A Comparative Evalutation Of Efficacy Of Surgical Stripping, Co2 Laser, Diode Laser And Electrocautry For The Treatment Of Gingival Hyper-Pigmentations- A Clinical Study

Background: The aim of the study is to evaluate and compare the effectiveness of Surgical Stripping, Electrocautry, Carbon dioxide and Diode laser for treatment of Gingival melanin hyperpigmentation. Method: 30 patients of both sexes, in the age group 18-50 years with bilateral physiologic gingival melanin hyperpigmentation in maxillary and mandibular anterior region, were treated. Random allocation of the sites was done. The clinical parameter assessed were Dummett oral pigmentation index, Hedin melanin index, gingival index, visual analogue scale, gingival wound healing. Dummett oral pigmentation index, hedin melanin index and gingival index were assessed at baseline, 1 month and 3 month. Visual analogue scale and gingival wound healing was assessed 1 day postoperative and at 7 days. Result: Significant (p<0.001) reduction seen in gingival index and visual analogue scale from baseline to 3 months. Intergroup comparison show no significant difference in hedin melanin index. Conclusion: It can be concluded that Surgical stripping, electrocautry, cardon dioxide and diode laser proved to be highly effective in treatment of gingival melanin hyperpigmentation. Surgical stripping remains the Gold standard. However, carbon dioxide and diode laser provides added advantages.