The Journal of Oral Laser Applications
J Oral Laser Applications 10 (2010), No. 4     14. June 2011
J Oral Laser Applications 6 (2006), No. 3  (24.08.2006)

Page 205-210

Removal of Human Gingival Melanin Pigmentation by Er:YAG vs Nd:YAG Laser: A Case Report
Hasumi, Satoshi / Hasumi, Jun / Matsumoto, Koukichi
The present study was carried out to examine the removal of melanin pigmentation from human gingival surfaces using the Er:YAG laser. The results were compared to those obtained using the Nd:YAG laser. Two laser devices, an Er:YAG laser (SMART2940D) and an Nd:YAG laser (A10) (developed by DEKA, Florence, Italy) were used for laser treatment. The parameters of the Er:YAG laser were 5 Hz and 100 mJ, applied for 230 µs using a contact tip under water mist and a noncontact tip without water mist. The Nd:YAG laser was applied at 10 Hz and 100 mJ for 300 µs with Chinese black ink. In all cases, melanin pigmentation could be removed without local anesthesia. Melanin pigmentation removed by Er:YAG laser with or without water mist induced slight bleeding. Neither postoperative pain nor swelling were observed. Compared with the Nd:YAG laser, the Er:YAG laser showed no tendency for melanin pigmentation recurrence after 36 months. In addition, the color of the gingival surface lased by the Er:YAG laser was changed to pink. Comparison with the Nd:YAG laser revealed that the Er:YAG laser is useful in the removal of human gingival melanin pigmentation.

Keywords: Er:YAG laser, Nd:YAG laser therapy, human gingiva, melanin pigmentation