Removal of an amalgam tattoo using a subepithelial connective tissue graft and laser deepithelialization.

Abstract:

BACKGROUND:A 56-year-old female presented for periodontal treatment with a large amalgam tattoo located in alveolar mucosa on the facial aspect of her maxillary central incisors. The lesion had been present for 42 years since having endodontic surgery at teeth #8 and #9 after a traumatic childhood incident. METHODS:A two-stage surgical approach was used to eliminate the lesion, beginning with a subepithelial connective tissue graft to increase tissue thickness subjacent to the amalgam tattoo. After 6 weeks of healing, the overlying pigmented tissue was removed using laser surgery to expose the underlying grafted connective tissue. RESULTS:After 2 months of healing following laser surgery, the amalgam pigmentation was completely removed, with good color match and an increased width of keratinized tissue at the surgical site. CONCLUSION:A relatively large amalgam tattoo in the esthetic zone can be adequately removed by a two-stage procedure using grafted palatal connective tissue and laser deepithelialization.

journal_name

J Periodontol

authors

Campbell CM,Deas DE

doi

10.1902/jop.2009.080613

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

860-4

issue

5

eissn

0022-3492

issn

1943-3670

journal_volume

80

pub_type

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