Is Conventional Management of Hyperpigmentation Still the Best Choice? -- A Case Report


Background: A normal gingiva is generally “salmon” pink in color. Varying degrees of brownish pigmentation in gingiva may be seen in Blacks (seldom also in Caucasians). Those who exhibit gingival hyperpigmentation face aesthetic problems.

Objective: To describe the treatment of gingival hyperpigmentation in a 29-yearold male attending the Department of Periodontics Clinic, Universitas Padjadjaran, exhibiting excessive staining on the gums of the right to left canine region of the upper and lower jaw.

Case Report: This gingival hyperpigmentation case was managed through a conventional method of using scalpel.

Results: Gingiva that had excessive staining in this case was eliminated and exhibited good aesthetic.

Conclusion: The conventional management of gingival hyperpigmentation is still the best choice to solve an aesthetic problem with a simpler and safer technique, and at more affordable costs.

Keywords: gingival hyperpigmentation, gum excessive staining, conventional gingival surgery

[1] Dr. Shahna, N., Dr. Suchetha, A., Dr. Sapna, N., Dr. Darshan, B., & Dr. Apoorva, S. (2019). Gingival pigmentation: A review of literature. International Journal of Applied Dental Sciences, 5(2), 83-91.

[2] Westerhof, W. (2006). The discovery of the human melanocyte: Pigment Cell & Melanoma Research. 19(3), 183-193.

[3] Ozbayrak, S., Dumlu, A., & Ercalik-Yalcinkaya, S. (2000). Treatment of melaninpigmented gingiva and oral mucosa by CO2 laser. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 90(1), 14-5.

[4] Tadakamadla, J., Kumar , S., Nagori , A., Tibdewal , H., Duraiswamy , P., & Kulkarni , S. (2012). Effect of smoking on oral pigmentation and its relationship with periodontal status. Dental research Journal, 9(1), 112-114.

[5] Malhotra , S. (2014). Gingival Esthetics by Depigmentation. J Periodontal Med Clin Pract, 1, 79-84.

[6] Roshna , T., & Nandakumar , K. (2005). Anterior esthetic gingival depigmentation and crown lengthening: Report of a case. J Contemp Dent Pract, 6(3), 139-47.

[7] Dr. Suchetha, A., Dr. Shahna, N., Dr. Divya , B., Dr. Apoorva, S., & Dr. Sapna, N. (2018). A review on gingival depigmentation procedures and repigmentation. International Journal of Applied Dental Sciences, 4(4), 336-341.

[8] Liebart , M., Deruelle , C., Santini , A., Dillier , F., & Corti , V. (2004). Smile line and periodontium visibility. Periodontology , 1, 17-25.

[9] Ishikawa, I., Aoki , A., & Takasaki , A. (2004). Potential applications of Erbium: YAG laser in periodontics. J Periodontal Res(39), 275-85.

[10] Kathariya , R., & Pradeep , A. (2011). Split mouth de-epithelization techniques for gingival depigmentation: A case series and review of literature. J Indian Soc Periodontol, 15, 161-8.

[11] Lerner , A., & Fitzpatrick , T. (1950). Biochemistry of melanin formation. Physiological reviews, 30(1), 91-126.

[12] Kondo , T., & Hearing , V. (2011). Update on the regulation of mammalian melanocyte function and skin pigmentation. Expert review of dermatology, 6(1), 97-108.

[13] Hossam , A. E., Manea , M. M.-A., & Shishir , R. S. (2019). Case Report: Treatment of gingival hyperpigmentation using different techniques. 14(1), 50-55.