Successful management of recurrent mucocele by diode laser and thermoplasticised splint as an adjunctive therapy

Background. Mucocele is the most common minor salivary glands disease. Its management may present a challenge for dental professionals. The aim of the present clinical case was to describe mucocele treatment with diode laser and its benefits. Case Report. A case of lower lip mucocele in a 10-year-old female patient is reported. A conventional excision surgery was performed. Two months later, the patient reported discomfort and swelling at the same operative site. The lesion had recurred. Thus, mucocele was removed using a diode laser with wavelength of 980 nm, an initiated fiberoptic tip of 300 μm, in continuous mode, and a power setting of 2 Watts. The procedure was rapidly completed with no bleeding. The patient was followed-up after 2 weeks and 6 months. The wound healed without complications: no postoperative discomfort or pain and no infection. There was no recurrence. Conclusion. Diode laser is an effective, easy, bloodless, and well-accepted procedure to treat mucocele in pediatric patients.

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“…Laser diode treatment has proven a satisfying result when used to treat oral soft tissues [ 19 ] especially for young patients [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Recurrent Oral Mucocele Management with Diode Laser

Besbes

Elelmi

Khanfir

et al. 2020

Case Reports in Dentistry

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“…As shown in Table 1 . A total of 17 studies fulfilled the criteria: case reports, case series, and a cohort study [ 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]. The inter-examiner reliability score (Kappa score) was calculated to be 0.82.…”

Section: Resultsmentioning

confidence: 99%

“…The general characteristics and outcomes of the studies reviewed are summarized in Table 2 . A total of seventeen studies were included in the systematic review, eleven of which were case reports (all prospective), five case series (two prospective and three retrospective), and a single cohort study (prospective) [ 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]. A total of 183 pediatric patients with mucoceles were treated with lasers.…”

Section: Resultsmentioning

confidence: 99%

“…2 studies also reported cases of surgical excision via scalpel, along with cases of laser treatment [ 24 , 26 ]. Mucoceles of a wide variety of sizes and diameter were treated, with the majority being of extravasation type [ 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ], while only one study also reported mucoceles of the retention type [ 24 ]. The lower lip was the common site in all studies, but mucoceles at other locations were also reported that included buccal mucosa, tongue, floor of mouth, palate, and upper lip [ 24 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…The lower lip was the common site in all studies, but mucoceles at other locations were also reported that included buccal mucosa, tongue, floor of mouth, palate, and upper lip [ 24 , 26 ]. 10 studies used diode lasers of various wavelengths (635 nm, 808 nm, 810 nm and 980 nm) [ 25 , 27 , 28 , 29 , 30 , 31 , 33 , 35 , 36 , 37 ], 5 used CO 2 laser (10, 600 nm) [ 21 , 22 , 24 , 26 , 32 ], 3 utilized Er,Cr:YSGG laser (2780 nm) [ 23 , 27 , 34 ], while 1 study also employed a KTP laser (532 nm) in the treatment [ 27 ]. Only two studies reported energy doses used during the procedure [ 32 , 37 ].…”

Section: Resultsmentioning

confidence: 99%

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The Effectiveness of Lasers in Treatment of Oral Mucocele in Pediatric Patients: A Systematic Review

et al. 2022

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The mucocele is the most common minor salivary gland associated disease of the oral cavity. It is also considered one of the most common biopsied oral lesions in pediatric patients. In recent years, extensive evidence has been published about the usage of lasers in treating mucoceles in pediatric patients. The aim of the present study was to assess the effectiveness of laser irradiation in the treatment of pediatric mucocele. An electronic search of databases (PubMed, Scopus, Web of Science and Google Scholar) was carried out in order to identify all relevant articles using a combination of the following keywords: “Pediatric”, “Oral”, “Mucocele”, “Dental”, “Oral Medicine”, “Soft Dental Lasers”, “Hard Dental Lasers”, and “Lasers,” for all case reports, case series, case-control and cohort studies published from 2007 to 2021. After limiting the search results, removing duplicate titles, and eligibility evaluation, 17 papers were enrolled in the study. Out of the total studies included, 10 articles were related to the diode (635 nm, 808 nm, 810 nm, and 980 nm), 5 to CO2 (10,600 nm), 3 to Er, Cr: YSGG (2780 nm), and 1 involving KTP lasers (532 nm). All studies indicated successful clinical results on mucocele excision with better intra- and post-operative indicators. The general characteristics and outcomes were summarized, and the quality of the studies was assessed using CARE guidelines in this systematic review. The reduction or absence of pain and bleeding, hemostasis, reduced operating time, minimal analgesic consumption, and an antibacterial effect were among the advantages of laser irradiation in the included studies. The laser has proven itself to play an effective role in the treatment of oral mucocele in paediatric patients.

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Diode Laser-Assisted Surgical Therapy for Early Treatment of Oral Mucocele in a Newborn Patient: Case Report and Procedures Checklist

Vitale

Sfondrini

Croci

et al. 2018

Case Reports in Dentistry

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Mucocele (also known as ranula or salivary gland mucous cyst) of the newborn is a lesion present on the intraoral cavity, with the potential to interfere with respiration and feeding. In the present report, a case of mucocele in a 4-month female patient has been described. As conventional surgery can be followed by several complications such as intraoperative bleeding, difficulties in wound healing, and maintenance of sterility during surgery, in the present case, the use of diode laser has been planned. A topic anesthesia with lidocaine gel was performed. A diode laser (810 nm wavelength, continuous wave mode, power output of 3 watt, and 0.4 mm diameter fiber optic) was set for excising the lesion. The tip was directed at an angle of 10 to 15°, moving around the base of the lesion with a circular motion. The procedure was completed in 3 minutes. The patient was visited with a follow-up of 2 weeks and 4 months after excision. The intraoral wound healed without complications, and no signs of infection or mass recurrence were noted. The histopathological examination confirmed the diagnosis of mucocele. On the basis of the results of the present case report, the use of diode laser can be easily performed also in a noncompliant newborn patient for successful excision of mucocele lesions, and checklist of clinical procedures has been described.

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Successful management of recurrent mucocele by diode laser and thermoplasticised splint as an adjunctive therapy

Cited by 6 publications

References 1 publication

Recurrent Oral Mucocele Management with Diode Laser

Recurrent Oral Mucocele Management with Diode Laser

The Effectiveness of Lasers in Treatment of Oral Mucocele in Pediatric Patients: A Systematic Review

Diode Laser-Assisted Surgical Therapy for Early Treatment of Oral Mucocele in a Newborn Patient: Case Report and Procedures Checklist

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