Gingiva depigmentation techniques using abrasion diamond bur compared with an Er: YAG laser

Alfonsius Agus Jayadi, Hari Sunarto

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Gingival hyperpigmentation caused by the excessive deposition of melanin results in darker gingival appearance. Periodontal aesthetic treatment to correct gingival hyperpigmentation demand has increased. Depigmentation therapy can be done with an abrasion technique using diamond bur or Er: YAG laser. The objective of this study is to evaluate and compare treatment outcomes, healing rates, as well as the pain caused by treatment with abrasion techniques of diamond bur and laser erbium-doped yttrium aluminum garnet laser (Er: YAG). A 23-year-old male patient, with the complaint of a blackish-colored gum that interferes with his aesthetics when smiling, wants to eliminate the blackish color of his gums. Based on anamnesis, it is revealed that the patient has been smoking for 11 years, with no family history of black gum. Clinical examination showed good oral hygiene of the patient. The patient was diagnosed with smokinginduced hyperpigmentation. According to the standard operating procedure (SOP) in periodontology, the patient was treated with preliminary treatment first, and then with mechanical gingival depigmentation treatment using diamond bur abrasion on the maxilla and Er: YAG laser on the mandible. Both techniques, diamond bur abrasion, and Er: YAG laser, showed satisfactory results for the patient. The speed of healing with the diamond bur abrasion technique is relatively faster than the Er: YAG laser technique. The pain inflicted on the treatment using diamond bur abrasion is relatively greater than using the Er: YAG laser technology.

Original languageEnglish
Title of host publicationCase Reports in Dentistry
PublisherNova Science Publishers, Inc.
Number of pages8
ISBN (Electronic)9781536140439
Publication statusPublished - 18 Jul 2018


  • Depigmentation
  • Diamond bur abrasion
  • Er: YAG laser

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