Article: Volume 43 Number 8 Page 794 - October 2016

  Dent Update 2016; 43: 794-795  Read article

Clinical Challenges Q&A:  Clinical Challenges Q&A 24. Dark Gingivae

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Abstract: A 32-year-old Caucasian woman was referred for evaluation of the dark colour of her gingivae accidentally found by her dentist during a routine dental check-up. On her intra-oral examination, a diffuse, asymptomatic, symmetrical and dark brown discoloration of both upper and lower gingivae (free and attached) together with areas of brown discoloration of her buccal mucosae and soft palate were seen (Figure 1). The patient has a dark complexion, without areas of discoloration locally, or lymph node enlargement and a clear medical history without drug uptake. She was anxious about her job but has never been a smoker or heavy drinker.

Author notes: Dimitrios Malamos, DDS, MSc, PhD, DipOM, Oral Medicine Clinic, National Organization for the Provision of Health Services (IKA), Athens, Greece, and Crispian Scully, CBE, MD, PhD, MDS, MRCS, BSc, FDS RCS, FDS RCPS, FFD RCSI, FDS RCSE, FRCPath, FMedSci, FHEA, FUCL, DSc, DChD, DMed(HC), Dr HC, Co-Director of WHO Collaborating Centre for Oral Health-General Health: and Emeritus Professor, University College London, UK.