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Physiological/ racial pigmentation

A physiological melanin-pigmentation of the gingiva is induced by melanocytes which are as well as in the skin also present in the oral mucosa. Whereas the melanocytes of the oral mucosa in the majority of the white population clinically are unremarkable, they are commonly occurring in darker pigmented peoples, especially in African and Afro-American.

The melanin-pigmentation is typically diffuse and bilateral, can run ribbon-shaped as well as spotted and is most often located on the attached gingiva, but is also possible in other areas, especially on the buccal mucosa. This pigmentation represents a physiological condition which needs no therapeutic intervention. back

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Stomatopedia is a free educational platform for stomatology, oral pathology of the soft tissue diseases in children and adolescent. Oral soft tissue diseases exhibit distinctive clinical features and require visual recognition to establish an exact diagnosis. Therefore we share our clinical features with Paedriatricians, Medical Practitioners and Paediatric Dentists and we hope it will be helpful in distinguishing one lesion from another as a part of the diagnostic process. We have set our priority to lesions in children and adolescents and we hope this set focus will stress and develop cooperation. The editors are interested to create a lively exchange about the topics in pictures an in discussion.

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Anatomical basis

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Efflorescence doctrine

Heterotopia

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