Skip to main content
Erschienen in: Lasers in Dental Science 2/2021

27.02.2021 | Original Article

Photometry and image analysis software ‘ImageJ’ to compare three methods of gingival depigmentation

verfasst von: Sagar Sikka, Pratibha Gopalkrishna, Giliyar Subraya Bhat, Neha Sachdeva, Adel Sulaiman Alagl, Lakshmi Puzhankara

Erschienen in: Lasers in Dental Science | Ausgabe 2/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Gingival depigmentation, a procedure for establishing pink-white aesthetics, can be performed using different techniques. Objective assessment of the efficacy of one technique over another can aid in determining the most efficient method. This study was done to objectively compare the efficacy of three different methods of depigmentation: cryosurgery, electrosurgery and LASER, using photometry and the image tracing and analysing software, ImageJ.

Methods

Thirty subjects between 20 and 60 years who reported to the Department of Periodontology of a dental teaching hospital with the complaint of pigmented gingiva were divided into three groups randomly for depigmentation using cryosurgery, electrosurgery or LASER. The distribution of pigmentation was assessed using the gingival pigmentation index (GPI) and the intensity of pigmentation was analysed using the software, ImageJ. The parameters were assessed at baseline, in the immediate post-operative phase and at 1-, 3- and 6-month post-depigmentation. The data obtained was analysed using ANOVA with post hoc Bonferroni test.

Results

There was a reduction in distribution and intensity of pigmentation in all groups in the initial period following depigmentation. Beyond 3 months, the distribution of pigmentation increased for the cryosurgery group, followed by electrosurgery and LASER groups. Using the ImageJ to assess the intensity of pigmentation, it was found that at 6 months, pigmentation density was greater in the electrosurgery group, followed by LASER and cryosurgery groups.

