Although melanin pig mentation of the gingiva is comp. Esthetic treatment of gingival melanin hyperpigmentation. 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. Gingival pigmentation definition of gingival pigmentation. 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. Hubungan antara pigmentasi melanin pada gingiva anakanak. Diagnosis and management of desquamative gingivitis. Clinical features of healthy gingiva foundations of. The various methods that have been employed for depigmentation are. Management of gingival hyperpigmentation by the surgical abrasion. 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. Periodontal characteristics in individuals with varying form of the upper central incisors. 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.
Download 6mb repository unair universitas airlangga. Desquamative gingiva diseases and disorders medical. 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. Gingival pigmentation from systemically absorbed metals results from perivascular recipitation of metallic sulfides in the subepithelial connective tissue. Depigmentation to repigmentation of gingiva gingival pigmentation was observed in two caucasian subjects from the abr zones and in two from the nonabr zone. Many clinicians have tried to remove melanin hyperpigmentation of the gingiva with various methods. Labial teeth and gingiva color image segmentation for. Unduh sebagai doc, pdf, txt atau baca online dari scribd. This case report about patient with gingival hyperpigmentation maxillary treated by gingivo abrasion technique. The increase of fluid in the inflamed tissue may also cause the gums to be soft, porous, and inelastic fig.
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. Assessment of the width of attached gingiva using different. A clinical study gouri bhatia 1, ashish kumar 2, manish khatri 2, mansi bansal 2, sameer saxena 2. Role of gingival lymphatics in tissue fluid balance and. Depigmentation to repigmentation of gingiva gingival pigmentation was observed in two caucasian subjects from the abr zones and in. Gingival scraping untuk depigmentasi gingiva ryan mkgk. The uppermost layer of the gingiva was carefully scraped using no. The segmentation is based on the selforganizing map further som algorithm, a type.
Gingival pigmentation is a discoloration of the gingiva due to a variety of lesions and conditions associated with several endogenous and exogenous etiologic features. Pada hiperpigmentasi gingiva baik dari pigmentasi eksogen maupun endogen secara klinis. Chronic desquamative gingivitis was first recognized and reported in 1894. Pdf penatalaksanaan perawatan hiperpigmentasi pada. Alqahtani department of periodontics, king abdul aziz medical city, jeddah, ksa abstract health and appearance of gingiva are important parts of a smile.
Penatalaksanaan perawatan hiperpigmentasi pada gingiva dengan metode. 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. It grows slowly, usually without causing pain, and its appearance resembles local epithelial hyperplasia such as verruciform papules, papilla, and plaque1. Additional instructions and trouble shooting are included with the game. Pdf hyperpigmentation is a disorder of the gingiva caused by various factors including heredity, disease, drugs, smoking habits. In addition, clinicians should be able to describe the gums exactly when documenting results of periodontal evaluation. Pigmentation of the buccal mucosa, hard palate, lips and tongue may also be seen as brown patches with less wellde. Several clini cians have indicated that one can achieve a creeping papillary formation 6.
Tissue consistency and texture in gingivitis foundations. 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. 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. Pada laporan kasus ini pasien dengan hiperpigmentasi gusi rahang atas yang dirawat dengan tehnik gingivo abrasi. Penatalaksanaan perawatan hiperpigmentasi pada gingiva dengan. Hiperpigmentasi gingiva terjadi karena deposisi pigmen melanin. Verruciform xanthoma vx is a rare, benign lesion that presents in the oral cavity, skin, or genital organs. Pigmented lesions of oral mucosa oral and perioral pigmentation may be physiologic or pathologic in origin. 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. After twelve a weeks follow up, color of the gingival was pink color and none recurrence of the pigmentation. Excessive gingival pigmentation is a major esthetic concern for many people. Primary malignant melanoma of maxillary gingiva a case. Management of gingival hyperpigmentation 2 case reports. Gingival description dentistry 104 with clossen at.
A pigmented lesion of the mandibular facial gingiva selectdiagonosisinformation. These appear as single or multiple pinkishwhite nodules or papules on the labial gingiva of the maxillary or mandibular arches. The gingiva is the part of the oral mucosa that is firmly attached to. Gingival hyperpigmentation, gingivo abrasion technique, depigmentation. It covers the alveolar processes of the jaws and surrounds the portions of the teeth near where the root and crown join cervical portion. These color changes often occur due to deposition,production or increased accumulation of various endogenous or exogenous pigmented substances.
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. Kebanyakan pigmentasi adalah fisiologis tetapi kadangkadang dapat menjadi suatu pelopor dari penyakit berat. Part of oral mucosa that covers the alveolar processes of the jaws and surrounds the necks of the teeth. Management of gingiva hyperpigmentasi with combine of scalpel scraping.
