Laser assisted periodontal and aesthetic rehabilitation in idiopathically hypertrophied and pigmented gingiva of a young patient- A Case Report

Abstract

Gingival enlargement/ hyperplasia can occur as an isolated form or part of a syndrome and the treatment of choice is gingivectomy. The harmony of the smile is however not only determined by the shape or position of gingiva, but also by aesthetic appearance of the gingival tissues. Thus, in cases of hyperpigmented gingiva, depigmentation treatment modalities strive to balance the harmonious inter-relationship of the pink with white, for an overall perio-aesthetic achievement. We present a case of idiopathic gingival enlargement on palatal aspect of maxillary anterior region of 15- year-old male patient. High melanin deposition was noticed on the labial surface of maxillary anterior gingiva. Laser gingivectomy was performed on palatal aspect of teeth no. 14 to 24 along with depigmentation of gingiva on the labial aspect using a diode laser 980 nm. The diode laser technique produced desired results, and postoperative inflammation and wound healing were observed to be minimal.