Diode laser surgery versus electrocautery in the treatment of inflammatory fibrous hyperplasia: a randomized double-blind clinical trial

Jesus, Alessandro Oliveira De; Matias, Michelle Danielle Porto; Arruda, José Alcides Almeida de; Aires, Amanda Vieira; Gomes, Isadora Pereira; Souza, Leandro Napier de; Abreu, Lucas Guimarães; Mesquita, Ricardo Alves

doi:10.1007/s00784-020-03296-3

Cited by 6 publications

(7 citation statements)

References 38 publications

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“…The Gallium-Indium-Arsenide diode laser (Thera Laser Surgery, DMC Equipment's, São Carlos, SP, Brazil, 808 nm, 4W optical fiber, 400 µm in diameter with an area of 0.001 cm²) was used in continuous mode, with 3W power and energy of 792 J for four minutes and 24 seconds, with a power density of 3 W/cm 2 . The 3 W was chosen due to the thermal effect and the ability to remove tissue, avoiding the thermal damage caused by the maximum power of 4 W. 10,11 Lower powers were not used because they would increase the surgical time. The optical fiber of the laser was inserted around the lesion in order to achieve complete excision of the impaired glands.…”

Section: Case Reportmentioning

confidence: 99%

Management of Mucocele of the Glands of Blandin-Nuhn With a High-Intensity Laser: A Case Report

et al. 2021

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Introduction: The glands of Blandin–Nuhn are mucous and serous salivary glands situated on both sides of the midline of the ventral surface of the tongue. In this area, a mucocele generally results from trauma. The diagnosis of mucoceles is based on clinical and histopathological examinations and the recommended treatment is surgical excision. Case Report: This report describes a case of mucocele of the glands of Blandin-Nuhn (MGBN) affecting a 20-year-old male. Oval-shaped swelling with a smooth and bright surface of soft consistency was observed on the ventral surface of the individual’s tongue. The diagnostic hypothesis was mucocele. Surgical excision was performed in a single session with a diode laser. A histopathological examination revealed mucus extravasating into connective tissue, with foamy macrophages and granulation tissue. Conclusion: The high-intensity laser was a safe and effective tool for treating MGBN. No need for a suture, minimal or no intraoperative bleeding, and a minimal report of pain and edema by the patient were observed. A diode laser may be a helpful tool because it is less invasive and it is safe and effective.

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Section: Case Reportmentioning

confidence: 99%

Management of Mucocele of the Glands of Blandin-Nuhn With a High-Intensity Laser: A Case Report

et al. 2021

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“…At present, there are new generation methods, more efficient and less invasive, available both for bacterial decontamination and surgical excision part: For decontamination there is mechanical decontamination according to the guided biofilm therapy (GBT) protocol (7,8) (including patient re-education/motivation) and laser decontamination; laser-assisted nonsurgical periodontal pocket therapy at 980 nm (9)(10)(11)(12)(13)(14). For the surgical excision of the overgrown gingiva, the use of a 450-nm laser is the most efficient and least invasive method (minimum tissue necrosis in depth) (15)(16)(17), with the fastest and most comfortable healing for the patient and with the lowest recurrence rate (18)(19)(20)(21)(22)(23)(24)(25).…”

Section: Introductionmentioning

confidence: 99%

Gingival overgrowth approached using recent mechanical and laser technologies: A case report

Mihai,

Parlatescu,

Calin

et al. 2024

Exp Ther Med

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Gingival enlargement is a side effect of different drug classes, with calcium channel blockers being among the most often cited examples. Most often accompanied by a disruption in the oral biofilm, this form of gingival overgrowth, with histological signs of hyperplasia and hypertrophy, becomes a chronic inflammatory condition with the oral biofilm a primary cause. This periodontal disease is now classified as ‘dental biofilm-induced gingivitis’, and its preferred name is drug-influenced gingival expansion. The present study presented the case of a patient with gingival enlargement while being treated with nifedipine for cardiac disease. This patient had factors that contributed to the retention of bacteria, ranging from poor oral hygiene practices to poorly adapted prosthodontics. After reducing these factors, a multimodal treatment was conducted, including bacterial mechanical decontamination through guided biofilm therapy protocol, laser bacterial decontamination, and surgical laser gingivectomy. The patient was referred to their cardiologist for substituting the calcium channel blocker medication. Clinical evaluations followed each treatment step. At 12 months, the patient presented positive, stable results, with an improvement in gingival status (no gingival overgrowth in the area where all risk factors were eliminated and minimal overgrowth in the area where old poorly marginally adapted prosthodontics were kept in place and no/minimal signs of gingival inflammation).

