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Q-switched ruby laser is safe and effective in treating primary gingival hyperpigmentation.
Yehonatan Noyman1,2, Yoram Kornowski3, Dan Slodownik2,4
1Laser Unit, Division of Dermatology, Rabin Medical Center, Petah Tikva, Israel.
Journal of Cosmetic Dermatology
|May 5, 2023
Summary
The 694-nm Q-switched ruby laser (QSRL) effectively treats physiologic gingival hyperpigmentation (PGH) without ablation. This non-ablative laser offers a safe and promising option for PGH depigmentation with no reported re-pigmentation.
Area of Science:
- Dermatology
- Laser Medicine
- Oral Medicine
Background:
- Physiologic gingival hyperpigmentation (PGH) is a common, benign condition caused by increased melanin in darker-skinned individuals.
- Current laser treatments for PGH are often ablative, leading to non-selective tissue damage.
Purpose of the Study:
- To evaluate the efficacy and safety of a non-ablative 694-nm Q-switched ruby laser (QSRL) for PGH depigmentation.
Main Methods:
- A retrospective, single-center study was conducted.
- Four patients diagnosed with PGH were treated with QSRL between March 2019 and November 2020.
Main Results:
- Complete depigmentation was achieved in all patients after 1-3 QSRL sessions.
- The average follow-up was 11 months, with no instances of re-pigmentation.
- Two patients experienced mild local tenderness and transient erosions.
Conclusions:
- The 694-nm QSRL is a novel, safe, and effective non-ablative treatment for PGH.
- This modality minimizes tissue damage and optimizes treatment outcomes for PGH.

