A case series of treatment of oral mucosal lesions using diode lasers

Katara, Akshay; Waghmare, Mandavi; Kadakia, Naisargi; Samson, Sejal; Minhas, Roshni

doi:10.4103/sdj.sdj_28_20

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…Hence, laser surgery is an excellent treatment procedure for management of potentially malignant lesions. Similarly, in a case series reported by Katara et al, 3 five patients with diagnoses of arteriovenous malformation, homogeneous leukoplakia, mucocele, traumatic fibroma, and erosive lichen planus were treated with a diode laser of wavelength 940nm. On the basis of regular follow up, they observed that complete healing of the lesion was rapidly achieved with minimal discomfort.…”

Section: Discussionmentioning

confidence: 96%

“…Previous studied have reported good post-operative healing with no complications in case of laser resection of leukoplakia. [2][3][4][5][6] Wladimir Gushiken de 7 in their reported analysis of 37 cases of laser excision of leukoplakia, reported that in 13/37 patients, leukoplakia recurred; and 8/37 patients, a malignant transformation occurred. Frame et al have reasoned that the new epithelium formed after laser application which migrates from the periphery to cover the wound may originate from an area of potentially unstable mucosa thereby explaining the recurrence.…”

Section: Discussionmentioning

confidence: 99%

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Managing leukoplakia with diode laser: A report of two cases

Bacholkar

Navalkar²

2023

IJOHD

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Oral leukoplakia is the most common precancerous lesion of the oral mucosa. WHO defined it as a lesion which has a white patch or plaque on the oral mucosa that cannot be removed by scraping and cannot be classified clinically or microscopically as another disease process. Management of oral leukoplakia should begin with elimination of predisposing habit. There are currently different approaches in the management of Leukoplakia such as scalpel surgery, systemic carotenoids and antioxidants, electro cauterization, cryotherapy and Lasers. Even though on-surgical options are preferred choice of treatment, it takes time to achieve complete regression of lesion and sometimes may not achieve complete resolution. On the other hand, conventional surgical techniques are invasive and cause trauma to the patient. Excision of precancerous oral lesions using LASER offers comparative advantages over traditional scalpel excision. Laser is an acronym for Light Amplification by stimulated emission of radiation. It is surgical technique which excises the targeted tissue using emission of a monochromatic light of specific wavelength. Because of this property, laser excision of the tissue results in complete bloodless field of surgery, reduced chances of post-surgical inflammation and infections and hence better treatment compliance of the patients towards the surgery. This is one of the important goals for management of oral potentially malignant disorders. We present two case reports of homogeneous leukoplakia treated using diode lasers of wavelength 810nm with follow-up. Both cases did not report any post-operative discomfort or inflammation. The aim of this case report is to highlight the importance of laser excision with minimal complications and better treatment outcomes.

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Section: Discussionmentioning

confidence: 96%