Cryotherapy for localized juvenile spongiotic gingival hyperplasia: preliminary findings on two cases

Abstract

Cryotherapy appears to be successfully in LJSGH and well received by paediatric patients.

Localized Juvenile Spongiotic Gingival Hyperplasia: A Report of Four Cases and Literature Review

“…After clinical and/or histopathologic diagnosis, there is no specific treatment for LJSGH except surgery . Although it has been suggested that many cases of LJSGH undergo spontaneous resolution, no prospective study has been carried out to confirm this hypothesis . Nor have spontaneously resolving cases been reported in the 10‐year interval since the lesion's first description.…”

“…The majority of localized cases in the literature have been treated by surgical excision with a significant recurrence rate (6% to 16%) . There have been no consistent correlations with exclusive factors of each patient to suggest a reason for the recurrence .…”

“…Therefore, new therapeutic approaches to treat LJSGH are necessary . Cryotherapy seems to be a potential option to treat LJSGH.…”

“…Cryotherapy seems to be a potential option to treat LJSGH. Recently, the technique was positively applied in two cases reported . The authors described the technique's particular advantages over surgery, and it is well accepted by pediatric patients.…”

Cryotherapy as a conservative treatment modality for gingival enlargement in a patient with Sturge-Weber Syndrome

“…When nitrous oxide is released from high pressure inside the cryoprobe to the lower pressure cryotip, the drop in temperature allows freezing of the tissues to occur (6,10). Current protocols suggest for most benign mucosal lesions a 1-2 minute freeze/thaw cycle, for premalignant/malignant lesions three 2 minute freeze/thaw cycles and for smaller lesions, shorter freeze cycles (20-30 seconds) using a cryoprobe are adequate (6,10).…”