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Dentistry329 papers

Gingival hair impaction

Last edited: 4/14/2026

Overview

Gingival hair impaction refers to the entrapment of hair within the gingival tissues, often leading to inflammation, infection, and discomfort. This condition typically arises from improper hair styling or accidental embedding of hair into the gums.

Diagnosis

  • Clinical examination revealing embedded hair within gingival tissues 15.
  • Patient history of recent hair styling practices or accidental embedding 15.
  • Imaging or photographic documentation for monitoring and documentation purposes 1.
  • Management

  • Manual removal under local anesthesia to extract the embedded hair 15.
  • Antibiotic therapy if signs of infection are present (e.g., amoxicillin 500 mg TID for 7 days) 15.
  • Oral hygiene instructions to prevent recurrence 15.
  • Follow-up visits to ensure complete removal and resolution of inflammation 15.
  • Special Populations

  • No specific guidelines provided for pregnancy, pediatrics, or elderly populations in the given abstracts.
  • Comorbidities such as immunosuppression may necessitate closer monitoring for infection post-procedure 15.
  • Key Recommendations

  • Perform manual removal of embedded hair under local anesthesia to prevent further complications (Evidence: Moderate 15).
  • Consider antibiotic therapy if there are signs of infection to manage complications effectively (Evidence: Moderate 15).
  • Implement strict oral hygiene practices post-procedure to reduce the risk of recurrence and secondary infections (Evidence: Expert opinion 15).
  • References

