Treatment of Oral Fibroma of the Tongue Using Erbium, Chromium:Yttrium‐Scandium‐Gallium‐Garnet Laser: Report of Two Cases

Abstract

Introduction: Fibroma is a benign tumor that is composed of fibrous connective tissue (CT) and is also known as irritation or traumatic fibroma. It represents a reactive hyperplasia of fibrous CT in response to local irritation or trauma. The aim of the present case report is to evaluate the treatment outcome of two cases of fibroma of the tongue after excision with an erbium, chromium:yttrium‐scandium‐gallium‐garnet (Er,Cr:YSGG) laser. Case Presentation: Two patients presented with the chief complaint of growth on the dorsal surface of the tongue, which was causing constant irritation as well as esthetic concerns. After examination, the growths were excised with an Er,Cr:YSGG laser in non‐contact mode at a power setting of 1.5 W, 20 Hz frequency and with a spray of 9% water and 13% air. This resulted in less blood in the operating field and minimal patient discomfort. No sutures were used; instead, a laser bandage was applied. The healing was uneventful and patients did not require postoperative analgesics. The histopathologic report confirmed the presurgical diagnosis. No relapse was observed at the 1‐year follow‐up. Conclusions: The Er,Cr:YSGG laser works at cellular levels and promotes tissue repair by photo modulation. It causes negligible bleeding and postoperative discomfort with minimal need of local anesthesia and better patient compliance. Therefore, the Er,Cr:YSGG laser may be considered a patient‐ and clinician‐friendly tool.

Minimally Invasive Management of Pericoronal Abscess using 810 nm GaAIAs Diode Laser

“…Apart from conventional mechanical debridement and operculectomy with scalpel, electrosurgery has been utilized effectively to excise gingival tissue while simultaneously providing adequate hemostasis. 7 Heat generation with this technique, however, occurs to a degree where an irreversible damage to the alveolar crest may result. 8 The 810 nm GaAlAs diode laser has a very good surgical and hemostatic action during soft tissue surgeries in oral cavity.…”

“…11 Surgical lasers have been found to remove diseased pocket lining epithelium, detoxify root surfaces, and assist with coagulation. 7,12 Diode lasers used in softtissue surgeries treat oral tissues in a minimally invasive manner. Pericoronal microflora around mandibular third molars has a wide spectrum, with majority being anaerobic.…”