Diode Laser Excision of Oral Benign Lesions
Journal of Lasers in Medical Sciences,
Vol. 6 No. 3 (2015),
30 June 2015
Introduction: Lasers have made tremendous progress in the field of dentistry and have turned out to be crucial in oral surgery as collateral approach for soft tissue surgery. This rapid progress can be attributed to the fact that lasers allow efficient execution of soft tissue procedures with excellent hemostasis and field visibility. When matched to scalpel, electrocautery or high frequency devices, lasers offer maximum postoperative patient comfort.
Methods: Four patients agreed to undergo surgical removal of benign lesions of the oral cavity. 810 nm diode lasers were used in continuous wave mode for excisional biopsy. The specimens were sent for histopathological examination and patients were assessed on intraoperative and postoperative complications.
Results: Diode laser surgery was rapid, bloodless and well accepted by patients and led to complete resolution of the lesions. The excised specimen proved adequate for histopathological examination. Hemostasis was achieved immediately after the procedure with minimal postoperative problems, discomfort and scarring.Conclusion: We conclude that diode lasers are rapidly becoming the standard of care in contemporary dental practice and can be employed in procedures requiring excisional biopsy of oral soft tissue lesions with minimal problems in histopathological diagnosis.
- Diode laser
- Soft tissue
How to Cite
Coluzzi DJ. Fundamentals of dental lasers: Science and Instruments. Dent Clin Am. 2004;48:751-770.
Gontijo I, Navarro RS, Haypek P, Ciamponi AL, Haddad AE. The applications of diode and Er:YAG lasers in labial frenectomy in infant patients. J Dent Child (Chic). 2005;72(1):10-15.
Jin JY, Lee SH, Yoon HJ. A comparative study of wound healing following incision with a scalpel, diode laser or Er,Cr:YSGG laser in guinea pig oral mucosa: A histological and immunohistochemical analysis. Acta Odontol Scand. 2010;68(4):232.
Muller JG, Berlein P, Scholz C. The medical laser. Medical laser application. 2006; 21 (2): 99-108
Strauss RA, Zeltser R, Sela M, et al. The use of lasers in dentistry: principles of operation and clinical applications. Compend Contin Educ Dent. 2003;24(12): 935-948.
Panduric DG, Bago I, Zore IF, et al. Application of diode laser in oral and maxillofacial surgery. In: Motamedi MH, ed. A Textbook of Advanced Oral and Maxillofacial Surgery. InTech; 2013.
Pedron IG, Muller Ramalho K, Artioli Moreira L, Moreira de Freitas P. Association of two lasers in the treatment of traumatic fibroma: excision with Nd: YAP laser and photobiomodulation using InGaAIP: a case report. J Oral Laser Appl. 2009;9:49-53.
Koppolu P, Mishra A, Kalakonda B, Swapna LM, Bagalkoikar A, Macha D. Fibroepithelial polyp excision with laser and scalpel: A comparative evaluation. Int J Curr Microbiol App Sci. 2014;3(8):1057-1062.
Goharkhay K, Moritz A, Wilder-Smith P, et al. Effects on oral soft tissue produced by a diode laser in vitro.Lasers Surg Med. 1999;25(5):401-406. doi:10.1002/(sici)1096-9101(1999)25:5%3C401::aid-lsm6%3E3.0.co;2-u.
Angiero F, Parma L, Crippa R, Benedicenti S. Diode laser (808nm) applied to oral soft tissue lesions: a retrospective study to assess histopathological diagnosis and evaluate physical damage. Lasers Med Sci. 2012;27(2):383-388. doi:10.1007/s10103-011- 0900-7.
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):664-671.
Strauss RA. Lasers in oral and maxillofacial surgery. Dent Clin North Am. 2000;44(4):851-873.
Bryant GL, Davidson JM, Ossoff RH, Garrett CG, Reinisch L. Histologic study of oral mucosa wound healing: a comparison of a 6.0- to 6.8-micrometer pulsed laser and a carbon dioxide laser. Laryngoscope.1998;108 (1 pt 1):13-17. doi:10.1097/00005537-199801000-00003.
- Abstract Viewed: 567 times
- PDF Downloaded: 259 times