Comparative Evaluation of Scalpel and Bur Abrasion Techniques for Gingival Depigmentation: A 6-Month Case Report on Clinical and Patient-Centered Outcomes
Comparative Evaluation of Scalpel and Bur Abrasion Techniques for Gingival Depigmentation
Abstract
Background: Gingival depigmentation is a cosmetic procedure aimed at improving smile aesthetics by removing excess melanin pigmentation. Aim: To compare scalpel and bur abrasion techniques for gingival depigmentation in a 22-year-old female over a 6-month period. Material & Methods: Both procedures targeted the anterior labial gingiva, with outcomes assessed using clinical parameters and the Questionnaire for Patient-Based Outcomes Following Periodontal Therapy (QPBOPT). Result: Bur abrasion resulted in less bleeding, no postoperative discomfort, and faster healing, but repigmentation began after one month, whereas no repigmentation was observed in scalpel-treated sites until six months. The patient expressed satisfaction with both techniques but preferred bur abrasion. Conclusion: Factors such as gingival thickness, clinician experience, patient preference, and recurrence rate of pigmentation should be considered when selecting a treatment. QPBOPT proved effective in assessing patient-centered outcomes. Longer-term studies and histopathological evaluations are recommended for better understanding of long-term outcomes and the repigmentation process.
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