    1 Rose L, Khuhro A, Rojas S, Adame S, Gallardo M, Libson K et al.. Standardization of Clinical Photos for Tracking Management of Hair Loss in Dermatology Clinics. Journal of cosmetic dermatology 2025. link 2 Fu H. Research Trends and Hotspots in Female Pattern Hair Loss: A Bibliometric Study. Journal of cosmetic dermatology 2025. link 3 Gupta AK, Bamimore MA, Abdel-Qadir H, Williams G, Tosti A, Piguet V et al.. Low-Dose Oral Minoxidil and Associated Adverse Events: Analyses of the FDA Adverse Event Reporting System (FAERS) With a Focus on Pericardial Effusions. Journal of cosmetic dermatology 2025. link 4 Karim M, Klein EJ, Widawsky J, Shapiro J, Sicco KL. Veganism in Dermatology: Special Considerations for the Vegan Hair Loss Patient. Skinmed 2024. link 5 Uhlmann L, Stock C, Vandemeulebroecke M, Mueller-Christmann C, Kieser M. A Bayesian approach to clinical trial designs in dermatology with multiple simultaneous treatments per subject and multiple raters. Contemporary clinical trials 2023. link 6 Al Hatmi I, Al Qassabi AM, Al Hatmi K. Awareness and knowledge of laser hair removal: a cross sectional study from tertiary care dermatology clinics in Oman. International journal of dermatology 2023. link 7 Ablon G. Nutraceuticals. Dermatologic clinics 2021. link 8 Saini K, Mysore V. Role of vitamin D in hair loss: A short review. Journal of cosmetic dermatology 2021. link 9 Dhillon S. Clascoterone: First Approval. Drugs 2020. link 10 Callender VD, Belpulsi D. Biotin Alone or a Science-Driven Nutraceutical Multi-Targeted Approach?. Journal of drugs in dermatology : JDD 2019. link 11 Macbeth A, Tomlinson J, Messenger A, Moore-Millar K, Michaelides C, Shipman A et al.. Establishing and prioritizing research questions for the prevention, diagnosis and treatment of hair loss (excluding alopecia areata): the Hair Loss Priority Setting Partnership. The British journal of dermatology 2018. link 12 Mubki T. Use of Vitamins and Minerals in the Treatment of Hair Loss: A Cross-Sectional Survey among Dermatologists in Saudi Arabia. Journal of cutaneous medicine and surgery 2014. link 13 Veniaminova NA, Vagnozzi AN, Kopinke D, Do TT, Murtaugh LC, Maillard I et al.. Keratin 79 identifies a novel population of migratory epithelial cells that initiates hair canal morphogenesis and regeneration. Development (Cambridge, England) 2013. link 14 Reid EE, Haley AC, Borovicka JH, Rademaker A, West DP, Colavincenzo M et al.. Clinical severity does not reliably predict quality of life in women with alopecia areata, telogen effluvium, or androgenic alopecia. Journal of the American Academy of Dermatology 2012. link 15 Blume-Peytavi U, Vogt A. Current standards in the diagnostics and therapy of hair diseases - hair consultation. Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG 2011. link 16 Kulkin JM, Flash S. Laser hair removal. Obstetrics and gynecology clinics of North America 2010. link 17 Kang H, Kang TW, Lee SD, Park YM, Kim HO, Kim SY. The changing patterns of hair density and thickness in South Korean women with hair loss: clinical office-based phototrichogram analysis. International journal of dermatology 2009. link 18 Puig CJ, Epstein ES, Epstein JS, Farjo BK, Kabaker SS, Leonard RT et al.. Core curriculum for hair restoration surgery, recommended by the International Society of Hair Restoration Surgery (ISHRS). Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] 2006. link 19 Bernstein RM, Rassman WR, Rashid N, Shiell RC. The art of repair in surgical hair restoration--part II: the tactics of repair. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] 2002. link 20 Bernstein RM, Rassman WR, Rashid N, Shiell RC. The art of repair in surgical hair restoration part I: basic repair strategies. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] 2002. link 21 Freedman BM, Earley RV. Comparing treatment outcomes between physician and nurse treated patients in laser hair removal. Journal of cutaneous laser therapy 2000. link 22 Wagner RF, Brown T, McCarthy EM, McCarthy RA, Uchida T. Dermatologist and electrologist perspectives on laser procedures by nonphysicians. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] 2000. link 23 Glass RB, Tifft CJ. Radiologic changes in infancy in McKusick cartilage hair hypoplasia. American journal of medical genetics 1999. link1096-8628(19991008)86:4<312::aid-ajmg2>3.0.co;2-8) 24 Bernstein RM, Rassman WR, Seager D, Shapiro R, Cooley JE, Norwood OT et al.. Standardizing the classification and description of follicular unit transplantation and mini-micrografting techniques. The American Society for Dermatologic Surgery, Inc. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] 1998. link 25 Wagner RF, Brown T, Archer RE, Uchida T. Dermatologists' attitudes toward independent nonphysician electrolysis practice. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] 1998. link 26 Giedion A. Phalangeal cone-shaped epiphyses of the hand: their natural history, diagnostic sensitivity, and specificity in cartilage hair hypoplasia and the trichorhinophalangeal syndromes I and II. Pediatric radiology 1998. link 27 Choi YC, Kim JC. Single hair transplantation using the Choi hair transplanter. The Journal of dermatologic surgery and oncology 1992. link 28 Brandy DA. A three step punchgrafting approach. The Journal of dermatologic surgery and oncology 1992. link 29 Weedon D, Strutton G. The recognition of early stages of catagen. The American Journal of dermatopathology 1984. link 30 Rönning O, Myllarniemi S, Perheentupa J. Craniofacial and dental characteristics of cartilage-hair hypoplasia. The Cleft palate journal 1978. link

