Dermabrasion treatment of gingival dyschromia caused by racial melanosis: case report comparing two techniques

Rodolfo José Gomes de Araújo, Felipe Vilhena Brilhante, Deise Kersten Alves Ferreira, Bruna de Fátima Kzam Soeiro do Nascimento

Gingival pigmentation results from excessive production of melanin by melanocytes in the basal layer of the epithelium. Gingival pigmentation consists of dark spots located on masticatory mucosa, most commonly in the attached gingiva or free gingiva, caused by different etiologies. This gingival pigmentation is not a health problem, however, many patients feel embarrassed due to the darkened aspect of their gingiva while smiling. Among the surgical periodontal therapy indicated to improve darkened gingiva, those techniques that use scalpel blades, round diamond burs, cryosurgery, electrosurgery, lasers and free gingival grafts with autogenic epithelium can be highlighted. The aim of this paper is to report a clinical case in which the patient’s gingival melanin pigmentation was treated using diamond burs and scalpels, and also to describe a periodontal plastic surgery procedure to correct or improve the amount of gingival melanin pigmentation present on mandibular and maxillary dental arches of the patient. After the surgical procedure successfully performed, and considering the high degree of satisfaction of the patient, the authors concluded that the presented technique is easy to perform and stands out in face of the excellent results achieved.

Keywords: Periodontics. Esthetics. Pigmentation. Surgery, oral.

How to cite: Araújo RJG, Brilhante FV, Ferreira DKA, Nascimento BFKS. Dermabrasion treatment of gingival dyschromia caused by racial melanosis: case report comparing two techniques. J Clin Dent Res. 2017 Jan-Mar;14(1):106-11. DOI: http://dx.doi.org/10.14436/2447-911x.14.1.106-111.oar

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