A 54-year-old female was referred for management of a large amalgam tattoo involving the alveolar mucosa between teeth #6 and #9. The lesion had been present for over 20 years following endodontic treatment of teeth #7 and #8. A two-stage surgical approach was used to remove the pigmentation, beginning with removal of amalgam fragments from the underlying bone and placement of a subepithelial connective tissue graft and acellular dermal matrix to increase soft tissue thickness subadjacent to the amalgam. Following 7 weeks of healing, gingivoplasty was performed to remove the overlying pigmented tissue. At the 21-month follow-up appointment, the patient exhibited naturally appearing soft tissue with no evidence of amalgam tattoo.
|Zucchelli’s Technique or Tunnel Technique with Subepithelial Connective Tissue Graft for Treatment of Multiple Gingival Recessions Chanchal Bherwani, Anita Kulloli, Rahul Kathariya, Sharath Shetty, Priyanka Agrawal, Dnyaneshwari Gujar and Ankit Desai||Download|
|Tooth Loss Assessment during Periodontal Maintenance in Erratic versus Complete Compliance in a Periodontal Private Practice in Shiraz, Iran: A 10-Year Retrospective Study Amir Haji Mohammad Taghi Seirafi, Reyhaneh Ebrahimi, Ali Golkari, Hengameh Khosropanah and Ahmad Soolari||Download|
|Treatment of Amalgam Tattoo with a Subepithelial Connective Tissue Graft and Acellular Dermal Matrix Vivek Thumbigere-Math and Deborah K. Johnson||Download|
|Gingival Crevicular Fluid Bone Morphogenetic Protein-2 Release Profile Following the Use of Modified Perforated Membrane Barriers in Localized Intrabony Defects: A Randomized Clinical Trial Ahmed Y. Gamal, Mohamed Aziz, Salama M.H., Vincent J. Iacono||Download|