Use of a subepithelial connective tissue graft to treat an area pigmented with graphite

Gregory E. Phillips, Vanchit John

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: Pigmentations of the oral cavity are commonly noted in clinical practice and may have physiologic, non-physiologic, or pathologic etiologies. The most common non-physiologic localized pigmentation is the amalgam tattoo; another, less common, non-physiologic pigmentation is the graphite tattoo. Graphite tattoos may easily be confused with amalgam tattoos but have only infrequently been reported in the literature. Methods: This case report discusses a patient with a localized pigmented lesion involving the free gingiva, attached gingiva, and alveolar mucosa. The patient was referred for esthetic enhancement of the area in question. Dental history revealed trauma to the area involving falling on a pencil as a child. The lesion was excised and submitted for histologic examination; a subepithelial connective tissue graft was harvested and utilized to prevent an esthetic defect. Results: Histologic evaluation confirmed graphite within the soft tissue as the etiology of the discoloration. At the 2-month postoperative appointment, a highly esthetic outcome was obtained utilizing a connective tissue graft. Conclusions: Although less common than the amalgam tattoo, the graphite tattoo may be encountered in the course of routine dental examinations and should be included in a differential diagnosis of any localized pigmented lesion. Although histologic evaluation is necessary to rule out pathology, if the dental history is consistent with the clinical impression of a non-pathologic lesion, such as the graphite tattoo in this case report, treatment with an autogenous connective tissue graft at the time of excision can produce a highly esthetic result and avoid additional surgical procedures in the future.

Original languageEnglish (US)
Pages (from-to)1572-1575
Number of pages4
JournalJournal of Periodontology
Volume76
Issue number9
DOIs
StatePublished - Sep 2005

Fingerprint

Graphite
Connective Tissue
Esthetics
Transplants
Pigmentation
Tooth
Gingiva
Accidental Falls
History
Mouth
Appointments and Schedules
Mucous Membrane
Differential Diagnosis
Pathology
Wounds and Injuries

Keywords

  • Grafts, connective tissue
  • Graphite
  • Oral pigmentation
  • Tattoos

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Use of a subepithelial connective tissue graft to treat an area pigmented with graphite. / Phillips, Gregory E.; John, Vanchit.

In: Journal of Periodontology, Vol. 76, No. 9, 09.2005, p. 1572-1575.

Research output: Contribution to journalArticle

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