Carbon dioxide laser or cold scalpel on the removal of gingival melanin pigmentation
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Brazilian Dental Journal
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Melanin pigmentation is the result of melanin granules produced
by melanocytes present in the basal layer of the oral epithelium.
Gingival physiological melanin pigmentation is symmetric and
persistent, may cause esthetic problems especially in individuals
with a gummy smile. Various techniques have been described for
the removal of melanin pigmentation from the gingival epithelium
and partial thin connective tissue, as chemical agents,
cryosurgery, surgery and gingival grafts. Recently, lasers systems
have been used to coagulate and vaporize cells, promoting controlled
gingival ablation. This study compares clinical efficiency to removal gingival melanin pigmentation in 20 patients with
dioxide carbon laser, and 20 patients with cold scalpel during 30
days after surgery. A dioxide carbon laser (output = 5W; superpulse
= 0,5s; spot size = 2,5mm defocused; focal distance =
5,5cm, Intensity = 102 W/cm2) was irradiated on gingival mucosal
surface. Both techniques presented epithelialization in 15 days.
Both systems are considered effective for removal melanin pigments.
Patient's evaluation with postoperative pain found the carbon
dioxide laser technique superior to the cold scalpel one. After
30 days, the repigmentation occured in 45% of the dioxide carbon
laser patients, and 80% of the cold scalpel patients.
Como referenciar
KOGLER, V.L.; MAIO, M.; LAGE-MARQUES, J.L.; ZEZELL, D.M. Carbon dioxide laser or cold scalpel on the removal of gingival melanin pigmentation: comparative study. Brazilian Dental Journal, v. 15, p. 90-90, 2004. Special issue. Disponível em: http://repositorio.ipen.br/handle/123456789/32739. Acesso em: 30 Dec 2025.
Esta referência é gerada automaticamente de acordo com as normas do estilo IPEN/SP (ABNT NBR 6023) e recomenda-se uma verificação final e ajustes caso necessário.