Melanocyte pigmentations are dark brown-black widespread symmetrical discolorations due to the dense accumulation of color pigment cells, which we call melanocytes, in the adhesive gingival band, usually in dark-skinned people. It is mostly seen in the gums of the lower and upper jaw incisor front teeth. It is a physiological event and cannot be defined as a disease, but sometimes it spoils the aesthetic appearance of the person so much that, under the influence of social pressures, patients request depigmentation treatment in order to get rid of this ugly appearance and have aesthetic beauty.
In addition to physiological pigmentation, many drugs also cause color changes. While some drugs stimulate the production of melanin from melanocytes, some drugs also increase pigmentation. Some of these drugs include: Minocycline, antimalarial drugs, tranquilizers, chemotherapy drugs and estrogen hormone. Estrogen hormone therapy typically causes melanosis in women. Such discoloration is also common in patients who smoke heavily and drink alcohol. As a result of exposure to metals such as lead, mercury and silver, linear pigmentations following the gingival margin are observed after the construction of metal-supported porcelain crowns. Gray-blue-black pigmentations (Amalgam tattou) are observed as a result of dental amalgam leaking under the soft tissues in the mouth during amalgam filling. As the macrophage cells carrying these amalgam particles migrate from the place where the amalgam filling was first shed, the size of the amalgam tattoo expands unsightly. Rarely, non-healing malignancies or metastatic lesions can be seen in the upper jaw gingiva and alveolar mucosa in the form of asymmetrically circumscribed, brownish-black pigmented plaques and in the tongue and extraction spaces. Early diagnosis is very important in this case. & nbsp;
HOW IS THE TREATMENT? of Gums.
There are two types of biotypes in the gums, which we can classify as thin and thick. Depigmentation treatment creates problems in people with thin biotypes as it may cause openings in the underlying bone. In gums with thick biotypes, pigmented tissues are removed with special tools made for this purpose, a temporary protective cover called periodontal paste is covered, and it is recommended to restrict lip movements and stay away from bitter, sour and hard foods. This procedure is performed under local infiltrative anesthesia following topical spey anesthesia, and there is no serious pain after the treatment. After a week, the periodontal paste is removed and the operation area is cleaned. Pink, beautiful-looking new gums appear.
I wish you healthy and beautiful looking gums.
Dentist Specialist Dr. GÜNGÖR KARAGÖZLÜ
Gum Diseases and Surgery Specialist
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