Management of gingival hyperpigmentation by the surgical. Desquamation of the gingiva usually occurs as a result of the most appropriate treatment for a permanent molar with occlusal caries confined to the enamel of the central pit is aan after the crown completion stage, trauma to a developing tooth may be responsible for a 45 year old patient has 32 unrestored teeth. Attached gingiva continous with the marginal gingiva. Dg is a clinical feature of a variety of diseases or disorders. Pdf hyperpigmentation is a disorder of the gingiva caused by various factors including heredity, disease, drugs, smoking habits.
Penatalaksanaan perawatan hiperpigmentasi pada gingiva dengan. The gingiva is the only visible part of the periodontium that can be seen in the mouth. Gingival pigmentation and its treatment modalitites download as pdf file. A 55yearold white male was referred by his dermatologist for evaluation of an asymptomatic dark brown lesion on the mandibular facial attached gingiva. In a second stage, teeth regions were segmented from gingiva regions in the image. Management of gingival hyperpigmentation by the surgical abrasion. A pigmented lesion of the mandibular facial gingiva.
Introduction oral pigmentation is a discoloration of the oral mucosa or gingiva associated with several exogenous and endogenous factors. Esthetic treatment of gingival melanin hyperpigmentation. Gingival hyperpigmentation is caused by excessive deposition of melanin located in the basal and suprabasal cell layers of the epithelium. This can be accomplished only if the ideal orthodontic situation is presented. When pressure is applied to the inflamed gums on the part of the probe, fabrics easily compressed and can retain the imprint of the probe for. In addition, clinicians should be able to describe the gums exactly when documenting results of periodontal evaluation. Dec 23, 20 verruciform xanthoma vx is a rare, benign lesion that presents in the oral cavity, skin, or genital organs. Management of gingival hyperpigmentation 2 case reports. Clinical features of healthy gingiva foundations of. Proliferative verrucous leukoplakia of the gingiva. An unusual case of gingival hyperpigmentation medscape. Hyperactivity of the melanocytes is the reason for dark colour of gingiva, which is absolutely benign condition with only esthetic disadvantage, for people with gummy smile mostly. Gingival hyperpigmentation, gingivo abrasion technique, depigmentation. Melanin, a brown pigment, is the most common natural pigment contributing to endogenous pigmentation of gingiva and the gingiva is also the most predominant site of pigmentation on the mucosa.
Excessive gingival pigmentation is a major esthetic concern for many people. Desquamative gingiva diseases and disorders medical. The consistency of the gingiva varies on the degree of health, density, and firmness of the tissue. Gingiva definition of gingiva by the free dictionary. Depigmentation to repigmentation of gingiva gingival pigmentation was observed in two caucasian subjects from the abr zones and in two from the nonabr zone. Pdf penatalaksanaan perawatan hiperpigmentasi pada gingiva.
The gingiva is considered the most frequently pigmented tissue in the oral cavity. The angle sna can be used to evaluate the difficulty in seating a stainless steel crown following the preparation of a primary molar is most likely a result of healthy attached gingiva the custom tray used in making a final complete denture impression must which of the following can increase the chances of successful osseointegration of a. Desquamative gingiva free download as powerpoint presentation. Tissue consistency and texture in gingivitis foundations of. The attached gingiva is the most common intraoral site of such pigmentation, where it appears as a bilateral, welldemarcated, ribbonlike, dark brown band that usually spares the marginal gingiva1 fig. Gingival scraping untuk depigmentasi gingiva ryan mkgk. Penatalaksanaan perawatan hiperpigmentasi pada gingiva dengan metode. Depigmentation to repigmentation of gingiva gingival pigmentation was observed in two caucasian subjects from the abr zones and in. Pdf penatalaksanaan perawatan hiperpigmentasi pada. Acute streptococcal gingivitis is a rare condition characterised by a diffuse erythema of the gingiva and the pathogenesis and prognosis of this oral disease is different from routine plaqueassociated gingivitis. Initially, it presents as an asymptomatic benignappearing solitary white patch that. The normal mucosal colour is described as coral pink but, as with the gingiva, it exhibits an array of colours ranging from pale pink to coral pink in caucasians and blue to brownblack in asians.