Dec 23, 20 verruciform xanthoma vx is a rare, benign lesion that presents in the oral cavity, skin, or genital organs. Most cases of dg are associated with mucocutaneous diseases, the most common ones being lichen planus, mucous membrane pemphigoid, and pemphigus vulgaris. Proliferative verrucous leukoplakia of the gingiva. 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. Management of gingival hyperpigmentation by the surgical. Hiperpigmentasi gingiva disebabkan oleh deposisi melanin yang berlebihan oleh melanosit terutama di lapisan sel basal dan suprabasal dari epitel. An unusual case of gingival hyperpigmentation medscape.
Perokok aktif menunjukkan adanya pigmentasi pada mukosa mulut terutama pada permukaan labial gingiva gigi anterior, berwarna coklat muda, coklat, coklat tua. Its easy to take the necessary functions they perform for granted that is, until your mouth is in pain. A pigmented lesion of the mandibular facial gingiva. The color of vx can vary between white, pink, and yellow, depending on the. 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. 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. Initially, it presents as an asymptomatic benignappearing solitary white patch that.
Labial gingiva definition of labial gingiva by medical. The gingiva is the only visible part of the periodontium that can be seen in the mouth. Pdf penatalaksanaan perawatan hiperpigmentasi pada gingiva. Yag laser and a high speed rotary instrument in three cases. A 55yearold white male was referred by his dermatologist for evaluation of an asymptomatic dark brown lesion on the mandibular facial attached gingiva. Attached gingiva biasanya tersempit pada daerah kaninus dan premolar bawah dan terlebar pada daerah insisivus 35 mm. Hiperpigmentasi gingiva pdf gingival pigmentation and its treatment modalitites download as pdf file. Assessment of the width of attached gingiva using different methods in various age groups.
Gingival pigmentation cause, treatment and histological. Labial gingiva definition of labial gingiva by the free. Hence the aim of case series was to compare four different depigmentation techniques for removing melanin pigmentation of gingiva. Desquamative gingivitis periodontal disease treatment. Introduction oral pigmentation is a discoloration of the oral mucosa or gingiva associated with several exogenous and endogenous factors. Oral pigmented lesions can have various etiologies, namely drugs, heavy metals. Desquamation of the gingiva usually occurs as a result of. Desquamative gingivitis dg is characterized by erythematous, epithelial desquamation, erosion of the gingival epithelium, and blister formation on the gingiva. Gingival pigmentation is a surgical procedure that is most often used in cases of pigmentation and this treatment can restore the gingival aesthetic. Gingival hyperpigmentation is caused by excessive deposition of melanin located in the basal and suprabasal cell layers of the epithelium. Tissue consistency and texture in gingivitis foundations of. Though, it is not a medical problem, many people complain of dark gums as unesthetic. Dg is a clinical feature of a variety of diseases or disorders.
The spread of pigmentation depends on melanoblastic activity. Hiperpigmentasi gingiva ini merupakan salah satu penyebab pasien. Whether you have sensitive gums or sensitive teeth, either is a recipe for oral discomfort. There is difficult control of penetration and risk for excessive tissue. This can be accomplished only if the ideal orthodontic situation is presented. Desquamative gingiva free download as powerpoint presentation. A case report ssv prasad, neeraj agrawal, nr reddy department of periodontics, peoples dental academy, peoples campus bhanpur, bhopal462037. The interdental gingiva is free gingiva that occupies the space between the adjacent teeth schroeder and listgarten 1997. Bagaimana mekanisme terjadinya hiperpigmentasi gingiva.
In 1932, prinz described it as a peculiar condition characterized by intense erythema, desquamation and ulceration of the free and attached gingiva. The division of these gum layers provides space for bacteria to enter and multiply, which leads to infection. 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. Feb 01, 2017 attached gingiva continous with the marginal gingiva. In a second stage, teeth regions were segmented from gingiva regions in the image. Gingival pigmentation and its treatment modalitites download as pdf file. 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. Introduction melanin pigmentation of the gingiva occurs in all races 1. Laser assisted gingival depigmentation is a single step pro cedure, with fast healing process. Pigmented gingiva read the description and select the correct image. Pdf hyperpigmentation is a disorder of the gingiva caused by various. Pigmentation of the buccal mucosa, hard palate, lips and tongue may also be. Esthetic treatment of gingival melanin hyperpigmentation with. 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.
Tujuan utama dari tulisan ini untuk mengetahui teknik penatalaksanaan hiperpigmentasi gingiva yang disebabkan oleh deposisi pigmen melanin. This is important for clinicians to recognize the emergence of healthy gums and identify any deviations in health. Gingiva the gingiva jin je va is the part of the oral tissue oral mucosa covered by keratinized epithelium. T he oral cavity is a common site for various pigmented lesions. Attached gingiva continous with the marginal gingiva. The consistency of the gingiva varies on the degree of health, density, and firmness of the tissue. Terms in this set 40 is the gingiva keratinized or nonkeratinized. Healing of the gingiva in this treatment quite well without the presence of infection and excessive pain. Gingiva definition of gingiva by the free dictionary.
6 209 1144 1046 701 1209 146 1092 707 1108 1517 178 947 620 1103 61 1436 88 693 1188 994 546 1385 181 1256 1394 267 1095 1064 1245 1056 106 470 668 1414 1447 366 776