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Essay / Gum Essay - 1412
A smile expresses a feeling of joy, success, sensuality, affection and courtesy and reveals self-confidence and kindness. The harmony of the smile is determined not only by the shape, position and color of the teeth, but also by the gum tissue. Gum tissue is an important part of a pleasant smile. Melanin pigmentation of the gingiva, whether physiological or pathological, can be caused by various local and/or systemic factors [1]. Hyperpigmentation of the gums causes aesthetic problems in some people, especially those with a gummy smile. These individuals may become more aware of black and dark pigment spots and request their removal, particularly if the hyperpigmentation appears on the facial aspect of the gum, thus being visible during smiles and speech [1]. In recent years, There is a growing need for aesthetics and increasing cosmetic demands for a pleasant smile among many people. In particular, women are more aware of black or dark pigment spots on the facial surfaces of the gums, which can be striking when smiling or speaking. Attempts have been made to meet these aesthetic requirements by various methods, including mechanical, surgical, electrosurgical, cryosurgical, and laser gingival grafts [2, 3, 4]. Free gingival grafting for depigmentation is a proven technique and remains the benchmark. Recently, laser has been introduced for the treatment of gingival hyperpigmentation. Laser treatment is used to remove melanin pigment by ablation of epithelial tissue. It requires melanocytes to be in its penetration zone and contain melanin in order to absorb and convert light energy into heat by photothermol...... middle of paper ......13]. Percentage of repigmentation in patients treated with free gingival graft was lower compared to laser, however postoperative pain levels were highest in patients treated with FGG (score 3). In comparison, the Laser group showed no level of pain (score 0) and was more acceptable to the patient but some cases of repigmentation were noted after 6 months of follow-up. Conclusion: Aesthetic gingival depigmentation is considered successful if repigmentation is delayed, minimal or non-existent. Since this FGG is most effective for the treatment of pigmented gingiva, one of the major disadvantages of FGG is the need for a second surgical site and postoperative pain and discomfort. LASERs have been found to show minimal pain and discomfort, but repigmentation is greater than FGG. Therefore, the most effective treatment modality for complete depigmentation is FGG..