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Gingival Depigmentation 

 Melanin, carotene and hemoglobin are the most common natural pigments contributing to the normal color of the gums. Complaints about "black gums" are common. Gingival depigmentation has been carried out using non-surgical and surgical procedures. Recently, laser ablation has been recognized as a most effective, pleasant and reliable technique.  Treatment required only topical anesthesia. Healing was uneventful and required no supportive therapy. None of the patients experienced severe pain during or post-operatively. Mild pain or itching was common during the first week. Treatment was reported as generally pleasant. Follow-up during the 6 months showed no recurrences. Conclusions: Depigmentation of gingival melanin pigmentation by erbium:YAG laser radiation in a defocused mode was a safe and effective procedure. The esthetic results were pleasing and healing was uneventful. 

Erbium:YAG Laser: Clinical Observations and Patient Responses Haim Tal, Dan Oegiesser, and Maya Tal [J Periodontol 2003;74:1660-1667.]

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