Research progress on diagnosis and treatment of gingival pigmentation
10.12016/j.issn.2096-1456.2022.06.009
- Author:
SONG Sixing
1
,
2
,
3
;
ZHAO Lei
1
,
2
,
3
;
XIAO Shimeng
1
,
2
,
3
Author Information
1. State Key Laboratory of Oral Diseases &
2. National Clinical Research Center for Oral Diseases &
3. Department of Periodontics, West China School of Stomatology, Sichuan University
- Publication Type:Review
- Keywords:
gingiva;
pigmentation;
gingival pigmentation index;
melanin;
lasers;
Nd: YAG laser;
diode laser;
Er: YAG laser;
CO2 laser
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2022;30(6):438-442
- CountryChina
- Language:Chinese
-
Abstract:
Gingival pigmentation(GP) manifests as dark pigmentation spots, such as black or brown spots, in the gums. It is mostly caused by the deposition of melanin particles secreted by melanocytes on the gingival epithelium. The influencing factors may be divided into two categories, exogenous and endogenous. Exogenous factors include heavy metals, tattoos, smoking or drug use, and endogenous factors are related to certain diseases. The clinical grading of GP helps make a reasonable assessment of the necessity of treatment and prognosis. The Dummett-Gupta oral pigmentation index is a commonly used grading method, and the new grading method formed by combining the etiology and clinical manifestations described the patient’s situation more comprehensively. It is necessary to ask for a detailed medical history, complete examination, and correctly differentiate between physiological GP and GP caused by pathological state. Laser treatment is the currenttreatment with a better treatment effect and higher patient acceptance, and it is more comfortable and convenient, including diode laser, Er: YAG laser, and Nd: YAG laser, etc. This article summarizes the formation factors, clinical manifestations and treatment methods of GP to provide ideas for the clinical diagnosis and treatment of GP.
- Full text:牙龈色素沉着诊疗研究进展.pdf
