Introduction: The role of laser in conservative management of oral disease is well established. Laser procedures are common in the fields of oral surgery, implant dentistry, endodontic, and periodontic therapy.
Case: This case series describes the use of diode laser for the excision of oral exophytic lesions. All the patients attended the oral medicine department of Shahid Beheshti University of Medical Sciences, Tehran, Iran. Criteria in patient selection were accessibility to lesions, patient fear from blade surgery, aesthetics, and probability of bleeding. An informed consent was filled by every patient. All of the lesions were completely excised under local anaesthesia by diode laser with 300 μm-fibre tip, 808 nm continuous wavelength and 3-3.5 W power for 3×60 seconds (Dr Smile, Italia). During surgery, the fibre tip was in contact with lesions. No analgesics were prescribed to the patients. The patients were followed for the first, second, and forth week after treatment.
Conclusion: The lesions could be excised using the diode laser. This procedure was a quick clinical technique without bleeding.
Eliades A, Stavrianos C, Kokkas A, Kafas P, Nazaroglou I. 808 nm diode laser in oral surgery: a case report of laser removal of fibroma. Res J Med Sci. 2010;4(3):175-8. doi:10.3923/rjmsci.2010.175.178.
Azma E, Safavi N. Diode laser application in soft tissue oral surgery. J Lasers Med Sci. 2013;4(4):206- 211.
Pai JB, Padma R, Divya Malagi S, Kamath V, Shridhar A, Mathews A. Excision of fibroma with diode laser: a case series. J Dent Lasers. 2014;8(1):34-38. doi:10.4103/0976-2868.134124.
Bouquot JE, Gundlach KK. Oral exophytic lesions in 23,616 white Americans over 35 years of age. Oral Surg Oral Med Oral Pathol. 1986;62:284-291. doi:10.1016/0030-4220(86)90010-1.
Kalyanyama BM, Matee MI, Vuhahula E. Oral tumours in Tanzanian children based on biopsy materials examined over 15-year period from 1982 to 1997. Int Dent J. 2002;52:10-14.
Esmeili T, Lozada-Nur F, Epstein J. Common benign oral tissue masses. Dent Clin North Am. 2005;49:223- 240.
Filhoa WN, Morosollib AR, Bianchib M. CO2 laser surgery of obstructive fibroma in the oropharyngeal cavity. J Oral Laser Appl. 2005;5:103-105.
Regezi JA, Sciubba JJ, Jordan RC, Abrahams PH. Oral Pathology: Clinical Pathologic Correlations. 5th ed. St Louis: WB Saunders; 2003:165-166.
Wigdor AH, Walsh JT Jr, Featherstone JD, Visuri SR, Freid D, Waldvogel JL. Lasers in dentistry. Lasers Surg Med. 1995;16:103-133. doi:10.1016/0030- 4220(86)90010-1.
Kalantar Motamedi MH. A Textbook of Advanced Oral and Maxillofacial Surgery. InTech; 2013:341-382.
Sonalika WG, Sahu A, Deogade SC, et al. Giant cell fibroma of tongue: understanding the nature of an unusual histopathological entity. Case Rep Dent. 2014;2014:864512. doi:10.1155/2014/864512.
Gnepp DR. Diagnostic Surgical Pathology of the Head and Neck. 2nd edition. Philadelphia: Saunder; 2009.
Weathers DR, Callihan MD. Giant cell fibroma. Oral Surg Oral Med Oral Pathol. 1974;37(3): 374-384.
Jimson S, Jimson S. Giant cell fibroma: a case report with immunohistochemical markers. J Clin Diagn Res. 2013;7(12):3079-3080. doi:10.7860/ jcdr/2013/6476.3859.
Antony VV, Khan R. Giant Cell Fibroma–A Case Report. J Dent Med Sci. 2013:6(6):117-119.
Gupta B, Anegundi R. Mucocele: two case reports. Int J Dent Sci. 2007;6(1):12.
Khalighi HR, Anbari F, Taheri JB, Bakhtiari S, Namazi Z, Pouralibaba F. Effect of low-power laser on treatment of orofacial pain. J Dent Res Dent Clin Prospect. 2010;4(3):75-78.