Comparative evaluation of the effect of blue M active oxygen gel and Coe-Pack dressing on postoperative surgical depigmentation healing: A clinical study

Background: The substantial saturation of the gingiva poses a significant esthetic issue for multiple individuals. Melanin saturation arises from melanin located within the gingival epithelium. Even though surgical depigmentation using a scalpel remains the favored system for managing gingiva pigmen...

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Main Authors: Tusharika Sharma, Neeraj Deshpande, Monali Shah, Rashmi Jha
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:SRM Journal of Research in Dental Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/srmjrds.srmjrds_88_24
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author Tusharika Sharma
Neeraj Deshpande
Monali Shah
Rashmi Jha
author_facet Tusharika Sharma
Neeraj Deshpande
Monali Shah
Rashmi Jha
author_sort Tusharika Sharma
collection DOAJ
description Background: The substantial saturation of the gingiva poses a significant esthetic issue for multiple individuals. Melanin saturation arises from melanin located within the gingival epithelium. Even though surgical depigmentation using a scalpel remains the favored system for managing gingiva pigmentation, it affects open wounds requiring specific dressing and management. Aim: The purpose of the study was to evaluate and compare the efficacy of Coe-Pack dressing and BlueM active oxygen gel in reducing pain after surgical depigmentation and evaluating gingival healing. Materials and Methods: Thirty-four nonsmoking individuals aged 20–38 years with physiologic gingival pigmentation index III and IV according to the Dummett–Gupta Oral Pigmentation index were enrolled in this split-mouth randomized clinical trial. These individuals were selected for an esthetic treatment for gingival hyperpigmentation of the gingiva. After depigmentation with a scalpel, the maxilla and mandible were separated to admit either BlueM gel or Coe-Pack as a dressing. A 1-week, 2 weeks, 3 weeks, and 4 weeks long follow-up period was observed, and indices, including the Dummet–Gupta Oral Pigmentation Index and re-epithelization index using toluidine blue dye, were evaluated and the Visual Analog Scale Pain index was also evaluated at 2 h, 24 h, 2 days, 3 days, 4 days, 5 days, 6 days, and 7 days follow-up period. Results: In total, 34 surgical sites were covered in this investigation. The pain indicator showed statistically significant variations from 1 day to 5 days later. After 3 weeks, the reepithelization index showed an advanced meaningful difference in the BlueM gel group. Conclusion: BlueM gel’s pain reduction, wound healing acceleration, and postoperative reepithelization make it a viable choice for the Coe-Pack dressing following gingival depigmentation.
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spelling doaj-art-74e67c348a184161a8696e63ed2a5e062025-01-14T10:06:28ZengWolters Kluwer Medknow PublicationsSRM Journal of Research in Dental Sciences2772-52432772-52512024-12-0115417318110.4103/srmjrds.srmjrds_88_24Comparative evaluation of the effect of blue M active oxygen gel and Coe-Pack dressing on postoperative surgical depigmentation healing: A clinical studyTusharika SharmaNeeraj DeshpandeMonali ShahRashmi JhaBackground: The substantial saturation of the gingiva poses a significant esthetic issue for multiple individuals. Melanin saturation arises from melanin located within the gingival epithelium. Even though surgical depigmentation using a scalpel remains the favored system for managing gingiva pigmentation, it affects open wounds requiring specific dressing and management. Aim: The purpose of the study was to evaluate and compare the efficacy of Coe-Pack dressing and BlueM active oxygen gel in reducing pain after surgical depigmentation and evaluating gingival healing. Materials and Methods: Thirty-four nonsmoking individuals aged 20–38 years with physiologic gingival pigmentation index III and IV according to the Dummett–Gupta Oral Pigmentation index were enrolled in this split-mouth randomized clinical trial. These individuals were selected for an esthetic treatment for gingival hyperpigmentation of the gingiva. After depigmentation with a scalpel, the maxilla and mandible were separated to admit either BlueM gel or Coe-Pack as a dressing. A 1-week, 2 weeks, 3 weeks, and 4 weeks long follow-up period was observed, and indices, including the Dummet–Gupta Oral Pigmentation Index and re-epithelization index using toluidine blue dye, were evaluated and the Visual Analog Scale Pain index was also evaluated at 2 h, 24 h, 2 days, 3 days, 4 days, 5 days, 6 days, and 7 days follow-up period. Results: In total, 34 surgical sites were covered in this investigation. The pain indicator showed statistically significant variations from 1 day to 5 days later. After 3 weeks, the reepithelization index showed an advanced meaningful difference in the BlueM gel group. Conclusion: BlueM gel’s pain reduction, wound healing acceleration, and postoperative reepithelization make it a viable choice for the Coe-Pack dressing following gingival depigmentation.https://journals.lww.com/10.4103/srmjrds.srmjrds_88_24bluem gelcoe-packgingival pigmentationreactive oxygen speciesscalpel technique
spellingShingle Tusharika Sharma
Neeraj Deshpande
Monali Shah
Rashmi Jha
Comparative evaluation of the effect of blue M active oxygen gel and Coe-Pack dressing on postoperative surgical depigmentation healing: A clinical study
SRM Journal of Research in Dental Sciences
bluem gel
coe-pack
gingival pigmentation
reactive oxygen species
scalpel technique
title Comparative evaluation of the effect of blue M active oxygen gel and Coe-Pack dressing on postoperative surgical depigmentation healing: A clinical study
title_full Comparative evaluation of the effect of blue M active oxygen gel and Coe-Pack dressing on postoperative surgical depigmentation healing: A clinical study
title_fullStr Comparative evaluation of the effect of blue M active oxygen gel and Coe-Pack dressing on postoperative surgical depigmentation healing: A clinical study
title_full_unstemmed Comparative evaluation of the effect of blue M active oxygen gel and Coe-Pack dressing on postoperative surgical depigmentation healing: A clinical study
title_short Comparative evaluation of the effect of blue M active oxygen gel and Coe-Pack dressing on postoperative surgical depigmentation healing: A clinical study
title_sort comparative evaluation of the effect of blue m active oxygen gel and coe pack dressing on postoperative surgical depigmentation healing a clinical study
topic bluem gel
coe-pack
gingival pigmentation
reactive oxygen species
scalpel technique
url https://journals.lww.com/10.4103/srmjrds.srmjrds_88_24
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AT monalishah comparativeevaluationoftheeffectofbluemactiveoxygengelandcoepackdressingonpostoperativesurgicaldepigmentationhealingaclinicalstudy
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