Background: In individuals who have an excessive gingival display, gingival hyperpigmentation is an aesthetic issue. The goal of this study was to examine the effectiveness of the minimally invasive microneedling (MN) approach in the treatment of gingival hyperpigmentation.
Patients and methods: A total of 40 people with gingival hyperpigmentation were split into two groups at random. Group I: was managed with the surgical scalpel method, whereas group II was managed with MN approach. At the time of the procedures, the bleeding was compared. On the first and seventh days after the depigmentation surgery, wound healing and pain severity were assessed while at 1 month and 6 months following the treatments, the oral pigmentation indices were assessed.
Results: When compared to baseline data, both groups demonstrated a substantial reduction in oral pigmentation indices at 1 and 6 months, while group I demonstrated a statistically significant (P≤0.05) improvement compared to group II. There was a significant decrease (P≤0.001) in the bleeding index and VAS and wound healing in MN treated group compared to the surgically-treated group.
Conclusion: MN successfully reduces gingival hyperpigmentation and might be regarded as an alternative minimally invasive treatment option.