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Gingivectomy–Gingivoplasty for Oral Physiological Melanosis Depigmentation: A Case Report Involving Human Papillomavirus

Authors :
Leslie Villa-Martínez
Blanca Itzel Mendoza-Espinosa
Luis Fernando Jacinto-Alemán
Adriana Molotla-Fragoso
Claudia Patricia Mejía-Velázquez
Alejandro Alonso-Moctezuma
Carla Monserrat Ramírez-Martínez
David Alonso Trejo-Remigio
Elsa Mónica Toriz-Pichardo
Source :
Dentistry Journal, Vol 12, Iss 7, p 203 (2024)
Publication Year :
2024
Publisher :
MDPI AG, 2024.

Abstract

Gingiva hyperpigmentation resulting from physiological melanosis causes aesthetic discomfort and is usually perceived as a disease by patients because healthy attached gingiva is typically characterized by coral pink coloring with stippling and scalloped contours. When physiological melanosis compromises the aesthetics of smiling, it may induce insecurity in patients, who usually seek out alternatives for reducing or eliminating hyperpigmentation. We present a case report of a surgical procedure combining gingivectomy with gingivoplasty for the management of physiological melanosis. The surgical procedure was performed on a 40-year-old female patient with bilateral pigmentation in both arches. The results of the histological analysis confirm the diagnoses of melanotic macula, with papillary hyperplasia and cytopathic changes being suggestive of HPV infection, which was verified using an immunohistochemistry analysis based on the detection of a major capsid protein of HPV. Acceptable functional and aesthetic results were obtained for the patient without major discomfort during the postoperative period. In cases when HPV infection is present, long-term follow-up becomes necessary.

Details

Language :
English
ISSN :
12070203 and 23046767
Volume :
12
Issue :
7
Database :
Directory of Open Access Journals
Journal :
Dentistry Journal
Publication Type :
Academic Journal
Accession number :
edsdoj.3c2f1f848ab84dd998838c7b901fa4ca
Document Type :
article
Full Text :
https://doi.org/10.3390/dj12070203