Evidence map›Paper›PMID 40464031›Full record

ArticleJournal of dental research, dental clinics, dental prospects2025

Management of gingival hyperpigmentation using microneedling with ascorbic acid vs. scalpel technique: A comparative split-mouth study.

Anshika Maheshwari, Shruti Tandon, Arundeep Kaur Lamba, Farrukh Faraz, Nasreen Ansari

Abstract read
In one paragraph

Article in Journal of dental research, dental clinics, dental prospects, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Anshika MaheshwariDepartment of Periodontology, Maulana Azad Institute of Dental Sciences, New Delhi, India.ORCID https://orcid.org/0009-0006-9143-5473
Shruti TandonDepartment of Periodontology, Maulana Azad Institute of Dental Sciences, New Delhi, India.ORCID https://orcid.org/0000-0002-0524-099X
Arundeep Kaur LambaMaulana Azad Institute of Dental Sciences, New Delhi, India.ORCID https://orcid.org/0000-0001-5782-0614
Farrukh FarazDepartment of Periodontology, Maulana Azad Institute of Dental Sciences, New Delhi, India.ORCID https://orcid.org/0000-0003-1651-8077
Nasreen AnsariDepartment of Periodontology, Maulana Azad Institute of Dental Sciences, New Delhi, India.ORCID https://orcid.org/0000-0003-0207-0638

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In enhancing smile aesthetics, managing gingival hyperpigmentation has become increasingly important. Gingival hyperpigmentation can often affect individuals psychologically, prompting many individuals to seek treatment. Microneedling (MN) is emerging as a popular solution for minimizing gingival hyperpigmentation through a minimally invasive approach. In contrast, the scalpel technique is an established surgical intervention to remove pigmented tissue directly. This study investigated the effectiveness of these two techniques in terms of clinical and patient-related outcomes. Methods: This randomized control clinical study included 20 subjects with hyperpigmentation in both maxillary and mandibular arches. One arch of each subject was randomly allocated to MN using the coin toss method, and the other arch was assigned to the scalpel technique. Intraoperative bleeding, postoperative pain scores, wound healing index, Dummett oral pigmentation index (DOPI), and Hedin melanin index (HMI) were evaluated. Results: MN showed significantly better results in terms of pain, bleeding scores, DOPI, and HMI ( Conclusion: Being a gold standard, the scalpel technique offers precision but is accompanied by more bleeding and less patient compliance due to its invasiveness. Conversely, the MN technique emerges as an advanced technique, demonstrating less pain and bleeding, thus enhancing patient comfort and overall satisfaction, aligning with the evolving preferences for minimally invasive dental procedures.

Indexed as

Ascorbic acidGingivaHyperpigmentationMelaninMinimally invasive surgical proceduresRandomization

Identifiers

PMID40464031
PMCPMC12128206

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.