AI Article Synopsis

  • Gingival melanin hyperpigmentation results from excess melanin in the gums, and the study investigates how long depigmentation lasts after using three types of lasers on smokers and nonsmokers.
  • Seventy-two participants were treated with Er:YAG, CO, and diode lasers, and results were evaluated using the Hedin Melanin Index at various intervals for up to 60 months.
  • The findings indicated that diode laser treatments had the longest stability, while smoking negatively impacted the duration of depigmentation, with Er laser leading to the quickest recurrence of pigmentation.

Article Abstract

Gingival melanin hyperpigmentation is due to excessive deposition of melanin granules. The duration of pigmentation reappearance after treatment using different laser wavelengths remains controversial. The study aims to assess the longevity of gingival depigmentation (GD) and the consistency in esthetic results as three laser wavelengths (Er:YAG laser, CO laser, and diode laser, 980 nm) were used in two different groups (smokers and nonsmokers). This is attained by comparing the periods of time in each group before pigmentation reappearance. Seventy-two subjects were divided into daily smokers (S) and nonsmokers. Subjects underwent a randomized GD with: Erbium laser (Er), CO laser (CO), and Diode laser (Diode). The subjects were divided into six groups: S and nonsmokers were treated with three different wavelengths. Irradiation was performed until there was no visible pigmentation. For qualitative measurement, Hedin Melanin Index (HMI) was used, before treatment, after 2 weeks, and until 60 months. Pigmentation reappearance of degree 1 or above of the HMI was noted. Descriptive statistics were also calculated. HMI showed a 0 in all groups after 14 days of treatment. The time before pigmentation rebound was: Diode > CO > S-Diode > S-CO > Er > S-Er. The first signs of relapse shown among all groups were seen in the group S-Er group. The longest time before rebound was observed with the Diode group for the nonsmoker. Diode laser provides the longest-term stability in treatment. Smoking negatively affects the longevity of GD. Er laser gives the shortest time before the reappearance of gingival pigmentation.

Download full-text PDF

Source
http://dx.doi.org/10.1089/photob.2019.4672DOI Listing

Publication Analysis

Top Keywords

laser wavelengths
12
pigmentation reappearance
12
laser diode
12
diode laser
12
laser
11
gingival melanin
8
treatment laser
8
laser laser
8
smokers nonsmokers
8
subjects divided
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!