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Volume 38 , Issue 0
Supplement 2018
Pages s45–s48

Treatment of Physiologic Gingival Pigmentation with Surgical Blade: A 25-Year Follow-up

Roger J. Wise, DDS/Chia-Yu (Jennifer) Chen, DDS/David M. Kim, DDS, DMSc

PMID: 30118532
DOI: 10.11607/prd.3701

Gingival hyperpigmentation in the anterior region in people with a high smile line is an esthetic concern. Gingival depigmentation can be achieved through various procedures. Most techniques have shown successful short-term results; however, recurrence is observed in 50% of patients after 2 to 4 years. A 46-year-old woman presenting with a large black zone of gingival hyperpigmentation in the anterior maxilla was treated with scalpel blade excision. At 25 years after the depigmentation procedure, the patient displayed no recurrence.

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