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Defocused Irradiation Mode of Diode Laser for Conservative Treatment of Oral Hemangioma

Reza Fekrazad, Katayoun AM Kalhori, Nasim Chiniforush




Vascular lesions rise from abnormalities in blood vessels or endothelial proliferation. Capillary hemangiomas are formed by small capillaries surrounded by a layer of endothelial cells in a connective tissue stroma. Various treatments are used for these conditions like excisional surgery, sclerotherapy, and recently laser irradiation. In this case study, we report successful treatment of intraoral capillary hemangioma by gallium/aluminum/arsenide (GaAlAs) laser. A 29 year old woman with a red lesion on the upper side of the right maxillary premolar was referred to private dental office. The Diode laser with wavelength of 810 nm was selected for treatment of the lesion in defocused mode by output power of 4 W in continuous mode. No bleeding was observed during surgery which provided better vision for surgeon and resulted in a minimally invasive procedure. According to results, Diode laser can be considered as a conservative modality in treatment of oral capillary hemangioma, especially in the esthetic zone.


diode laser; hemangioma; vascular malformation


Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg 1982;69:412–22.

Enzinger F. M, Weiss d S.W. Soft Tissue Tumors, Mosby, St. Louis, Mo, USA, 5th ed, 2001.

Donnelly LF, Adams DM, Bisset GS 3rd. Vascular malformations and hemangiomas: a practical approach in a multidisciplinary clinic. AJR Am J Roentgenol 2000; 174:597-608.

Ethunandan M, Mellor TK. Haemangiomas and vascular malformations of the maxillofacial region--a review. Br J Oral Maxillofac Surg. 2006;44(4):263-72. Epub 2005 Aug 16.

McCuaig CC, Dubois J, Powell J, Belleville C, David M, Rousseau E, et al. A phase II, openlabel study of the efficacy and safety of imiquimod in the treatment of superficial and mixed infantile hemangioma. Pediatr Dermatol 2009;26:203–12.

Buckmiller LM, Richter GT, Suen JY. Diagnosis and management of hemangiomas and vascular malformations of the head and neck. Oral Dis 2010; 16 (5): 405–18.

Zheng JW, Zhou GY, Wang YA, Zhang ZY. Management of head and neck hemangiomas in China. Chin Med J (Engl) 2008;121:1037–42.

Deppe H, Horch HH. Laser applications in oral surgery and implant dentistry. Lasers Med Sci 2007;22(4):217- 21. Epub 2007 Feb 1.

Kobayashi K, Nakao K, Kishishita S, Tamaruya N, Monobe H, Saito K, Kihara A. Vascular malformations of the head and neck. Auris Nasus Larynx. 2013 Feb;40(1):89-92. doi: 10.1016/j.anl.2012.02.002. Epub 2012 Apr 23.

Rao G, Tripthi PS, Srinivasan K. Haemostatic effect of CO2 laser over excision of an intraoral hemangioma. Int J Laser Dent 2012;2(3):74-7.

Simşek Kaya G, Yapici Yavuz G, Sümbüllü MA, Dayi E. A comparison of diode laser and Er:YAG lasers in the treatment of gingival melanin pigmentation. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;113(3):293-9. doi: 10.1016/j.tripleo.2011.03.005. Epub 2011 Jun 12.

Suter VG, Altermatt HJ, Sendi P, Mettraux G, Bornstein MM. CO2 and diode laser for excisional biopsies of oral mucosal lesions. A pilot study evaluating clinical and histopathological parameters. Schweiz Monatsschr Zahnmed 2010;120(8):664-71.

Kilinc E, Rothrock J, Migliorati E, Drukteinis S, Roshkind DM, Bradley P. Potential surface alteration effects of laser-assisted periodontal surgery on existing dental restorations. Quintessence Int 2012;43(5):387-95.

Lambrechta JT, Stubinger S, Hodel Y. Co2 laser therapy for intraoral hemangiomas. J Oral Laser Appl 2004;4:89- 96.

Dilsiz A, Aydin T, Gursan N. Capillary hemangioma as a rare benign tumor of the oral cavity: a case report. Cases J 2009 9;2:8622. doi: 10.1186/1757-1626-0002- 0000008622.

Azevedo LH, Galletta VC, de Paula Eduardo C, Migliari DA. Venous Lake of the Lips Treated Using Photocoagulation with High-Intensity Diode Laser. Photomed Laser Surg 2010; 28(2): 263–5. doi: 10.1089/ pho.2009.2564.

DOI: https://doi.org/10.22037/jlms.v4i3.4094