Journal of AdvancedMedical and Dental Sciences Research

Cosmetic expectations have increased with time and current trends speak volumes about gingival esthetics and smile designing. Gingival pigmentation especially on the labial aspect of anterior teeth has become an important component of general esthetics. Pigmentation is both the normal and abnormal discoloration of oral mucous membrane. Pigmentation has multifactorial etiology. Most of the pigmentation is physiologic but sometimes it can be a precursor of severe diseases. Gingival hyperpigmentation are major concerns for a large number of patients visiting the dentist. Melanin hyperpigmentation usually does not present a medical problem, but patients usually complain of dark gums as unaesthetic. The differential diagnosis, clinical, etiology, and histopathological features of pigmentation are discussed and the current literature is reviewed.
Key words: Esthetics, gingival pigmentation, melanin.