Gingival pigmentation, though harmless, can significantly impact a patient’s confidence and smile aesthetics. As demand for aesthetic dentistry grows, gingival depigmentation has become a popular procedure to remove melanin pigmentation from the gums.
Two commonly used methods for achieving precise and clean depigmentation include:
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Diode LASER
Recent advancements, such as high-quality ceramic trimming burs from trusted manufacturers like Mr. Bur, have provided dental professionals with efficient and patient-friendly tools for soft tissue management. This article explores a clinical study comparing soft tissue trimming ceramic burs and Diode LASER, while also discussing the exceptional advantages of ceramic trimming burs in various dental applications.
Clinical Study: Soft Tissue Trimming Bur vs. Diode LASER
Study Objective
The study, published in the Journal of Oral Biology and Craniofacial Research, compared the efficacy of soft tissue trimming burs and Diode LASER for gingival depigmentation using key clinical parameters:
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Wound Healing (using H2O2 test).
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Pain Perception (VAS scale)
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Bleeding
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Re-pigmentation over time.
Methodology
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Study Design: Randomized, split-mouth design involving 20 patients with bilateral gingival pigmentation.
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Treatment Allocation:
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Segment I: Right anterior gingiva treated with soft tissue trimming bur.
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Segment II: Left anterior gingiva treated with Diode LASER.
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Evaluation Period: Baseline, 7 days, 1 month, and 6 months.
Key Observations and Results
1. Wound Healing
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7 Days Post-Surgery:
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Soft Tissue Trimming Bur: 75% (15/20) patients showed complete healing.
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Diode LASER: 35% (7/20) patients showed complete healing.
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At 1 Month:
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100% complete healing was observed in both groups.
Conclusion: Faster healing was noted in the bur-treated areas due to minimal thermal damage compared to the LASER group.
2. Pain Perception
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Intraoperative Pain:
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Lower in the LASER groupdue to protein coagulum sealing nerve endings.
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Postoperative Pain:
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Day 1: Slight discomfort in bur-treated areas; minimal pain in LASER-treated areas.
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Day 7: Pain resolved completely in both groups.
3. Bleeding
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During Surgery:
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Soft Tissue Trimming Bur: Moderate bleeding in 70% of patients.
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Diode LASER: Minimal bleeding in 20% of patients.
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Post-Surgery: By day 7, both groups showed excellent hemostasis.
4. Re-Pigmentation
Both techniques showed slight re-pigmentation in 16 out of 20 patients, attributed to melanocyte migration or activation.
Study Conclusion
Both methods effectively reduced gingival pigmentation and achieved excellent aesthetic outcomes. However:
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Soft Tissue Trimming Ceramic Burdelivered faster healing, precision, and cost-effectiveness.
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Diode LASER offered superior bleeding control and reduced intraoperative discomfort.
For clinicians, tools like the Mr. Bur Ceramic Bur for Soft Tissue Trimming Bur FG provides an ideal solution by combining precision, efficiency, and patient comfort for soft tissue procedures.
Overview
Parameter |
Soft Tissue Trimming Bur |
Diode LASER |
Wound Healing |
Faster healing (7 days) |
Slight delay due to thermal effect |
Pain Perception |
Slight to moderate pain intra-op |
Minimal pain intra-op |
Bleeding |
Moderate bleeding |
Minimal bleeding |
AestheticOutcome |
Similar to LASER |
Comparable to bur |
Cost |
Cost-effective, readily available |
Expensive |
Re-Pigmentation |
Slight recurrence observed |
Slight recurrence observed |
Why Choose Mr. Bur Ceramic Burs for Soft Tissue Trimming?
Modern ceramic burs, like Mr. Bur Ceramic Bur for Soft Tissue Trimming Bur FG , are setting new standards in soft tissue management with their superior properties:
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Biocompatibility: Non-toxic and gentle on oral tissues.
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Heat Resistance: Generates minimal heat, reducing the risk of thermal damage.
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Durability: Retains sharpness over multiple procedures for consistent performance.
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Antibacterial Surface: Non-porous ceramic materials prevent bacterial adhesion.
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Non-Conductivity: Safe to use around metallic restorations and sensitive areas.
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Reduced Bleeding: Immediate coagulation enhances visibility during procedures.
Applications of Soft Tissue Trimming Ceramic Burs
1. Gingival Contouring
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Purpose: Reshape uneven gums for improved smile aesthetics.
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Clinical Example: For patients with a “gummy smile,” Mr. Bur ceramic trimming bur provides precise gingival sculpting with minimal trauma.
2. Subgingival Margin Exposure
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Purpose: Soft tissue removal for crown or veneer placement.
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Clinical Example: Accurately exposes margins for impression-taking without aggressive retraction.
3. Implant Uncovering
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Purpose: Expose dental implants during the second stage of surgery.
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Clinical Example: Achieve ideal tissue contours around implants for better emergence profiles.
4. Removal of Hyperplastic Tissue
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Purpose: Address gingival overgrowth caused by medications or braces.
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Clinical Example: Safely contour gingival tissue around orthodontic brackets.
5. Frenectomy and Papilla Shaping
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Purpose: Remove frenulum or shape papillae for functional and aesthetic benefits.
6. Peri-Implantitis Management
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Purpose: Gently debride inflamed tissue around implants to promote healing.
MR. BUR UNITED KINGDOM provides a wide range of dental burs globally.
Diamond Burs, Carbide Burs, Surgical & Lab Use Burs, Endodontic burs, IPR Kit, Crown Cutting Kit, Gingivectomy Kit, Root Planning Kit, Orthodontic Kit, Composite Polishers, High Speed Burs, Low Speed Burs