Conclusion

Results obtained indicate that although cryosurgery has the greatest effect on the intensity of pigmentation, LASER is the modality of choice from the perspective of patient acceptability and distribution of pigmentation.
Literatur
1.
Zurück zum Zitat Moneim RA, El Deeb MRA (2017) Gingival pigmentation (cause, treatment and histological preview). Futur Dent J 3(1):1–7 CrossRef Moneim RA, El Deeb MRA (2017) Gingival pigmentation (cause, treatment and histological preview). Futur Dent J 3(1):1–7 CrossRef
2.
Zurück zum Zitat Bhanu Murthy M, Kaur J, Das R (2012) Treatment of gingival hyperpigmentation with rotary abrasive, scalpel, and laser techniques: a case series. J Indian Soc Periodontol 16(4):614–619 CrossRef Bhanu Murthy M, Kaur J, Das R (2012) Treatment of gingival hyperpigmentation with rotary abrasive, scalpel, and laser techniques: a case series. J Indian Soc Periodontol 16(4):614–619 CrossRef
3.
Zurück zum Zitat Alasmari DS (2018) An insight into gingival depigmentation techniques: the pros and cons. Int J Heal Sci (Qassim) 12(5):84–89 Alasmari DS (2018) An insight into gingival depigmentation techniques: the pros and cons. Int J Heal Sci (Qassim) 12(5):84–89
4.
Zurück zum Zitat Jha N, Ryu JJ, Wahab R, Al-Khedhairy AA, Choi EHKN (2017) Treatment of oral hyperpigmentation and gummy smile using lasers and role of plasma as a novel treatment technique in dentistry: an introductory review. Oncotarget 8(12):20496–20509 CrossRef Jha N, Ryu JJ, Wahab R, Al-Khedhairy AA, Choi EHKN (2017) Treatment of oral hyperpigmentation and gummy smile using lasers and role of plasma as a novel treatment technique in dentistry: an introductory review. Oncotarget 8(12):20496–20509 CrossRef
5.
Zurück zum Zitat Negi R, Gupta R, Dahiya P, Kumar M, Bansal V, Kaur Samlok J (2019) Ceramic soft tissue trimming bur: a new tool for gingival depigmentation. J Oral Biol Craniofac Res 9(1):14–18 CrossRef Negi R, Gupta R, Dahiya P, Kumar M, Bansal V, Kaur Samlok J (2019) Ceramic soft tissue trimming bur: a new tool for gingival depigmentation. J Oral Biol Craniofac Res 9(1):14–18 CrossRef
7.
Zurück zum Zitat Gul M, Hameed MH, Nazeer MR, Ghafoor R, Khan FR (2019) Most effective method for the management of physiologic gingival hyperpigmentation: a systematic review and meta-analysis. J Indian Soc Periodontol 23(3):203–215 CrossRef Gul M, Hameed MH, Nazeer MR, Ghafoor R, Khan FR (2019) Most effective method for the management of physiologic gingival hyperpigmentation: a systematic review and meta-analysis. J Indian Soc Periodontol 23(3):203–215 CrossRef
8.
Zurück zum Zitat Singh V, Bhat GS, Kumar S, Bhat KM (2012) Comparative evaluation of gingival depigmentation by diode laser and cryosurgery using tetrafluoroethane: 18-month follow-up. Clin Adv Periodontics 2(3):129–134 CrossRef Singh V, Bhat GS, Kumar S, Bhat KM (2012) Comparative evaluation of gingival depigmentation by diode laser and cryosurgery using tetrafluoroethane: 18-month follow-up. Clin Adv Periodontics 2(3):129–134 CrossRef
10.
Zurück zum Zitat Bass M, Stryland EW, Williams DR, Wolfe WL (1995) Handbook of Optics Volume II Devices, Measurements. Handbook of Optics Volume II Devices, Measurements, and Properties 2nd Edition by Michael Bass, Eric W. Van Stryland, David R. Williams, William L. Wolfe New York, NY: McGraw-Hill, INC Bass M, Stryland EW, Williams DR, Wolfe WL (1995) Handbook of Optics Volume II Devices, Measurements. Handbook of Optics Volume II Devices, Measurements, and Properties 2nd Edition by Michael Bass, Eric W. Van Stryland, David R. Williams, William L. Wolfe New York, NY: McGraw-Hill, INC
12.
Zurück zum Zitat Narayankar SD, Deshpande NC, Dave DH, Thakkar DJ (2017) Comparative evaluation of gingival depigmentation by tetrafluroethane cryosurgery and surgical scalpel technique. A Randomized Clinical Study. Contemp Clin Dent 8(1):90–95 CrossRef Narayankar SD, Deshpande NC, Dave DH, Thakkar DJ (2017) Comparative evaluation of gingival depigmentation by tetrafluroethane cryosurgery and surgical scalpel technique. A Randomized Clinical Study. Contemp Clin Dent 8(1):90–95 CrossRef
14.
Zurück zum Zitat Ishikawa I, Aoki A, Takasaki AA, Mizutani K, Sasaki KM, Izumi Y (2009) Application of lasers in periodontics: true innovation or myth? Periodontol 50:90–126 CrossRef Ishikawa I, Aoki A, Takasaki AA, Mizutani K, Sasaki KM, Izumi Y (2009) Application of lasers in periodontics: true innovation or myth? Periodontol 50:90–126 CrossRef
15.
Zurück zum Zitat Esen E, Haytac MC, Oz IA, Erdoğan OKE (2004) Gingival melanin pigmentation and its treatment with CO2 laser. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:522–527 CrossRef Esen E, Haytac MC, Oz IA, Erdoğan OKE (2004) Gingival melanin pigmentation and its treatment with CO2 laser. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:522–527 CrossRef
17.
Zurück zum Zitat Kasagani SK, Nutalapati R, Mutthineni RB (2012) Esthetic depigmentation of anterior gingiva. A case series. N Y State Dent J 78(3):26–31 PubMed Kasagani SK, Nutalapati R, Mutthineni RB (2012) Esthetic depigmentation of anterior gingiva. A case series. N Y State Dent J 78(3):26–31 PubMed
18.
Zurück zum Zitat Yeh CJ (1998) Cryosurgical treatment of melanin pigmented gingiva. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:660–663 CrossRef Yeh CJ (1998) Cryosurgical treatment of melanin pigmented gingiva. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:660–663 CrossRef
19.
Zurück zum Zitat Arikan F, Gurkan A (2007) Cryosurgical treatment of gingival melanin pigmentation with tetrafluoroethane. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endod 103(4):452–457 CrossRef Arikan F, Gurkan A (2007) Cryosurgical treatment of gingival melanin pigmentation with tetrafluoroethane. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endod 103(4):452–457 CrossRef
20.
Zurück zum Zitat Allen EP, Gladkova ND, Fomina YV, Karabut MM, Kiseleva EB, Feldchtein FI et al (2011) Successful gingival depigmentation with laser-patterned microcoagulation: a case report. Clin Adv Periodontics 1:210–214 CrossRef Allen EP, Gladkova ND, Fomina YV, Karabut MM, Kiseleva EB, Feldchtein FI et al (2011) Successful gingival depigmentation with laser-patterned microcoagulation: a case report. Clin Adv Periodontics 1:210–214 CrossRef
21.
Zurück zum Zitat Deepak P, Sunil S, Mishra R, Sheshadri P (2005) Treatment of gingival pigmentation: a case series. Indian J Dent Res 16:171–176 CrossRef Deepak P, Sunil S, Mishra R, Sheshadri P (2005) Treatment of gingival pigmentation: a case series. Indian J Dent Res 16:171–176 CrossRef
22.
Zurück zum Zitat Thangavelu A, Elavarasu S, Jayapalan P (2012) Pink esthetics in periodontics—gingival depigmentation: a case series.J. Pharm Bioallied Sci. 4(Suppl):186–190 CrossRef Thangavelu A, Elavarasu S, Jayapalan P (2012) Pink esthetics in periodontics—gingival depigmentation: a case series.J. Pharm Bioallied Sci. 4(Suppl):186–190 CrossRef
23.
Zurück zum Zitat Kathariya R, Pradeep AR (2011) Split mouth de-epithelization techniques for gingival depigmentation: a case series and review of literature. J Indian Soc Periodontol 15(2):161–168 CrossRef Kathariya R, Pradeep AR (2011) Split mouth de-epithelization techniques for gingival depigmentation: a case series and review of literature. J Indian Soc Periodontol 15(2):161–168 CrossRef
Metadaten
Titel
Photometry and image analysis software ‘ImageJ’ to compare three methods of gingival depigmentation
verfasst von
Sagar Sikka
Pratibha Gopalkrishna
Giliyar Subraya Bhat
Neha Sachdeva
Adel Sulaiman Alagl
Lakshmi Puzhankara
Publikationsdatum
27.02.2021
Verlag
Springer International Publishing
Erschienen in
Lasers in Dental Science / Ausgabe 2/2021
Elektronische ISSN: 2367-2587
DOI
https://doi.org/10.1007/s41547-021-00118-x

Weitere Artikel der Ausgabe 2/2021

Lasers in Dental Science 2/2021 Zur Ausgabe

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.