the investigator compares the clinical outcomes and pain levels after gingival depigmentation by ceramic soft tissue bur vs scalpel surgery
This clinical study will be carried out to compare the efficacy of ceramic soft tissue trimming bur versus the conventional surgical scraping technique in the management of gingival hyperpigmentation. This study will be conducted to assess: Primary objectives: 1. Clinical outcome of the gingival depigmentation procedure. 2. Assessment of postoperative pain using the visual analogue scale. 3. Patients' satisfaction will be assessed using the patient satisfaction questionnaire (short-form, PSQ-18) and the global aesthetic improvement scale. Secondary objectives: 1. Operating time. 2. Wound healing.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
8
gingival depigmentation
Ainshams university
Cairo, Cairo Governorate, Egypt
clinical outcomes of depigmentation procedure
dummet oral pigmentation index ( DOPI): 1= pink no pigmentation (better) 4= deep brown (worse) Melanin index (MI):1= isolated pigment (better), 4= long continous ribbon (worse). reported by visual inspection.
Time frame: 3 month postoperative
patient satisfaction
global aesthetic improvement scale 5 point likert scale 1= excellent improvement 5= worsened. patient reported outcome. a score from 1 to 5, 1 being better
Time frame: 3 months postoperative
Percieved pain
postoperative pain will be assessed using visual analoque scale (VAS): 1= being the least pain and 10= being the most severe
Time frame: 7 days
operating time
time taken from the beginning of the procedure to its end by stopwatch
Time frame: during surgery
Wound healing
1. Complete reepithelialization 2. Incomplete reepithelialization 3. ulcer 4. tissue defect or necrosis Dummet 1966
Time frame: 7 days postoperative
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