Oral Leukoplakia Management using Diode LASER: A Case Report

Chaudhri, Shweta; Singh, Aditya; Tiwari, Jay Dutt

doi:10.7860/jcdr/2019/42044.13095

Cited by 2 publications

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“…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%

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: 99%

Managing leukoplakia with diode laser: A report of two cases

Bacholkar

Navalkar²

2023

IJOHD

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“…The results of our study were in accordance with the studies performed by Kharadi et al .,[ 20 ] Reddy Kundoor et al .,[ 21 ] Praveen et al .,[ 22 , 23 ] Ramwala[ 24 ] and Chaudhri et al . [ 25 ] These studies concluded that the diode laser provides clinical improvement with minimal side effects and thus can be considered one of the best treatment modalities for leukoplakia. These studies are summarised in Table 4 .…”

Section: Discussionmentioning

confidence: 99%

Diode Laser in the Management of Leukoplakia - A Retrospective Study

Shivhare

Haidry

Kumar

et al. 2022

Annals of Maxillofacial Surgery

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Introduction: Leukoplakia is among the most common potentially malignant disorders encountered in clinical dental practice. The treatment of leukoplakia includes nonsurgical and surgical management. The surgical treatment includes excision, electrocauterisation, laser surgery or cryosurgery. This retrospective study aimed to analyse the efficacy of diode lasers in the management of leukoplakia. Methods: The sample consists of 56 cases with 77 leukoplakia sites treated with diode laser between January 2018 and December 2020 with a minimum of six months follow-up. For each patient, personal data was collected along with site of lesions, leukoplakia phase, type of treatment performed (laser ablation or laser excision), side effects, recurrences and malignant transformation. Inferential statistical analysis was then conducted. Results: After applying exclusion criteria, 56 cases with 77 leukoplakia sites were included in this study. Males aged >45 years were predominantly affected. Homogeneous leukoplakia (48.1%) was the most common phase. Recurrences were noted in 19.48% of the cases. Compared to laser excision, laser ablation had more recurrences. Gingival lesions showed a higher recurrence rate than other sites in the oral cavity. None of the cases showed malignant transformation. Discussion: Laser offers many advantages over other conventional methods including lesser postoperative pain and swelling, bloodless dry operating field and increased patient comfort and requires minimal local anaesthesia. The study concluded that diode laser is an effective surgical treatment modality for treating leukoplakia. Furthermore, the laser excision technique was found to be superior to laser ablation due to lesser recurrence.

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Oral Leukoplakia Management using Diode LASER: A Case Report

Cited by 2 publications

References 0 publications

Managing leukoplakia with diode laser: A report of two cases

Managing leukoplakia with diode laser: A report of two cases

Diode Laser in the Management of Leukoplakia - A Retrospective Study

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