牙龈黑素病的黑色素沉着。系统综述

Yuri Castro-Rodríguez , Francis Bravo-Castagnola , Sixto Grados-Pomarino
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引用次数: 1

摘要

牙龈黑色素沉着症或生理性牙龈黑色素沉着症是一种引起牙龈颜色改变的疾病,由黑色素积累引起牙龈出现深色染色。目的:本综述的目的是评估目前关于牙龈黑色素沉着症治疗和评估牙龈再色素沉着程度的文献。材料与方法在PubMed、Cochrane和Embase数据库中详细检索各手术的治疗技术和术后结果。在最初确定的219篇文章中,22篇符合纳入标准(病例报告、病例系列、临床试验和系统评价)。手术刀技术在3个月- 3年后显示色素沉着,激光二极管技术在18-24个月之间。低温手术、电手术、Er: YAG激光、Nd: YAG激光等技术均未见明显的色素沉着。结论黑色素重沉着在手术刀手术中更为常见,复发率在3个月至3年之间。研究的异质性限制了对牙龈黑素病治疗结果的荟萃分析。
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Repigmentación melánica de la melanosis gingival. Revisión sistemática

Gingival melanosis or physiological gingival melanin pigmentation is a disorder that causes a change in the colour of the gums, which acquire a dark stain caused by an accumulation of melanin

Objective

The purpose of this review was to assess the current literature on treatment of gingival melanosis and assessing the degree of gingival repigmentation.

Material and method

A detailed search was conducted in the PubMed, Cochrane and Embase databases for information on treatment techniques and post-operative results of each surgical procedure.

Results

Of the 219 articles initially identified, 22 met the inclusion criteria (case reports, case series, clinical trials, and systematic reviews). Scalpel techniques showed a repigmentation after 3 months - 3years, and techniques using laser diode between 18-24 months. Techniques with cryosurgery, electro-surgery, Er: YAG laser and Nd: YAG laser showed little or no repigmentation.

Conclusion

Melanin repigmentation is more common in techniques that use the scalpel, with recurrences ranging from between 3months and 3years. The heterogeneity of the studies limited the performing of a meta-analysis on the results of treatment of gingival melanosis.

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