Comparative Evaluation of Efficacy and Safety of the Diode Laser (980 nm) and Sclerotherapy for the Treatment of Oral Pyogenic Granuloma

Abstract

Background Pyogenic granuloma (PG) is a tumor-like, non-neoplastic lesion of the soft tissue that commonly appears in the oral cavity. Various treatment modalities have been discussed, including surgical excision, cryosurgery, curettage, electrodessication, corticosteroid injection, sclerotherapy, and lasers. This observational retrospective study compared effectiveness between diode lasers and sclerotherapy for PG treatment. Materials and Methods From July 2016 to January 2021, data of oral PG cases treated with sclerotherapy and diode lasers were gathered. Patients were evaluated and categorized according to their gender, sex, site of lesions, size of lesions, number of sessions, details of side effects, details of the VAS (Visual Analogue Scale) on third postoperative day, response of treatment to individual groups, time required for complete resolution, and details of recurrence. Inferential statistical analysis was performed. Results We included 73 patients, of whom 43 and 30 received laser and sclerotherapy treatment, respectively. Compared with the sclerotherapy group, the laser group had less side effects including pain, edema, ulceration, ecchymosis, infections, and scarring. The difference in postoperative pain (VAS scale) between the groups was statistically significant ( p -value 0.004). Complete remission was seen in the laser group, while 3 cases of the sclerotherapy group had no response ( p -value −0.034). The laser group experienced greater recurrence than did the sclerotherapy group. Conclusions Both sclerotherapy with laser and 3% sodium tetradecyl sulfate are effective for treating oral PG. Sclerotherapy is more effective in preventing recurrence. In terms of side effects, diode lasers are superior to sclerotherapy.

Diagnosis and management of exuberant palatal pyogenic granuloma in a systemically compromised patient – Case report

“…Complete and conservative surgical excision is still the therapeutic modality most used by most oral surgeons, although alternative treatments with diode laser and sclerotherapy have shown promising results for some patients. 23 Nevertheless, the significance of periodontal treatment is emphasized, as meticulous scaling and root planning of the teeth proximal to the lesion are essential. This process aims to eliminate local irritants and prevent the recurrence of the lesion.…”

Lymphangioma of the Oral and Maxillofacial Region: A Report of Three Cases

“…Fibrosis and contracture eventually cause the lesion to disappear [ 7 ]. Because of their safety and efficacy, sodium tetradecyl sulfate (STS), OK-432, monoethanolamine oleate, polidocanol, hypertonic glucose solution, ethanol, sodium morrhuate, bleomycin, and corticosteroids have been used in various oral diseases, including vascular malformation, pyogenic granuloma, mucocele, and ranula [ 7 , 13 , 14 ].…”