If you image a stupendous smile, you usually envision wholesome, white enamel. However the gums that assist your enamel must also be considered. Some people with inconsistent or various gum coloration might have aesthetic issues about their smiles regardless of a mouthful of pretty enamel. These individuals have a situation referred to as gingival (gum) hyperpigmentation.
What’s Gingival Hyperpigmentation?
The colour of gum tissue can truly be as various as our pores and skin tones. Generally people have black or brown pores and skin splotches on their gum tissue, which is brought on by extra melanin. Whereas usually not of a well being concern, this situation might trigger people to really feel much less assured about their smiles.
Causes of Gum Hyperpigmentation
Whereas gingival hyperpigmentation is generally benign and extra frequent in dark-skinned people, it will probably happen in any ethnicity. Darkish spots on the gums may also be brought on by tobacco utilization (smoking or chewing). Following tobacco use cessation, the gums will usually lighten. Different causes of gingival hyperpigmentation can embody:
- Unwanted side effects of sure drugs, comparable to minocycline, a tetracycline antibiotic
- Addison’s illness (an endocrine dysfunction)
- Genetic predisposition
- Ulcerative gingivitis
- Amalgam “tattoo” (when a silver filling leaches into the gum tissues)
Laser Surgical procedure Gum (Gingival) Depigmentation for Lengthy-Time period Outcomes
At present’s most secure and only therapy to focus on gum hyperpigmentation is by way of laser gum lightening, a process that produces nice outcomes and is much less traumatic than different procedures (scalpel surgical procedure, as an example). Whereas different bleaching procedures merely take away the superficial cells that trigger discoloration, laser gum depigmentation removes the precise melanocytes, the pores and skin cells that comprise and produce the melanin pigment that causes discoloration. The benefit of that is that these cells don’t multiply typically and as soon as being eliminated the end result shall be very lengthy lasting.
Our apply’s expertise matches that of many different clinical studies that present that laser therapy for gum hyperpigmentation leads to gingiva (gum) hues that match the unique non-pigmented gingiva. In lots of situations, solely the maxillary (prime) dental arch is handled because the mandibular (backside) arch isn’t typically seen when smiling.
Are You a Candidate for Laser Gum Depigmentation?
People who’ve wholesome smiles however are sad with the colour of their gum tissue can contemplate laser gum lightening. Those that have had points with gum illness will most probably require antibiotics to make sure there isn’t any an infection current. The process is just about pain-free. Most people, the truth is, can return to regular actions after therapy, with a full therapeutic course of often full inside two weeks. Outcomes can final a lifetime.
Case Historical past Instance Earlier than and After:
The thirty-two-year-old feminine was handled with the Millenium MVP-7 laser. Two weeks post-op the hue of her gingiva carefully matches the unique non-pigmented gingiva. Lengthy-term outcomes are achieved with the removing of melanocytes within the basal lamina with out affecting any worthwhile gentle and onerous tissue.
Philip L. Fava, II, DMD, MDSc is a periodontist and dental implant surgeon who practices on the Pennsylvania Center for Dental Implants and Periodontics, with two places at Einstein Heart One, Suite 211-212, 9800 Bustleton Avenue, Philadelphia, PA 19115 and 140 East Butler Avenue, Ambler, PA 19002. The apply provides “All-on-4™ dental implants; SameDay Smile® or “Smile Zone” dental implants; implant, crown and bridge implant restorations; Pinhole gum rejuvenation; reconstructive dental surgical procedure in addition to LANAP® and different therapies for gum illness.
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