TREATMENT OF AMALGAM TATTOO WITH MUCOABRASION ASSOCIATED WITH A BILAMINAR TECHNIQUE AND A SUBEPITHELIAL CONNECTIVE TISSUE GRAFT: A CASE REPORT

L. Parma Benfenati

Private practice, Ferrara, Italy

Correspondence to:
Lucrezia Parma Benfenati, DDS

Private practice
Corso della Giovecca 155,
44121 Ferrara, Italy
e-mail: lucrezia.parmabenfenati@hotmail.it

Received: 07 May, 2022 Accepted: 23 July, 2022 Copyright: Biolife-Publisher.it © 2022

ISSN: 2038-4106 This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. Disclosure: All authors report no conflicts of interest relevant to this article.

ABSTRACT

 An amalgam tattoo is an iatrogenic lesion that may lead to aesthetic problems. A 47-year-old woman complained of very unattractive dark pigmentations and a flat macule adjacent to a restored tooth (amalgam tattoo) on the first and second maxillary premolars with a mild gingival recession at the first bicuspid. Following muco-abrasion to eliminate the oral pigmented lesion, a bilaminar mucogingival procedure was planned to treat the gingival recession. At the 8-year follow-up, gingival color and texture blended well with adjacent soft tissue areas, the periodontal tissues appeared healthy, and no scar tissue was present. The patient was very pleased with the final result. Therefore, a one-stage procedure should be considered an effective treatment of amalgam tattoo, providing positive morphologic and cosmetic outcomes over an 8-year follow-up period.

KEYWORDS: tattoo, mucosa, gingival, tissue graft, pigmentation