Normal color of the gingiva and other oral tissues is uniformly coral pink or a variation of pink and is produced by the vascular supply, the thickness, degree of keratinization of the epithelium and the presence of pigmented containing cells.
Gingival
pigmentation occurs as a diffuse, deep purplish and discoloration or as irregularly shaped brown and light brown patches.
The most frequent cause of gingival pigmentation is melanin deposits.
It may be appear in the gingiva as 3 hours after birth and is present in all normal individuals.
Melanin oral pigmentation can be normal physiologic pigmentation as well as pathologic pigmentation. Disease that increase melanin pigmentation include the Addison's disease, PeutzJegher's syndrome, Albright's syndrome, Von-Recklinghausen's
disease.
Gingival pigmentation is eliminated by the mucogingival flap, gingivectomy, gingival graft, electrosurgery, laser surgery, deepithelialization.
The treatment were done by deepithelialization with periodontal knife, scalpel, diamond stone. The technique is relatively simple and the less postsurgical discomfort, requires minimum time and effort.
We observed almost normal gingival color and shape after postsurgical.
Further, periodic recall check is needed for evaluation of repigmentation.
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