One visit gingivectomy and gingival depigmentation: A case report

Introduction: A charming smile is formed through the harmonious relationship between teeth and gums. Short clinical crowns, dark gingival tissue, and diastema between the maxillary central incisors can detract from a smile's appearance. This case study explains the use of a scalpel to perform gingivectomy and gingival depigmentation as part of periodontal plastic surgery in a one visit to enhance aesthetic outcomes.
Case Report: A 28-year-old man presented with complaints that his maxillary front teeth looked short and his gums were black, causing him to lose confidence. The diagnosis is gingivitis on an intact periodontium with other conditions such as gingival enlargement and hyperpigmentation of the gingiva. The treatment plan was to perform a gingivectomy along with gingival depigmentation using a conventional technique with a scalpel in one visit.
Case management: Gingivectomy and gingival depigmentation were performed under local infiltration anesthesia using a scalpel. The surgical site was covered with a periodontal pack, which was removed seven days post-surgery. A 7-month follow-up showed excellent healing, and the patient expressed satisfaction with the results.
Conclusion: Gingivectomy accompanied by gingival depigmentation using a scalpel in a one visit yields satisfactory outcomes for patients.