, O. S. (2023). Clinical evaluation of different techniques of gingival depigmentation. Al-Azhar Dental Journal for Girls, 10(1), 413–423. https://doi.org/10.21608/adjg.2023.103410.1431
Mendes, K. D. S., Silveira, R. C. de C. P., & Galvão, C. M. (2019). Use of the bibliographic reference manager in the selection of primary studies in integrative reviews. Texto & Contexto - Enfermagem, 28, e20170204. https://doi.org/10.1590/1980-265X-TCE-2017-0204
Mikhail, F. F., El Menoufy, H., & El Kilani, N. S. (2023). Assessment of clinical outcomes and patient response to gingival depigmentation using a scalpel, ceramic bur, and diode laser 980 nm. Clinical Oral Investigations, 27(11), 6939–6950. https://doi.org/10.1007/s00784-023-05310-w
Müller, S. (2010). Melanin-associated pigmented lesions of the oral mucosa: presentation, differential diagnosis, and treatment. Dermatologic Therapy, 23(3), 220–229. https://doi.org/10.1111/j.1529-8019.2010.01319.x
Oxford. ([s.d.]). The Centre for Evidence-Based Medicine. Recuperado 12 de novembro de 2023, de https://www.cebm.net/
Panucci, B. Z. M., Ferrisse, T. M., Bufalino, A., & León, J. E. (2021). Concomitant endogenous and exogenous etiology for gingival pigmentation. Dermatology Online Journal, 27(8). https://doi.org/10.5070/d327854720
Rosebush, M. S., Briody, A. N., & Cordell, K. G. (2019). Black and Brown: Non-neoplastic Pigmentation of the Oral Mucosa. Head and Neck Pathology, 13(1), 47–55. https://doi.org/10.1007/s12105-018-0980-9
Rodrigues, N. F., Glória, G. Y. C. D., Araújo, P. D. L., & Carlos, A. M. P. (2020). A etiologia multifatorial da pigmentação dentária: Revisão de literatura/the multifactorial etiology of dental pigmentation: literature review. Brazilian Journal of Development, 6(12), 94673–94681. https://doi.org/10.34117/bjdv6n12-072
Sagebiel, R. W., Clarke, M. A., & Hutchens, L. H. (1971). Dendritic cells in oral epithelium. Current Concepts of the Histology of oral Mucosa, 143-166.
Santos, C. M. da C., Pimenta, C. A. de M., & Nobre, M. R. C. (2007). The PICO strategy for the research question construction and evidence search. Revista Latino-Americana de Enfermagem, 15(3), 508–511. https://doi.org/10.1590/s0104-11692007000300023
Squier, C. A., Newell Walter Johnson, & Rosamund Muriel Hopps. (1976). Human oral mucosa : development, structure and function. Blackwell Scientific.
Teixeira, L. R. de A. C. (2012). Análise da Proliferação de Queratinócitos Durante o Reparo de Incisões Cirúrgicas Realizadas por Bisturi Convencional, Bisturi Elétrico, Laser de CO2 e Laser de Diodo [Dissertação]. Universidade de São Paulo.
Shahna, N., Suchetha, A., Sapna, N., Darshan, B M, & Apoorva, S. M. (2019). Gingival pigmentation: A review of literature. International Journal of Applied Dental Sciences, 5(2), 83–91.
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