A smile expresses a feeling of joy, success, sensuality, affection and courtesy and reveals self confidence and kindness. The harmony of the smile is determined not only by the shape, position and the colour of teeth, but also by the gingival tissue. Gingival tissue form an important part of a pleasing smile. Melanin pigmentation of gingiva weather physiological or pathological, can be caused by a variety of local and /or systemic factors [1] .The hyperpigmentation of the gingiva causes esthetic problems for some individuals, especially those who have gummy smiles. Those individuals may become more conscious of the black and dark pigmentation patches and request their removal, particularly if the hyperpigmentation appears on the facial aspect of the gingiva, thus being, visible during smiles and speech [1 ].
In recent years, there is an increasing need for esthetics and growing cosmetic demands for a pleasing smile in many individuals. In particular, women are more conscious of the black or dark pigmentation patches on the facial aspects of the gingiva, which may be strikingly apparent during smiling and speaking. Attempts have been made to answer these cosmetic demands by various methods, which include mechanical, surgical, electrosurgical, cryosurgical, free gingival grafts and laser [2, 3, 4]. Free gingival graft for depigmentation is a time tested technique and remains the gold standard. Recently laser has been introduce for treatment of gingival hyperpigmentation. Laser treatment is used to remove the melanin p igment by ablating epithelial tissue. It requires melanocytes to lie within its range of penetration and to contain melanin in order to absorb and convert light energy into heat by photothermol...
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Percentage of repigmentation in patients treated with free gingival graft was less as compared to Laser, however post operative pain levels were maximum in the patients treated with FGG (Score 3).In comparison Laser group showed no pain levels (score 0) and was more acceptable by the patient but patches of repigmentation were found at 6 months follow-up .
Conclusion:
Esthetic gingival depigmentation is considered successful if there is delayed, minimal or no repigmentation. Considering this FGG is most effective for treatment of pigmented gingiva, however, one of the major disadvantage of FGG is requirement of second surgical site and post operative pain and discomfort. LASERs have been found to show minimal pain and discomfort but the repigmentation is more as compared to FGG, therefore the most effective treatment modality for complete depigmentation is FGG.
Transforming her patient’s oral health is her main focus, and Dr. Nitta is highly skilled in cosmetic dentistry. She and her staff will work hard to improve your smile, whether that means applying veneers or implanting a perfect porcelain crown. Dr. Nitta knows visiting the dentist can be stressful and even embarrassing for some, and she strives to make her clients feel relaxed and comfortable.
My college plans include attending a two-year college and then pursing a degree in dental hygiene. I believe that I will have a great opportunity to give back to my community with my chosen career. As a dental hygienist, there would be many ways to help young and old alike. The time that I would volunteer would enable me to become more involved in the life of our community.
Dentistry as a profession over the years has evolved rapidly in light of new scientific evidence. Rapidly evolving science and technology have implemented changes within dentistry as evidenced by new standards and guidelines being produced by nationally recognised associations including National Institute for Health and Clinical Excellence (NICE), Faculty of General Dental Practice (FGDP) and Scottish Intercollegiate Guidelines Network (SIGN) in Scotland, in provision of new scientific evidence. The latest standards and guidelines produced, endorse everyday clinical practice through evidence based dentistry (REF). All dental professionals as part of continued professional development are expected to keep to date on relevant guidelines and knowledge related to their practice (REF). This is supported by the General Dental Council who state all clinicians must maintain their professional knowledge and competence throughout their working career (REF).
