{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T13:50:36Z","timestamp":1781617836232,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T00:00:00Z","timestamp":1599177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>When pigmentations appeared in the esthetic zone and were visible during the patient's smile, they were very disconcerting. There are multiple techniques to eradicate or ameliorate these discolorations. This article will address those pigmentations caused by amalgam particles.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical considerations<\/jats:title><jats:p>Keratinized gingival grafts were used to cover and mask these pigmentations. In addition, connective tissue grafts were used to aid in the elimination of the external pigmentation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Both techniques were shown to be very effective in masking or eliminating these unesthetic pigmentations. Long\u2010term follow\u2010up has shown these results to be stable with no recurrence of the pigmentation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Unesthetic pigmentations in the esthetic zone that are visible during a patient's smile are very disconcerting. Elimination of these unesthetic discolorations can make a dramatic improvement in the patient's smile.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.12647","type":"journal-article","created":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T19:42:57Z","timestamp":1599248577000},"page":"770-775","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Treatment of the amalgam tattoo in the esthetic zone"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6051-587X","authenticated-orcid":false,"given":"David P.","family":"Mathews","sequence":"first","affiliation":[{"name":"Specialist in Periodontics 4906 105th avenue court NW  Gig Harbor Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2017.12.010"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/JISPPD.JISPPD_192_17"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2005.76.9.1572"},{"issue":"4","key":"e_1_2_8_5_1","first-page":"669","article-title":"Pigmented lesions of the oral cavity: an update","volume":"57","author":"Faizan A","year":"2013","journal-title":"Dent Clin North Am"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.12924"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lpm.2017.02.005"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0365-05962011000500026"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2013.09.015"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.3234"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0714.1991.tb00878.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1902\/cap.2016.150080"},{"issue":"12","key":"e_1_2_8_13_1","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1080\/19424396.2000.12223144","article-title":"Focal, flat pigmentations of the oral mucosa: a clinical approach to the differential diagnosis","volume":"28","author":"Carpenter WM","year":"2000","journal-title":"J Calif Dent Assoc"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/14764172.2017.1376092"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.23207"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/ejd.ejd_373_17"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1981.0036"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080613"},{"issue":"2","key":"e_1_2_8_19_1","first-page":"50","article-title":"Treatment of amalgam tattoo with a subepithelial connective tissue graft and acellular dermal matrix","volume":"16","author":"Thumbigere\u2010Math V","year":"2014","journal-title":"J Int Acad Periodontol"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/cap.10058"},{"issue":"10","key":"e_1_2_8_21_1","first-page":"930","article-title":"Periodontal treatment of an amalgam tattoo","volume":"23","author":"Kissel SO","year":"2002","journal-title":"Compend Contin Educ Dent"},{"issue":"5","key":"e_1_2_8_22_1","first-page":"457","article-title":"Covering gingival recessions with a modified microsurgical tunneling technique: case report","volume":"27","author":"Zuhr O","year":"2007","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.3680"},{"issue":"5","key":"e_1_2_8_24_1","first-page":"437","article-title":"Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts, part I. 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