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Esthetic gingival Depigmentation by cryosurgical therapy and surgical scalpel technique-A comparative study

Author: 
Dr. Rajeshree Rangari, N. and Dr. Chandrasekhara Reddy, V.
Subject Area: 
Health Sciences
Abstract: 

Aim: To clinically assess and compare cryosurgical therapy with tetrafluoroethane (TFE) and surgical scalpel technique in gingival melanin depigmentation. Twenty periodontally healthy, esthetically inclined males and females, with black gums were included in the study. Split mouth design was carried out in anterior maxilla and for each subject; area extending from mesial surface of right central incisor to distal surface of right canine was designated as Group A and treated with cryosurgical therapy. Area from mesial surface of left central incisor to distal surface of left canine was designated as Group B and treated with surgical scalpel technique. Melanin index and Area of pigmentation evaluated with help of standardized images, recorded at day one, 30th day, 90th day and 180th day, postoperatively. Statistical Analysis: Mann-Whitney U Test for intragroup and Wilcoxon Signed Ranks Test for intergroup comparison was used. Results: Mean Melanin index score and Area of pigmentation (sq.mm) in Group A and Group B had decreased from day one - 30th day. Thereafter, there was an increase in repigmentation on 90th day and 180th day in both groups. On comparison, Group B showed a statistically significant decrease in repigmentation compared to Group A. Conclusion: Both techniques were clinically efficient for gingival depigmentation from day one -30th day. All subjects were satisfied esthetically and did not report any pain or discomfort during or after procedure. Though repigmentation had occurred in both groups, extent was less in surgical scalpel technique, compared to cryosurgical therapy.

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