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.

Diode laser - oral soft tissue lesions - oral surgery - white lesions

• REFERENCES

• 1 Desiate A, Cantore S, Tullo D, Profeta G, Grassi FR, Ballini A. 980 nm diode lasers in oral and facial practice: Current state of the science and art. Int J Med Sci 2009; 6: 358-64
• 2 Kafas P, Stavrianos C, Jerjes W, Upile T, Vourvachis M, Theodoridis M. et al. Upper-lip laser frenectomy without infiltrated anaesthesia in a paediatric patient: A case report. Cases J 2009; 2: 7138
• 3 Ishikawa I, Aoki A, Takasaki AA. Clinical application of erbium: YAG laser in periodontology. J Int Acad Periodontol 2008; 10: 22-30
• 4 Genovese WJ, dos Santos MT, Faloppa F, de Souza Merli LA. The use of surgical diode laser in oral hemangioma: A case report. Photomed Laser Surg 2010; 28: 147-51
• 5 Aras MH, Göregen M, Güngörmüº M, Akgül HM. Comparison of diode laser and Er: YAG lasers in the treatment of ankyloglossia. Photomed Laser Surg 2010; 28: 173-7
• 6 Saetti R, Silvestrini M, Cutrone C, Narne S. Treatment of congenital subglottic hemangiomas: Our experience compared with reports in the literature. Arch Otolaryngol Head Neck Surg 2008; 134: 848-51
• 7 Goharkhay K, Moritz A, Wilder-Smith P, Schoop U, Kluger W, Jakolitsch S. et al. Effects on oral soft tissue produced by a diode laser in vitro . Lasers Surg Med 1999; 25: 401-6
• 8 Pick RM, Colvard MD. Current status of lasers in soft tissue dental surgery. J Periodontol 1993; 64: 589-602
• 9 Vivek V, Jayasree RS, Balan A, Sreelatha KT, Gupta AK. Three-year follow-up of oral leukoplakia after neodymium: Yttrium aluminum garnet (Nd: YAG) laser surgery. Lasers Med Sci 2008; 23: 375-9
• 10 van der Hem PS, Egges M, van der Wal JE, Roodenburg JL. CO 2 laser evaporation of oral lichen planus. Int J Oral Maxillofac Surg 2008; 37: 630-3
• 11 Gontijo I, Navarro RS, Haypek P, Ciamponi AL, Haddad AE. The applications of diode and Er: YAG lasers in labial frenectomy in infant patients. J Dent Child 2005; 72: 10-5
• 12 Strauss RA, Fallon SD. Lasers in contemporary oral and maxillofacial surgery. Dent Clin North Am 2004; 48: 861-88
• 13 D’Arcangelo C, Di Nardo Di Maio F, Prosperi GD, Conte E, Baldi M, Caputi S. A preliminary study of healing of diode laser versus scalpel incisions in rat oral tissue: A comparison of clinical, histological, and immunohistochemical results. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103: 764-73
• 14 Kara C. Evaluation of patient perceptions of frenectomy: A comparison of Nd: YAG laser and conventional techniques. Photomed Laser Surg 2008; 26: 147-52
• 15 Carbone M, Gross E, Carozzo M, Castellano S, Conrotto D, Brocoletti R. et al. Systemic and topical corticosteroids treatment of oral lichen planus: A comparative study with long-term follow up. J Oral Pathol Med 2003; 32: 323-9
• 16 Buajeeb W, Pobrurksa C, Kraiva-Phan P. Efficacy of fluocinolone acetnide gel in the treatment of oral lichen planus. Oral Surg Oral Med Oral Pathol 2000; 89: 42-45
• 17 Epstein JB, Gorsky M. Topical application of vitamin A to oral leukoplakia: A clinical case series. Cancer 2000; 86: 921-7
• 18 Saito T, Sugiura C, Hirai A, Notani K, Totsuka Y, Shindoh M. et al. Development of squamous cell carcinoma from pre-existent oral leukoplakia: With respect to treatment modality. Int J Oral Maxillofac Surg 2001; 30: 49-53
• 19 Ishi J, Fujita K, Munemoto S, Komori T. Management of oral leukoplakia by laser surgery: Relation between recurrence and malignant transformation and clinicopathological features. J Clin Laser Med Surg 2004; 22: 27-33
• 20 Whiteside OJ, Martinez Devesa P, Ali I, Capper JW. Mucous membrane pemphigoid; nasal and laryngeal manifestations. J Laryngol Otol 2003; 117: 885-8
• 21 Silverman S Jr, Gorsky M, Lozada-Nur F, Liu A. Oral mucous membrane pemphigoid. A study of sixty-five patients. Oral Surg Oral Med Oral Pathol 1986; 61: 233-7
• 22 Chan LS, Ahmed AR, Anhalt GJ, Bernauer W, Cooper KD, Elder MJ. et al. The first international consensus on mucous membrane pemphigoid: Definition, diagnostic criteria, pathogenic factors, medical treatment, and prognostic indicators. Arch Dermatol 2000; 138: 370-9
• 23 Raulin C, Greve B, Hammes S. The combined continuous-wave/pulsed carbon dioxide laser for treatment of pyogenic granuloma. Arch Dermatol 2002; 138: 33-7
• 24 Powell JL, Bailey CL, Coopland AT, Otis CN, Frank JL, Meyer I. Nd: YAG laser excision of giant gingival pyogenic granuloma of pregnancy. Lasers Surg Med 1994; 14: 178-183
• 25 Glass AT, Milgraum S. Flashlamp-pumped pulsed dye laser treatment for pyogenic granuloma. Cutis 1992; 49: 351-353
• 26 Goldberg DJ, Sciales CW. Pyogenic granuloma in children: Treatment with the flashlamp-pumped pulsed dye laser. J Dermatol Surg Oncol 1991; 17: 960-962