Is the 810-nm diode laser the best choice in oral soft tissue therapy?

Abstract

Objective:To evaluate the safety and efficacy of an 810-nm diode laser for treatment of benign oral soft tissue lesions.Materials and Methods:Treatment with the 810-nm diode laser was applied to a group of eighteen patients with pathological frenulum and epulis fissuratum; five patients with oral lichen planus, oral leukoplakia, and mucous membrane pemphigoid; and four patients with pyogenic granuloma.Results:Although the conventional surgery wound heals in a fairly short time, in the present study, the simple oral soft tissue lesions healed within two weeks, the white and vesiculobullous lesions healed completely within six weeks, and the pyogenic granuloma lesions healed within four weeks. Any complication was treated by using the 810-nm diode laser.Conclusions:Patient acceptance and satisfaction, without compromising health and function, have been found to be of a high degree in this present study. Thus, we can say that the use of the 810-nm diode laser may indeed be the best choice in oral soft tissue surgery.

Active surveillance for intraosseous mandibular haemangioma. Case report and literature review

“…Today this radiological examination is increasingly replaced by dynamic MRA, which is much less invasive [7,9].…”

Management of a Recurrent Pyogenic Granuloma of the Hard Palate with Diode Laser: A Case Report

“…Like Nd:YAG and CO 2 lasers, diode lasers have the capability to cut or to vaporize soft tissues. 33,39,40 In addition, Janda et al 41 pointed out that diode laser had low thermal effect on depth of carbonized zones at the surface of the tissue in histological examination. Although in our study the depth of carbonized zone would be negligible due to the lesion's large size, likewise we observed similar findings too.…”

“…Recently several other researchers preferred diode laser when performing excision of PGs. 2,3,33,34 In our case we chose diode laser because it ensures relatively bloodless surgical field, which is crucial in these hemorrhagic lesions, improves hemostasis and coagulation, and leaves minimal swelling and scarring after surgery. Several studies have reported that after simple excision, recurrence occurs in up to 16% of lesions.…”

“…3,13,36 PG is most commonly treated by surgical excision; but many other treatment modalities, including various types of laser, have also been successfully used. 2,3,8,9,[27][28][29][30][32][33][34]37 Laser surgery offers more benefits compared to conventional treatment modalities such as reduced bleeding, instant sterilization, reduced bacteremia, less need for sutures and/or post-surgical dressing, decreased pain and edema during and after the procedure, less wound contraction and minimal scar tissue formation, faster healing process and increased patients acceptance. 8,38 The effectiveness of the flash lamp pulsed dye laser for the treatment of cutaneous PG have been reported by numerous authors for decades.…”

“…During the excision, irritant agents such as dental plaque, calculus, foreign bodies, defective restoration and source of trauma should be eliminated. 9,11 Otherwise electric cauterization, 18 cryosurgery, 19,20 sodium tetradecyl sulfate sclerotherapy, 21,22 monoethanolamine oleate ligation, absolute ethanol injection, 23 cauterization with silver nitrate, 24 intralesional steroids, 25 flash lamp pulsed dye laser, [26][27][28][29][30] neodymium-doped yttrium aluminium garnet (Nd:YAG) laser, 8,31 carbon dioxide (CO 2 ) laser, 32 erbium-doped yttrium aluminum garnet (Er:YAG) laser 9 and diode laser 2,3,33,34 have also been used by various clinicians to eliminate the lesion. Although PG does not show infiltrative tendency or malignant transformation potential, the recurrence rate after simple excision is comparatively high (about 16%); thus in some cases re-excision is required.…”