Diode Laser Assisted Excision of a Gingival Pyogenic Granuloma: A Case Report

Abstract

exuberant, reactive lesion seen in response to local irritation or trauma caused by dental calculus, bacterial plaque, caries and restorations, with a strong predilection for the gingiva. It is among the frequently encountered oral lesions, occurring at a challenging oral site, the gingiva. Herein, we report a 71-year-old medically compromised Caucasian female who presented with a relatively large lobulated pyogenic granuloma on the buccal gingiva of the maxillary molar-premolar region. Total surgical excision was performed with an 840nm diode laser followed by the placement of hyaluronate gel and relevant periodontal dressing. Two weeks after surgical excision, complete healing was observed, but patient denied replacement of dental restoration. After 4 months of follow-up, an overall reduction of associated teeth mobility was also observed, with a minor recurrence in gingival inflammation. The objective of this report is to briefly review clinical, radiographic and histological findings of pyogenic granuloma along with a detailed discussion on its management through a diode laser.

A Single Case Report of Granular Cell Tumor of the Tongue Successfully Treated through 445 nm Diode Laser

“…Andreadis et al also highlighted no recurrences for pyogenic granuloma radically treated with diode laser [23].…”

Granuloma telangiectásico bucal: lesión sangrante tratada con láser de diodo de 940nm en paciente pediátrico. Reporte de caso

“…Con relación a las características clínicas Chen y otros en el 2021, Andreadis y otros en el 2019, reportaron que inicialmente puede presentarse como una pápula y con el pasar de los días, se convierte en una lesión tumoral, de crecimiento exofítico, la base puede ser sésil o pedunculada, con una superficie irregular y frecuentemente acompañada de sangrado [10,11]; aspectos clínicos que se presentaron en los dos casos reportados, con lesiones de aspecto tumoral, color roso, base pediculada, superficie irregular y sangrado espontáneo.…”

Surgical excision of a large gingival pyogenic granuloma using diode laser: A case report

“…Therefore, surgery can be safely performed in this regard. These lasers can also stimulate fibroblastic proliferation at low energy (7,8). Akbulut et al stated that diode lasers are useful for oral soft tissue surgical procedures since their specific wavelength (810-980 nm) is absorbed by water and also other chromophores, such as melanin and oxyhemoglobin (9).…”

“…The advantages of laser surgery, compared to conventional surgical methods, include the maintenance of sterile conditions, a good estimation of cutting depth, reduction in the number of operative instruments, often no need for suturing or bandages, pain reduction both intra-and postoperatively, promotion of wound healing, as well as fewer scars, staff, and less amount of time. A number of lasers have been successfully used to treat PG, such as Neodymium-doped yttrium aluminum garnet, Carbon dioxide laser, Erbium-doped yttrium aluminum garnet (Er:YAG), and the Diode laser (8). This caser report presents a successful application of diode laser in the context of a large PG.…”