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A Study Comparing Two Methods to Treat Dark Gums: Scalpel Surgery vs. Ceramic Soft Tissue Trimming in Patients with Gum Pigmentation

Comparison of Scalpel Versus Ceramic Soft Tissue Trimming Bur Technique in Gingival Depigmentation Procedure: Split- Mouth Randomized Controlled Trial

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12625001172493
Enrollment
20
Registered
2025-10-28
Start date
2024-11-30
Completion date
2024-12-30
Last updated
2025-11-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This split-mouth randomized clinical trial was conducted from January 2025 to August 2025 in patient visiting Department of Periodontology and Oral Implantology after obtaining informed written consent. Total 20 patients was included in the study (split mouth design 20 in each side). Two surgical procedure namely scalpel method and ceramic soft tissue trimming bur technique for gingival depigmentation was used. Study site (for split methods) was determined based on computer generated random number and each will be assigned. After surgical procedures level of pain will be assessed with the help of visual analog scale and was filled after 1 day, 2 days and 7days. Recurrence of gingival pigmentation was assessed at the interval of baseline, 1 month, 3 months and 6 months. Patient satisfaction score was calculated at the interval of baseline, 1 month, 3 months and 6 months. Then data was collected, entered into the Microsoft excel and further analysis will be done in SPSS version 20.

Interventions

Gingival depigmentation using ceramic soft tissue trimming bur group Gingival depigmentation will be done with ceramic soft tissue trimming bur using airoter. It is a rotary tool used to cut and reshape the soft tissue. It is attached with airoter handpeice. For depigmentation procedure, after giving local anesthesia rotating bur was moved over the pigmented gingival tissue. Intermittent irrigation will be done with saline. After complete removal of pigmented epithelium periodontal pack will be

Gingival depigmentation using ceramic soft tissue trimming bur group Gingival depigmentation will be done with ceramic soft tissue trimming bur using airoter. It is a rotary tool used to cut and reshape the soft tissue. It is attached with airoter handpeice. For depigmentation procedure, after giving local anesthesia rotating bur was moved over the pigmented gingival tissue. Intermittent irrigation will be done with saline. After complete removal of pigmented epithelium periodontal pack will be given. Analgesics will be prescribed. Total procedure time is upto 1 hour. Follow-up will be done after 1-month and 3 months and 6 months of procedure. All the procedures were done by the periodontist. All the finding will be recorded on well structured proforma by the periodontist.

Sponsors

University Grant Commission, Nepal
Lead SponsorGovernment body

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
18 Years to 30 Years
Healthy volunteers
No

Inclusion criteria

1. Systemically healthy patients who had gingival hyperpigmentation related to the aesthetic region 2. Good oral hygiene, and 3. A desire for aesthetic improvement

Exclusion criteria

1. Patients who were smokers 2. Pregnant or lactating women 3. Experienced keloid scarring following surgery 4. Patients whose gingival hyperpigmentation was linked to another syndrome or illness

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026