激光治疗牙龈黑色素沉着的研究进展  

Progress of research on laser in the treatment of gingival melanin pigmentation

作　　者：周帅 戚刚刚[1] 丁佩惠 ZHOU Shuai;QI Ganggang;DING Peihui(Department of Periodontics,Stomatology Hospital,School of Stomatology,Zhejiang University School of Medicine,Zhejiang Provincial Clinical Research Center for Oral Diseases,Key Laboratory of Oral Biomedical Research of Zhejiang Province,Cancer Center of Zhejiang University,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属口腔医院牙周科·浙江大学口腔医学院·浙江省口腔疾病临床医学研究中心·浙江省口腔生物医学研究重点实验室·浙江大学癌症研究院,浙江杭州310006

出　　处：《口腔医学》2022年第10期928-931,共4页Stomatology

基　　金：国家自然科学基金(81870765);浙江省医坛新秀培育项目(2021)。

摘　　要：牙龈黑色素沉着(gingival melanin pigmentation, GMP)表现为牙龈出现黑色、褐色或灰色斑块,常发生于前牙附着龈,是一种较为常见的临床表现。GMP常给患者尤其是露龈笑的患者造成美观上的困扰,另一方面,GMP也可能是某些恶性肿瘤、遗传学疾病或全身性疾病在口腔内的表现。近年来,激光被认为是一种有效的牙龈黑色素去除方法。本文就目前治疗GMP不同波长的激光,分别从治疗时间、疼痛程度、术区出血、愈合速度、术后复发方面作一综述,以期为临床医生的选择提供参考。Gingival melanin pigmentation(GMP) is a common clinical manifestation, characterized by black, brown or gray spots on gums. It often occurs in the attached gingiva of anterior teeth. GMP causes aesthetic problems for patients, especially those with bare-gummed smile. In addition, it may be a manifestation of some malignant tumors, genetic and systemic diseases in the oral cavity. In recent years, laser has been considered as an effective method to remove gingival melanin. This paper compares treatment time, pain, bleeding, healing speed, and recurrence of different wavelength lasers in the treatment of GMP to provide reference for clinicians.

关 键 词：激光 牙龈色素沉着 黑色素 牙龈脱色 

分 类 号：R781.4[医药卫生—口腔医学]