Pigmented gingiva a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional epithelium, mucogingival junctions, bleeding and exudate. Pada hiperpigmentasi gingiva baik dari pigmentasi eksogen maupun endogen secara klinis. Gingiva the gingiva jin je va is the part of the oral tissue oral mucosa covered by keratinized epithelium. This is important for clinicians to recognize the emergence of healthy gums and identify any deviations in health. It covers the alveolar processes of the jaws and surrounds the portions of the teeth near where the root and crown join cervical portion. Perokok aktif menunjukkan adanya pigmentasi pada mukosa mulut terutama pada permukaan labial gingiva gigi anterior, berwarna coklat muda, coklat, coklat tua. Gingival pigmentation is a discoloration of the gingiva due to a variety of lesions and conditions associated with several endogenous and exogenous etiologic features. Alqahtani department of periodontics, king abdul aziz medical city, jeddah, ksa abstract health and appearance of gingiva are important parts of a smile. Pada laporan kasus ini pasien dengan hiperpigmentasi gusi rahang atas yang dirawat dengan tehnik gingivo abrasi. Download 6mb repository unair universitas airlangga. Hiperpigmentasi gingiva pdf gingival pigmentation and its treatment modalitites download as pdf file. In 1932, prinz described it as a peculiar condition characterized by intense erythema, desquamation and ulceration of the free and attached gingiva. Additional instructions and trouble shooting are included with the game.
These appear as single or multiple pinkishwhite nodules or papules on the labial gingiva of the maxillary or mandibular arches. The interdental gingiva is free gingiva that occupies the space between the adjacent teeth schroeder and listgarten 1997. The anatomy and physiology of the healthy periodontium 7 when a periodontal probe is placed into this space, a measure may be recorded which is very useful for diagnosis. Hiperpigmentasi gingiva ini merupakan salah satu penyebab pasien. Unduh sebagai doc, pdf, txt atau baca online dari scribd. A pigmented lesion of the mandibular facial gingiva selectdiagonosisinformation. The spread of pigmentation depends on melanoblastic activity.
Kebanyakan pigmentasi adalah fisiologis tetapi kadangkadang dapat menjadi suatu pelopor dari penyakit berat. Introduction melanin pigmentation of the gingiva occurs in all races 1. Gingival description dentistry 104 with clossen at. The division of these gum layers provides space for bacteria to enter and multiply, which leads to infection. Management of gingiva hyperpigmentasi with combine of scalpel scraping. Thus, the purpose of this study was to evaluate the clinical effectiveness of and patient satisfaction with the treatment of gingival melanin hyperpigmentation with a nd. Hiperpigmentasi gingiva disebabkan oleh deposisi melanin yang berlebihan oleh melanosit terutama di lapisan sel basal dan suprabasal dari epitel. Esthetic treatment of gingival melanin hyperpigmentation with. Gingival pigmentation definition of gingival pigmentation.
A 56yearold white woman presented with discolored and worn anterior teeth, as well as a blackish area directly adjacent to the attached gingiva on 1 of her front teeth. T he oral cavity is a common site for various pigmented lesions. Assessment of the width of attached gingiva using different methods in various age groups. Bagaimana mekanisme terjadinya hiperpigmentasi gingiva. The segmentation is based on the selforganizing map further som algorithm, a type. Chronic desquamative gingivitis was first recognized and reported in 1894. These color changes often occur due to deposition,production or increased accumulation of various endogenous or exogenous pigmented substances. Oral pigmented lesions can have various etiologies, namely drugs, heavy metals. Gingival pigmentation from systemically absorbed metals results from perivascular recipitation of metallic sulfides in the subepithelial connective tissue. The gingiva is the part of the oral mucosa that is firmly attached to. This case report about patient with gingival hyperpigmentation maxillary treated by gingivo abrasion technique. Assessment of the width of attached gingiva using different. Pigmented lesions of oral mucosa oral and perioral pigmentation may be physiologic or pathologic in origin. Proliferative verrucous leukoplakia of the gingiva can be described as a persistent or recurrent progressive condition occurring in toothbearing areas, especially in the anterior jaws.