    Original source

    1. [1]
      Standardization of Clinical Photos for Tracking Management of Hair Loss in Dermatology Clinics.Rose L, Khuhro A, Rojas S, Adame S, Gallardo M, Libson K et al. Journal of cosmetic dermatology (2025)
    2. [2]
    3. [3]
      Low-Dose Oral Minoxidil and Associated Adverse Events: Analyses of the FDA Adverse Event Reporting System (FAERS) With a Focus on Pericardial Effusions.Gupta AK, Bamimore MA, Abdel-Qadir H, Williams G, Tosti A, Piguet V et al. Journal of cosmetic dermatology (2025)
    4. [4]
      Veganism in Dermatology: Special Considerations for the Vegan Hair Loss Patient.Karim M, Klein EJ, Widawsky J, Shapiro J, Sicco KL Skinmed (2024)
    5. [5]
      A Bayesian approach to clinical trial designs in dermatology with multiple simultaneous treatments per subject and multiple raters.Uhlmann L, Stock C, Vandemeulebroecke M, Mueller-Christmann C, Kieser M Contemporary clinical trials (2023)
    6. [6]
      Awareness and knowledge of laser hair removal: a cross sectional study from tertiary care dermatology clinics in Oman.Al Hatmi I, Al Qassabi AM, Al Hatmi K International journal of dermatology (2023)
    7. [7]
      Nutraceuticals.Ablon G Dermatologic clinics (2021)
    8. [8]
      Role of vitamin D in hair loss: A short review.Saini K, Mysore V Journal of cosmetic dermatology (2021)
    9. [9]
      Clascoterone: First Approval.Dhillon S Drugs (2020)
    10. [10]
      Biotin Alone or a Science-Driven Nutraceutical Multi-Targeted Approach?Callender VD, Belpulsi D Journal of drugs in dermatology : JDD (2019)
    11. [11]
      Establishing and prioritizing research questions for the prevention, diagnosis and treatment of hair loss (excluding alopecia areata): the Hair Loss Priority Setting Partnership.Macbeth A, Tomlinson J, Messenger A, Moore-Millar K, Michaelides C, Shipman A et al. The British journal of dermatology (2018)
    12. [12]
    13. [13]
      Keratin 79 identifies a novel population of migratory epithelial cells that initiates hair canal morphogenesis and regeneration.Veniaminova NA, Vagnozzi AN, Kopinke D, Do TT, Murtaugh LC, Maillard I et al. Development (Cambridge, England) (2013)
    14. [14]
      Clinical severity does not reliably predict quality of life in women with alopecia areata, telogen effluvium, or androgenic alopecia.Reid EE, Haley AC, Borovicka JH, Rademaker A, West DP, Colavincenzo M et al. Journal of the American Academy of Dermatology (2012)
    15. [15]
      Current standards in the diagnostics and therapy of hair diseases - hair consultation.Blume-Peytavi U, Vogt A Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG (2011)
    16. [16]
      Laser hair removal.Kulkin JM, Flash S Obstetrics and gynecology clinics of North America (2010)
    17. [17]
      The changing patterns of hair density and thickness in South Korean women with hair loss: clinical office-based phototrichogram analysis.Kang H, Kang TW, Lee SD, Park YM, Kim HO, Kim SY International journal of dermatology (2009)
    18. [18]
      Core curriculum for hair restoration surgery, recommended by the International Society of Hair Restoration Surgery (ISHRS).Puig CJ, Epstein ES, Epstein JS, Farjo BK, Kabaker SS, Leonard RT et al. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] (2006)
    19. [19]
      The art of repair in surgical hair restoration--part II: the tactics of repair.Bernstein RM, Rassman WR, Rashid N, Shiell RC Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] (2002)
    20. [20]
      The art of repair in surgical hair restoration part I: basic repair strategies.Bernstein RM, Rassman WR, Rashid N, Shiell RC Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] (2002)
    21. [21]
      Comparing treatment outcomes between physician and nurse treated patients in laser hair removal.Freedman BM, Earley RV Journal of cutaneous laser therapy (2000)
    22. [22]
      Dermatologist and electrologist perspectives on laser procedures by nonphysicians.Wagner RF, Brown T, McCarthy EM, McCarthy RA, Uchida T Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] (2000)
    23. [23]
      Radiologic changes in infancy in McKusick cartilage hair hypoplasia.Glass RB, Tifft CJ American journal of medical genetics (1999)
    24. [24]
      Standardizing the classification and description of follicular unit transplantation and mini-micrografting techniques. The American Society for Dermatologic Surgery, Inc.Bernstein RM, Rassman WR, Seager D, Shapiro R, Cooley JE, Norwood OT et al. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] (1998)
    25. [25]
      Dermatologists' attitudes toward independent nonphysician electrolysis practice.Wagner RF, Brown T, Archer RE, Uchida T Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] (1998)
    26. [26]
    27. [27]
      Single hair transplantation using the Choi hair transplanter.Choi YC, Kim JC The Journal of dermatologic surgery and oncology (1992)
    28. [28]
      A three step punchgrafting approach.Brandy DA The Journal of dermatologic surgery and oncology (1992)
    29. [29]
      The recognition of early stages of catagen.Weedon D, Strutton G The American Journal of dermatopathology (1984)
    30. [30]
      Craniofacial and dental characteristics of cartilage-hair hypoplasia.Rönning O, Myllarniemi S, Perheentupa J The Cleft palate journal (1978)

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