Laser gingival depigmentation is a minimally invasive periodontal esthetic procedure used to remove melanin pigmentation from the gingival epithelium using dental lasers, resulting in a lighter, more uniform gingival appearance.
Indications
• Physiologic (racial) gingival pigmentation
• High esthetic demand (gummy smile, anterior region)
• Patient dissatisfaction with dark gums
Lasers Used
• Diode laser (most commonly used)
• Nd:YAG
• CO₂ laser
• Er:YAG
Procedure (Brief)
1. Topical or local anesthesia
2. Laser ablation of pigmented gingival epithelium
3. Controlled removal layer by layer
4. Natural healing by secondary intention
Advantages
• Bloodless field (excellent hemostasis)
• Minimal postoperative pain and swelling
• No sutures or periodontal dressing required
• Faster healing
• High patient comfort
• Reduced risk of infection
Healing
• Initial healing: 7–10 days
• Complete epithelialization: 2–4 weeks
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