RESUMO
The color of the gingiva is one of the gingival properties that affects soft tissue aesthetics and the general look of a smile. Demands for a pleasing smile that includes a healthy dentition and an aesthetically enhanced gingival component are rising. Melanocytes are the cells that are mostly found in the basal and suprabasal layers of the epithelium. Melanocytes deposit melanin on the gingiva that results in gingival depigmentation or hyperpigmentation of the gingiva. It's turning into a social stigma for which people are getting different treatments. Since the invention of laser (light amplification by stimulated emission of radiation), it has been employed extensively in both surgery and medicine. The use of a laser for depigmentation is rapid and easy. This case study describes a laser-assisted gingival depigmentation procedure performed on a 25-year-old female patient who complained of dark-colored gingiva when she visited the periodontology department. It was decided to treat the maxillary and mandibular arches by depigmentation using a laser diode, with one week's interval between treatments. The patient was reviewed after one week and after three months of follow-up, the patient did not exhibit any repigmentation. The primary reason for depigmentation is the patient's desire for a more attractive appearance. Individual preferences and clinical background should always be taken into consideration when selecting a technique because these elements produce more effective outcomes.
RESUMO
Pyogenic granuloma (PG) refers to an acquired benign proliferation most commonly seen within the oral cavity involving lips, palate, and gingiva. The term is misleading since it is a type of lobular capillary haemangioma but not an infection. It frequently recurs but lacks the capacity for malignant alteration. Depending on where the PG is located, one may experience discomfort or irritation. PGs often lead to differential diagnoses by clinicians, which include capillary hemangioma, neurofibroma, melanoma, and hyperplasia. Therefore, one must confirm a PG by diagnosing and analysing it by clinical and histopathological examinations, and treatment options should be formulated according to the evaluation. Sometimes, a biopsy of the lesion can be taken for final diagnosis. Various treatment approaches are available, including conventional scalpel excision, laser, electrocautery, and cryotherapy. Surgical excision is preferable due to the likelihood of malignancy, as it provides the best cosmetic appearance and produces a specimen for pathologic assessment. After confirming all the clinical evaluatory parameters and routine haematological examinations, which proved satisfactory and within normal ranges, this case of a 45-year-old female with soft tissue growth of the gingival origin was managed by electrocautery, and the PG was confirmed by a clinical-histopathological examination.
RESUMO
During or after the orthodontic closure, persistent diastemas are frequently the result of a high frenum attachment. A labial frenectomy is a complete removal of the frenum attachment, which typically attaches to the space between the upper two anterior teeth and the centre of the upper lip. It might be required if there is space between the teeth due to a frenulum positioned too high on the gums. Many surgical technique modifications, including Miller's technique, Z-plasty, and V-Y-plasty, have been established since the conventional classical frenectomy procedure was initially presented to cope with the difficulties associated with an aberrant labial frenum. This case report demonstrates that a Z-plasty approach was used to remove the 21-year-old female patient's high papillary-type labial frenum attachment and how orthodontic treatment led to the closure of the midline diastema. For several reasons, the frenectomy procedure with Z-plasty proved to be reliable and yielded outstanding aesthetic outcomes for the removal of the aberrant labial frenum connection. Understanding Z-plasty will enable primary intention-based tissue healing, reduce the risk of tissue contractures, shorten the patient's recovery, and enhance the patient's aesthetic outcomes.