@article{oai:mdu.repo.nii.ac.jp:00000563, author = {音琴, 淳一 and 矢ケ﨑, 裕}, issue = {1}, journal = {松本歯学}, month = {Apr}, note = {application/pdf, This case report presents the application of a pulse rate Nd : YAG laser-enhanced fiber tip in the removal of gingival melanin hyperpigmentation. A 49-year-old male complained of an esthetic problem followed periodontal treatment. The patient desired improvement of the gingival color by laser treatment. The Nd: YAG laser irradiation was performed with an enhanced fiber tip which was activated by Fiber Tip Enhanced Devices (SLT Japan Co. Id., YAMANASHI, JAPAN) at 400 mj, 10 pulse/sec for a total of 124 sec, with an air spray in a non-contact mode without local anesthesia. The visual scale (VAS) was used to evaluate the pain level experienced by the patient. The wound healing was evaluated at 1 week, and 1, 3 and 6 months, after irradiation. The patient perceived slight pain until 6 months after treatment. At 1 week, the gingiva had recovered to an almost normal appearance,; at 1 month, the gingiva showed hearling delay, but complications and side effects were not observed during this observation period. Slight recurrence of the melanin pigmentation was observed after 6 months. The results of the present clinical study suggest that the removal of gingival melanin pigmentation can be performed safety and effectively by pulsed Nd: YAG laser irradiation with an enhanced fiber tip.}, pages = {47--51}, title = {パルス型Nd:YAGレーザの加工したレーザチップを歯肉メラニン沈着除去に応用した1症例}, volume = {30}, year = {2004} }