Desepitelização gengival para tratamento de pigmentação de diferentes etiologias: relato de caso

Abstract

The darkened gingival staining has been one of the aesthetic complaints of patients seeking dental treatment. Gingival pigmentation caused by physiological, pathological or smoking factors causes aesthetic dissatisfaction to many individuals. This study aimed to present two clinical cases of gingival melanin pigmentation, with different etiologies, treated with the technique of gingival desepithelization, as well as to verify the influence of this type of procedure on the patients’ self- esteem. Cases report: the treatment in both cases was the gingival peeling with a scalpel blade 15 C and Kirkland’s gingivectomy knife. The patients had a good postoperative period, where the surgical area was rosy, with a corrugated surface, firm consistency and free of inflammation in a few weeks, confirming a good healing. It was concluded that the technique of epithelial desquamation, with scalpel is effective, and provides esthetic results satisfactory esthetic results to the two etiologies presented, even within its limitations, improving the self-esteem of patients.