Meisha Gul
Aga Khan University Hospital Karachi, Pakistan
Title: Most effective method for the management of physiologic gingival hyperpigmentation: A systematic review and metaanalysis
Biography
Biography: Meisha Gul
Abstract
Introduction & Aim: Gingival color is an important component of an attractive smile. It helps to increase once self-confidence and reflect positive impact on the viewers. The aim of the present study was to identify most effective treatment option for the management of generalized physiological gingival hyperpigmentation.
Method: A thorough literature search was done from 1919 to October 2018 on different databases (CINHAL, PubMed and Dental and Oral Science) and manual search was also conducted to answer the review question. Only clinical trials done on human subjects and focused on different depigmentation methods were included. Control group in all the included studies was surgical stripping. The outcome was the amount of recurrence and discomfort associated. Final selected 25 articles underwent qualitative analysis and few studies underwent meta-analysis. RevMan software was used for data analysis.
Results: Out of total 26,132 articles, 25 met the inclusion criteria. Laser ablation was the most frequently used method for depigmentation in the included studies. There was no significant difference in terms of amount of depigmentation achieved (P=0.23) and recurrence between the groups (P=0.75). However, laser ablation was associated with significantly less post-operative pain when compared to surgical stripping group (P≤ 0.05).
Conclusion: All gingival depigmentation techniques are equally effective. Diode laser was the most frequently used method for depigmentation and associated with less discomfort and pain more patient preference and satisfaction. More good quality evidence in form of Randomized control trials are needed to draw strong conclusion.