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This patient had a familial history of excess melanin pigmentation and, in his particular case, affected the lower arch more than the upper arch. He also reported that he was a heavy smoker and drank lots of coffee, further adding to the discoloration, or dark gum condition he had.
As can be seen in the adjacent pre-treatment picture, dark gum tissue was prevalent on both the maxillary and mandibular arches.
The impact of the cosmetic treatments will be felt by our patient for years to come. He now smiles with this teeth.... and quite nicely too... but he also has a smile in his eyes.
Initiating conversation or engaging in long conversations in new social situations or with new acquaintances is no longer an obstacle for the patient.