Nd:YAG laser excision of a giant gingival pyogenic granuloma of pregnancy

Powell, John L.; Bailey, Cheryl L.; Coopland, A. T.; Otis, Christopher N.; Frank, James L.; Meyer, Irving

doi:10.1002/1096-9101(1994)14:2<178::aid-lsm1900140211>3.0.co;2-w

Cited by 77 publications

(50 citation statements)

References 14 publications

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“…[26][27][28][29] Meffert et al 30 used the flash lamp pulsed dye laser to treat a resolute intraoral mass of granulation tissue, and deduced that a series of treatments with the pulsed dye laser worked well on this lesion. Powell et al 31 reported one of the first uses of Nd:YAG laser for excision of PG, and noticed decreased risk of bleeding in comparison to other methods along with superior coagulation characteristics; which were the reasons why they chose Nd:YAG laser. Kocaman et al 8 proposed the use of Nd:YAG laser in the treatment of PG, due to its effect of decreasing bleeding during operation with a consequent reduction in operating time, promoted postoperative hemostasis and better patient acceptance.…”

Section: Discussionmentioning

confidence: 91%

“…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.…”

Section: Introductionmentioning

confidence: 99%

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

Erbaşar¹,

Şengüven

Gültekin

et al. 2016

J Lasers Med Sci

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IntroductionPyogenic granuloma (PG) is a prevalent, benign mucocutaneous lesion exhibited by an exuberant tissue, caused by a local irritation or trauma.1-3 It was first described in English literature by Hullihen 4 in 1844; but the term 'pyogenic granuloma' or 'granuloma pyogenicum' was presented by Hartzell 5 in 1904. However, the term 'pyogenic granuloma' can be a misnomer because the lesion neither causes pus formation nor it represents a true granuloma, histologically. Some researchers use the term "lobular capillary hemangioma" which is histologically a more accurate term for this lesion. 2,6,7 Clinically, PG appears as a sessile or pedunculated exophytic mass with smooth or lobulated surface that may easily bleed or ulcerate, and covered by yellow fibrinous membrane. The color of the lesion depends on the vascularity of the growth, so it can be red, purple or pink. 1,3,[8][9][10] In the 75% of all cases, gingiva is the most affected site by PG. Aside from the gingiva it is also encountered on the lips, tongue, buccal mucosa and the hard palate. The maxillary gingiva is more commonly affected than the mandibular one and the anterior region more than the posterior. Also the lesions are more frequently on the buccal side of the gingiva than the lingual side. 6,10,11 The lesion usually develops slowly, without pain and asymptomatically. But in some cases it may develops fast, reaches its full size and remains stable. The size ranges from a few millimeters to several centimeters but it rarely Gazi University, School of Dentistry, Department of Oral Surgery, Ankara, Turkey Abstract Introduction: Pyogenic granuloma (PG) is a prevalent inflammatory hyperplasia of skin and oral mucosa which is often caused by constant low-grade local irritation, traumatic injury or hormonal factors. In many cases, gingival irritation and inflammation due to poor oral hygiene are precipitating factors. Oral PG occurs predominantly on the gingiva, but it is also encountered on the lips, tongue, buccal mucosa and rarely on the hard palate. Although surgical excision is the first choice of treatment, many other treatment modalities could be counted such as cryosurgery, sodium tetradecyl sulfate sclerotherapy, intralesional steroids, flash lamp pulsed dye laser, neodymium-doped yttrium aluminium garnet (Nd:YAG) laser, carbon dioxide (CO2) laser, erbium-doped yttrium aluminum garnet (Er:YAG) lasers and diode laser have been suggested. After surgical excision recurrence occurs up to 16% of these lesions. It is believed that recurrence ensues as a result of incomplete excision, failure to eliminate etiologic factors or repeated trauma. Case Report: A 50-year-old female was referred to the Department of Oral Surgery, Gazi University, School of Dentistry, complaining of a swelling and growth on the right side of the hard palate for four months. Patient reported a similar growth in the same area about two years earlier, which had turned out to be a PG by histopathology. The treatment plan included surgical excision of the lesion using diode ...

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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

Erbaşar¹,

Şengüven

Gültekin

et al. 2016

J Lasers Med Sci

View full text Add to dashboard Cite

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“…Operation during pregnancy is not a preferred therapy method since it shows recurrency. If there is excess bleeding an chewing disorders that disturb patients comfort and daily life surgical tretment can be taken into concideration as shown in some studies 2,17,19 . In over study we didn't consider surgical treatment because the patient stated that she did not have the complaints that we mentioned above.…”

Section: Discussionmentioning

confidence: 99%

ORAL HEALTH DURING PREGNANCY AND THE CLINIC APPEARANCE OF PREGNANCY TUMOR (Case Report)

Kılınç¹,

Koca²

2015

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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The aim of this case report is to introduce pregnancy tumors and to emphasize the importance of oral health during pregnancy. Pregnant patient within 34th week of her pregnancy applied our clinic for tuberance and bleeding problems in her gingiva. In her oral examination she was diagnosed with pregnancy tumor. Oral hygiene education was taught to the patient and appropriate dental treatment was made. Bad oral hygiene and increased hormanal levels have an important role in the etiology of pregnancy tumor. It is imported that gynecologist direct their pregnant patients to the dentists and have the appropriate treatment.

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“…Powell ve ark. [7], Nd:YAG lazeri lezyonun eksizyonu için kullanmış ve düşük kanama riski ve diğer cerrahi tedavilerle uygulanabilirliği yüzünden alternatif tedavi olarak düşünmüşler. White ve ark.…”

Section: Discussionunclassified

A Rare Case Presentation of Pyogenic Granuloma of the Auricula with Literature Review

Selçuk¹

2015

Ann Clin Anal Med

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Nd:YAG laser excision of a giant gingival pyogenic granuloma of pregnancy

Cited by 77 publications

References 14 publications

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

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

ORAL HEALTH DURING PREGNANCY AND THE CLINIC APPEARANCE OF PREGNANCY TUMOR (Case Report)

A Rare Case Presentation of Pyogenic Granuloma of the Auricula with Literature Review

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