Melanin causes physiological pigmentation of gingiva. These melanin containing cells, melanocytes are cells seen in suprabasal layer of gingival epithelium. The recurrence rate is very high as the underlying connective tissue genetically determines the nature of overlying epithelium…
Various procedures like scalpel, LASER, electro surgery and soft tissue grafting can be attempted. Of this, the scalpel technique showed least recurrence rate and LASER is more comfortable from patient point of view. The following case shows scalpel depigmentation with 1 month post op review. The recurrence is seen mainly in papillary area and patient is kept on continuous evaluation….Dr Anilkumar, Dr Harikrishnan B, consultant Periodontist

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