Why do gums darken?
| Cause | Typical appearance | Direction of management |
|---|---|---|
| Physiological melanin (constitutional) | Symmetrical, diffuse, unchanged over many years; more common in people with deeper skin tones | A normal variation. Where it affects appearance, laser improvement can be considered |
| Smoker's melanosis | Mainly on the labial gum of the front teeth, related to smoking volume | May fade gradually after stopping smoking; laser can speed the cosmetic improvement |
| Amalgam tattoo | A single blue-grey spot next to an old metal filling | Metal particles — the laser cannot remove this. Usually no treatment needed; an X-ray or biopsy can confirm |
| Medication-related pigment | Associated with certain medicines (for example some antimalarials, minocycline) | Review the medication with your doctor first, rather than going straight to laser |
| Related to a systemic condition | Accompanied by other bodily signs | Requires medical follow-up of the underlying cause — this is not a cosmetic problem |
| A patch of suspicious appearance | Single, asymmetrical, changing quickly, raised or ulcerated | Biopsy first to exclude pathology — see our oral biopsy guide |
How the laser procedure works
- Assessment of the cause — we review the distribution, form, history and your medications, excluding amalgam tattoo, medication-related, systemic and suspicious lesions one by one, with an X-ray or biopsy where needed.
- Treatment plan and informed consent — once the pigment is confirmed as physiological, we explain the extent, the expected result, the healing process and the fact that pigment may partially return over time. We begin only once you agree.
- Laser depigmentation — under local anaesthetic, the pigmented surface layer of gum tissue is removed with the soft-tissue laser. There is little bleeding and usually no need for sutures.
- Healing and review — the gums heal progressively to a pink tone over about one to two weeks; a review appointment confirms healing and the final result.
When we will not carry it out
- Where the cause has not been confirmed — no cosmetic treatment before assessment, and suspicious lesions are biopsied first. This order is not negotiable.
- Amalgam tattoo — the laser cannot address metal particles. We tell you plainly rather than charging you for something that will not work.
- Medication-related or systemic pigment — the source is not the gum surface, and we will advise the appropriate medical follow-up.
- Active periodontal disease — not suitable while the gums are inflamed. Complete periodontal treatment first, then reassess once the condition is stable.
- Expecting "one treatment and it stays perfect forever" — melanin can re-deposit and smoking accelerates it. We make no permanence claims.
Fees
Laser gum depigmentation is quoted by extent and the number of sessions, generally from HK$6,000 per arch. The assessment of the cause, including any investigations required, is priced and explained separately beforehand. Full fees are itemised after assessment and before treatment begins.
Want to improve dark gums? Start with an assessment
You are welcome to WhatsApp us a photo of your smile — we will arrange an assessment and establish the cause before discussing any treatment.
WhatsApp enquiry Call +852 3956 9387