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“…Em cirurgias de tecido mole, o uso do laser apresenta diversas vantagens, tais como hemostasia, redução da dor pósoperatória e diminuição do uso de anestésicos locais. Em estudo comparativo entre cirurgia convencional e laser de CO2 em lesão de mucosa, a cicatrização foi melhor no grupo do laser, tendo aspecto final mais estético, uma vez que no grupo da técnica convencional ocorreram casos de formação de queloides, além da diminuição do sulco gengivo-vestibular, dificultando a adaptação de dispositivos protéticos (Bavaresco, et al, 2019;Çayan, et al, 2019;de Jesus, et al, 2020).…”

Section: Introductionunclassified

“…Quando comparado aos métodos convencionais de cirurgia, ele permite mais facilidade de manuseio ao cirurgião, precisão de incisão, diminuição no tempo cirúrgico e melhora da visibilidade tecidual durante a cirurgia (por permitir a coagulação e selamento dos vasos sanguíneos durante a incisão), causando mínimos danos aos tecidos adjacentes ao corte. Estudos não apontaram diferenças significativas na avaliação dos parâmetros clínicos trans e pós-operatórios para a remoção de HFI utilizando o laser ou o eletrocautério, sendo ambas as técnicas cirúrgicas igualmente eficazes e seguras para o tratamento da HFI (Kafas et al, 2010;Canuto, et al, 2017;Novais, et al, 2018;Çayan, et al, 2019;de Jesus, et al, 2020).…”

Section: Introductionunclassified

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Hiperplasia fibrosa inflamatória por uso de prótese desadaptada: Considerações terapêuticas e relato de caso

Martorelli

Ribeiro

et al. 2021

RSD

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A Hiperplasia Fibrosa inflamatória (HFI) conhecida como Epúlide Fissurada é considerada uma lesão proliferativa frequente na cavidade bucal, é geralmente assintomática, resultante de uma reação hiperplásica do tecido conjuntivo. Tem como tratamento de eleição a exérese cirúrgica que pode ser empreendida por bisturi frio (convencional), cirurgia a laser, eletrocirurgia e crioterapia. A metodologia utilizada foi uma busca ativa em base de dados eletrônicos no Pubmed/ Medline, Scielo, Portal Periódicos CAPES e LILACS em artigos científicos publicados nos últimos 10 anos na língua inglesa e língua portuguesa, utilizando os descritores: Hyperplasia, Denture, Complete, Pathology, Oral, Surgery, Oral. Após os critérios de elegibilidade foram selecionados os artigos e relatado o caso clínico para discussão das condutas de diagnóstico e tratamento. O objetivo deste trabalho busca relatar um caso clínico de HFI como também realizar uma breve comparação dos métodos de tratamento que podem ser empreendidos no tratamento das HFI. Relato de Caso: Paciente do gênero feminino, 73 anos de idade, com queixa principal de crescimento tecidual em região gengival e incômodo ao uso de prótese total, foi tratada por eletrocirurgia de forma satisfatória. Conclusão: A eletrocirurgia é o método mais acessível e eficaz no tratamento cirúrgico da Epúlide Fissurada.

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Diode laser surgery versus electrocautery in the treatment of inflammatory fibrous hyperplasia: a randomized double-blind clinical trial

Cited by 6 publications

References 38 publications

Management of Mucocele of the Glands of Blandin-Nuhn With a High-Intensity Laser: A Case Report

Management of Mucocele of the Glands of Blandin-Nuhn With a High-Intensity Laser: A Case Report

Gingival overgrowth approached using recent mechanical and laser technologies: A case report

Hiperplasia fibrosa inflamatória por uso de prótese desadaptada: Considerações terapêuticas e relato de caso

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