As we grow up, we are often asked what we want to be. Many people say careers such as a doctor or an actor. When I grow up, I want to be a dental hygienist. When I tell people this they often think i’m crazy for wanting to “work in someone’s mouth”. Dental hygiene is appealing to me. It is a big part of personal hygiene and keeping yourself healthy. One of the first things a person notices about you is your smile and I want to help people perfect theirs. I know that being a dental hygienist will not be the easiest thing in the world but there are some benefits. You don’t have to work full time if you don’t want to. Also as stated by Jenny Lewellen, “Overtime is not expected” (Lewellen). Hygienists also get a good salary. “The median annual wage for
Healthcare is a necessity to sustain society. Dentistry is an area of healthcare that I feel extremely passionate about because access to proper dental care is limited, especially in the underserved communities. As an African American, I want to become a dentist and healthcare provider in the hopes of helping patients and adding to the diversification of the field. With a growing minority population in the United States, it has become apparent that there is a shortage of black dentists. This is problematic because underrepresented minorities are in great need of access to culturally connected dentists who understand their clinical needs as much as their lives and their challenges. I believe that when the profession includes a range of ethnicities
You might guess it’s a custom dreamed up by a modern-day, real-life Willy Wonka, but people have been chewing gum, in various forms, since ancient times. There’s evidence that some northern Europeans were chewing birch bark tar 9,000 years ago, possibly for enjoyment as well as such medicinal purposes as relieving toothaches. The ancient Maya chewed a substance called chicle, derived from the sapodilla tree, as a way to quench thirst or fight hunger, according to “Chicle: The Chewing Gum of the Americas” by Jennifer P. Mathews. The Aztecs also used chicle and even had rules about its social acceptability. Only kids and single women were allowed to chew it in public, notes Mathews. Married women and widows could chew it privately to freshen their breath, while men could chew it in secret to clean their teeth.
Over time as individuals age and are faced with access to care issues they may begin to neglect their oral health. As time passes between dental hygiene cleanings or dentist visits the presence of oral disease may begin to increase.
Facial laser resurfacing is a type of facial laser treatment which is practiced for eliminating old age. This treatment is used generally for areas around the eyes and mouth regions in addition to minimizing the irregularly pigmented skin and scars. You can get a vibrant, young look after facial laser resurfacing is done. In Facial la...
Tooth brushing techniques causing gingival trauma are a significant factor for gingival recession. The frequency, duration and force of brushing all contribute to recession. Excessive force and improper technique may lead to ...
The perspective of a deontologist with this dilemma may seem be a bit contradictory. This is
Life, the teeth for each of us, are very important, ah, we all know that the teeth are our second face, that is, teeth white good or bad, the relationship between a person's external image, So that everyone in the teeth of the problem are very concerned about ah, especially in the presence of dental calculus when the time
On his initial examination dated 23/06/13 the patient was seen for a routine full mouth scale and polish with reinforced oral hygiene instruction including flossing technique. He presented with excellent oral hygiene at this appointment which was a reflection of his commitment to good oral hygiene; tooth-brushing twice daily and dental flossing once daily. This was further supported by the patients plaque scores at 5% and bleeding scores at 4% with only minimal supra gingival calculus on lower anterior teeth. There was no erythema or oedema present on the gingival tissues.
Dental plaque is broadly classified as supragingival or subgingival based on its position on the tooth surface toward the gingival margin. Supragingival plaque is found at or above the gingival margin. Therefore, it can be further differentiated into coronal plaque, whi...
If you have diabetes, you probably know that uncontrolled blood sugar levels can negatively affect various organs in your body, including the heart, kidneys, nerves and eyes; however, did you know that inconsistent blood glucose levels can also lead to periodontal disease? Periodontal disease often leads to dental pain which can make chewing difficult. There is also the possibility of tooth loss.
Introduction: In Canada, general dental health is not part Canada’s national system of health insurance (Medicare) (1) except for some dental surgical procedures that are performed at hospitals. Since Oral health does not come under the Health Act about ninety-five percent of the oral health care services are offered on a fee-for-service basis. Oral health care is under provincial or territorial jurisdiction like other health care services and publically financed dental care programs provide the remaining five percent of oral health care services (2). Thus, majority of Canadians receive oral health via privately owned dental clinics. Privately owned dental care gives these services providers control over dental service charges, types of available treatment for the patients and number of follow-up appointment for treatments or routine care. Service users pay for the dental expenses from their own pockets or utilize insurance coverage (1).