COMPARISON OF THE EFFECTIVENESS OF TREATING GINGIVAL HYPERPIGMENTATION BY DIODE LASER AND ER; CR: YSGG

Huỳnh Trung Trần, Nguyên Lâm Lê, Anh Vũ Thụy Phạm

Main Article Content

Abstract

Background: Gingival depigmentation is a treatment to remove the melanin hyperpigmentation of the gums, giving confidence in communication especially when smiling. Different methods have been used for this procedure are scalpel, autologous gingival graft, electrocautery, 90% phenol and 95% alcohol chemotherapy and bur grinding, co2 and diode, Er;Cr:YSGG, NdYag laser. Objectives: Evaluate the level of healing, gum color, swelling, pain, bleeding, of two diode laser and co2 laser methods at Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: 40 patients over 18 years old, with both upper and lower jaws having gingival hyperpigmentation from level 1 or higher, specifically the upper and lower jaw on the right side were treated with diode laser (diode 1 and diode 4); the upper and lower jaw on the left side were treated with Er;Cr:YSGG laser (Er;Cr:YSGG2, Er;Cr:YSGG3) at Can Tho University of Medicine and Pharmacy Hospital. Results: The diode laser method requires additional topical anesthesia compared to the Er;Cr:YSGG laser. The Er;Cr:YSGG laser method heals 0.5 days earlier and is less painful than the diode laser method. There is no statistically significant difference between the two methods in terms of post-treatment bleeding.

Article Details

References

1. Abdullah, B. A., & Al-shmaah, Z. A. (2014). The use of ErCr: YSGG versus diode LASER in gingival melanin depigmentation. Int J Enhanc Res Sci Techn Engg, 3, 12-21.
2. Altayeb, W., Hamadah, O., Alhaffar, B. A., Abdullah, A., & Romanos, G. (2021). Gingival depigmentation with diode and Er, Cr: YSGG laser: evaluating re-pigmentation rate and patient perceptions. Clinical Oral Investigations, 25, 5351-5361.
3. Arif, R. H., Kareem, F. A., Zardawi, F. M., & Al‐Karadaghi, T. S. (2021). Efficacy of 980 nm diode laser and 2940 nm Er: YAG laser in gingival depigmentation: A comparative study. Journal of Cosmetic Dermatology, 20(6), 1684-1691.
4. Beşiroğlu-Turgut, E., & Kayaaltı-Yüksek, S. (2023). Comparison of Er, Cr: YSGG laser and diode laser in the treatment of gingival melanin pigmentation: A randomized clinical trial. Lasers in Medical Science, 38(1), 79.
5. Dummett, C.O.; Gupta, O.P. Estimating the epidemiology of oral pigmentation. J. Natl. Med. Assoc. 1964, 56, 419–420.
6. Hanioka, T.; Tanaka, K.; Ojima, M.; Yuuki, K. Association of melanin pigmentation in the gingiva of children with parents who smoke. Pediatrics. 2005, 116, e186–e190.
7. Mikhail, F. F., El Menoufy, H., & El Kilani, N. S. (2023). Assessment of clinical outcomes and patient response to gingival depigmentation using a scalpel, ceramic bur, and diode laser 980 nm. Clinical Oral Investigations, 27(11), 6939-6950.
8. Moeintaghavi, A., Ahrari, F., Fallahrastegar, A., & Salehnia, A. (2022). Comparison of the effectiveness of CO2 and diode lasers for gingival melanin depigmentation: a randomized clinical trial. Journal of Lasers in Medical Sciences, 13.
9. Jazzar A, AlDehlawi H. Efficacy and Risks of Different Treatments for Oral Hyperpigmentation: A Systematic Review and Network Meta-Analysis. J Clin Med. 2023 Oct 17;12(20):6567. doi: 10.3390/jcm12206567. PMID: 37892705; PMCID: PMC10607256
10. Taher Agha, M., & Polenik, P. (2020). Laser treatment for melanin gingival pigmentations: a comparison study for 3 laser wavelengths 2780, 940, and 445 nm. International journal of dentistry, 2020(1), 3896386.