Excessive gingival display space and gingival hyperpigmentation are major concerns for a large number of patients visiting the dentist.  Melanin hyperpigmentation usually does not present a medical problem, but patients usually complain of dark gums as unaesthetic.  This problem is aggravated in patients with a “gummy smile” or excessive gingival display while smiling.  Esthetic periodontal plastic surgery is especially rewarding in such individuals with compromised esthetics.  A case is reported here on the cosmetic correction of “black gums” and “gummy smile.”  Periodontal plastic surgery combining gingival depigmentation and esthetic crown lengthening was performed in a single appointment using scalpel surgical technique.  The outline of steps involved in the surgical procedure is demonstrated and a brief review of the various gingival depigmentation techniques is depicted here.

Keywords:  Gingival pigmentation, gingival depigmentation, gingival hyperpigmentation, periodontal plastic surgical procedures, anterior esthetic crown lengthening, lasers in periodontal surgery

Citation: T. Roshna, Nandakumar K.   Anterior Esthetic Gingival Depigmentation and Crown Lengthening:  Report of a Case.  J Contemp Dent Pract 2005 August;(6)3:139-147.