The various methods that have been employed for depigmentation are. Pigmented gingiva read the description and select the correct image. Feb 01, 2017 attached gingiva continous with the marginal gingiva. Pigmentation of the buccal mucosa, hard palate, lips and tongue may also be.
Periodontal characteristics in individuals with varying form of the upper central incisors. After twelve a weeks follow up, color of the gingival was pink color and none recurrence of the pigmentation. Pdf hyperpigmentation is a disorder of the gingiva caused by various. Labial gingiva definition of labial gingiva by the free.
Gingival pigmentation is a surgical procedure that is most often used in cases of pigmentation and this treatment can restore the gingival aesthetic. Hiperpigmentasi gingiva terjadi karena deposisi pigmen melanin. Attached gingiva biasanya tersempit pada daerah kaninus dan premolar bawah dan terlebar pada daerah insisivus 35 mm. Its easy to take the necessary functions they perform for granted that is, until your mouth is in pain. Desquamative gingivitis dg is characterized by erythematous, epithelial desquamation, erosion of the gingival epithelium, and blister formation on the gingiva. The uppermost layer of the gingiva was carefully scraped using no. Although melanin pig mentation of the gingiva is comp. Many clinicians have tried to remove melanin hyperpigmentation of the gingiva with various methods. The color of vx can vary between white, pink, and yellow, depending on the. Whether you have sensitive gums or sensitive teeth, either is a recipe for oral discomfort. Laser assisted gingival depigmentation is a single step pro cedure, with fast healing process.
Though, it is not a medical problem, many people complain of dark gums as unesthetic. Labial gingiva definition of labial gingiva by medical. Hence the aim of case series was to compare four different depigmentation techniques for removing melanin pigmentation of gingiva. Most cases of dg are associated with mucocutaneous diseases, the most common ones being lichen planus, mucous membrane pemphigoid, and pemphigus vulgaris. A clinical study gouri bhatia 1, ashish kumar 2, manish khatri 2, mansi bansal 2, sameer saxena 2 1 department of periodontology, eklavya dental college, kotputli, jaipur, rajasthan, india 2 department of periodontology, institute of dental studies and technologies, modinagar, ghaziabad, uttar pradesh, india.
Desquamative gingivitis periodontal disease treatment. A clinical study gouri bhatia 1, ashish kumar 2, manish khatri 2, mansi bansal 2, sameer saxena 2. Hubungan antara pigmentasi melanin pada gingiva anakanak. Healing of the gingiva in this treatment quite well without the presence of infection and excessive pain. The increase of fluid in the inflamed tissue may also cause the gums to be soft, porous, and inelastic fig. Part of oral mucosa that covers the alveolar processes of the jaws and surrounds the necks of the teeth. Labial teeth and gingiva color image segmentation for. Diagnosis and management of desquamative gingivitis.
Role of gingival lymphatics in tissue fluid balance and. Gingival margin is 1 to 2 mm above cej marginal gingivae is knife edge, flat and fall is a current line around the tooth and fits snugly around the tooth. Tissue consistency and texture in gingivitis foundations. Primary malignant melanoma of maxillary gingiva a case. Gingival pigmentation cause, treatment and histological. A case report ssv prasad, neeraj agrawal, nr reddy department of periodontics, peoples dental academy, peoples campus bhanpur, bhopal462037. Verruciform xanthoma vx is a rare, benign lesion that presents in the oral cavity, skin, or genital organs.
Yag laser and a high speed rotary instrument in three cases. It grows slowly, usually without causing pain, and its appearance resembles local epithelial hyperplasia such as verruciform papules, papilla, and plaque1. Numerous procedures have been developed for depigmentation of the gingiva, such as scalpel method, bur abrasion 4, free gingival graft 5, gingivectomy 6, cryosurgery 7, and laser surgery 8. Several clini cians have indicated that one can achieve a creeping papillary formation 6. Pigmentation of the buccal mucosa, hard palate, lips and tongue may also be seen as brown patches with less wellde. Tujuan utama dari tulisan ini untuk mengetahui teknik penatalaksanaan hiperpigmentasi gingiva yang disebabkan oleh deposisi pigmen melanin. Desquamative gingivitis, which is sometimes known as gingivosis, is a form of gum disease where the gum tissue layers begin to separate from each other.
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