The efficacy of low-level laser therapy in treating oral papilloma: A case reporting a lingual location

Abstract

Oral papilloma is a benign proliferation of the stratified epithelium, which results in a papillary or verrucous exophytic mass, which can be induced by human papillomavirus. These oral mucosa lesions are most often asymptomatic and have small progression. Laser-assisted surgery is common nowadays with several advantages including successful hemostasis, devoid of sutures, wound sterilization and minimal postoperative pain, and edema. The aim of this report is to present the oral papilloma in a 40-year-old female patient and its treatment with soft-tissue laser. The lesion was excised with diode laser, and the healing was uneventful in a follow-up visit after 1 month. Oral papillomas can be found in young adult patient's oral cavity, and laser dentistry can be used by dental clinicians to treat these kinds of oral lesions and should be considered as an alternative to conventional surgery.

Human Papilloma Virus: Current Knowledge and Focus on Oral Health

“…The application of low-level laser therapy (LLLT) protocols to the oral manifestations of viral infections and in particular to the relapses of cold sores (herpes simplex virus 1) [ 58 ] is justified by the accelerated healing of the wounds with simultaneous reduction of pain, both key factors in the recurrence of the labial resulting - not often painful and subject to slow healing processes. These aspects are associated with the stimulating action of the patient's immune response, reported for the LLLT [ 59 – 61 ]. It is good to keep in mind that, by virtue of the multifocality of the HPV oropharyngeal infection, the surgical removal of the lesion does not guarantee the eradication of the infection, since HPV-DNA could persist in the adjacent healthy mucosa [ 62 , 63 ].…”