The use of surgical Nd:YAG laser in an oral pyogenic granuloma: A case report

Kocaman, Gülhan; Belduz, Nihal; Erdogan, Ceren; Özbek, Elvan; Sadik, Elif; Kara, Cankat

doi:10.3109/14764172.2014.910078

Cited by 24 publications

(36 citation statements)

References 20 publications

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“…Moreover, PG causes functional problems with mastication, swallowing, speaking and may create esthetic problems. 8,10,36 In this study the lesion was also painless though it caused discomfort and bleeding while eating, which made the patient go seeking for treatment. Even though PG is seen in a wide age range, the incidence culminates during the second decade of life, and females seem to be twice more affected.…”

Section: Discussionmentioning

confidence: 98%

“…3,13,36 PG is most commonly treated by surgical excision; but many other treatment modalities, including various types of laser, have also been successfully used. 2,3,8,9,[27][28][29][30][32][33][34]37 Laser surgery offers more benefits compared to conventional treatment modalities such as reduced bleeding, instant sterilization, reduced bacteremia, less need for sutures and/or post-surgical dressing, decreased pain and edema during and after the procedure, less wound contraction and minimal scar tissue formation, faster healing process and increased patients acceptance. 8,38 The effectiveness of the flash lamp pulsed dye laser for the treatment of cutaneous PG have been reported by numerous authors for decades.…”

Section: Discussionmentioning

confidence: 99%

“…The color of the lesion depends on the vascularity of the growth, so it can be red, purple or pink. 1,3,[8][9][10] In the 75% of all cases, gingiva is the most affected site by PG. Aside from the gingiva it is also encountered on the lips, tongue, buccal mucosa and the hard palate.…”

Section: Introductionmentioning

confidence: 99%

“…During the excision, irritant agents such as dental plaque, calculus, foreign bodies, defective restoration and source of trauma should be eliminated. 9,11 Otherwise electric cauterization, 18 cryosurgery, 19,20 sodium tetradecyl sulfate sclerotherapy, 21,22 monoethanolamine oleate ligation, absolute ethanol injection, 23 cauterization with silver nitrate, 24 intralesional steroids, 25 flash lamp pulsed dye laser, [26][27][28][29][30] neodymium-doped yttrium aluminium garnet (Nd:YAG) laser, 8,31 carbon dioxide (CO 2 ) laser, 32 erbium-doped yttrium aluminum garnet (Er:YAG) laser 9 and diode laser 2,3,33,34 have also been used by various clinicians to eliminate the lesion. Although PG does not show infiltrative tendency or malignant transformation potential, the recurrence rate after simple excision is comparatively high (about 16%); thus in some cases re-excision is required.…”

Section: Introductionmentioning

confidence: 99%

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Management of a Recurrent Pyogenic Granuloma of the Hard Palate with Diode Laser: A Case Report

Erbaşar¹,

Şengüven

Gültekin

et al. 2016

J Lasers Med Sci

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IntroductionPyogenic granuloma (PG) is a prevalent, benign mucocutaneous lesion exhibited by an exuberant tissue, caused by a local irritation or trauma.1-3 It was first described in English literature by Hullihen 4 in 1844; but the term 'pyogenic granuloma' or 'granuloma pyogenicum' was presented by Hartzell 5 in 1904. However, the term 'pyogenic granuloma' can be a misnomer because the lesion neither causes pus formation nor it represents a true granuloma, histologically. Some researchers use the term "lobular capillary hemangioma" which is histologically a more accurate term for this lesion. 2,6,7 Clinically, PG appears as a sessile or pedunculated exophytic mass with smooth or lobulated surface that may easily bleed or ulcerate, and covered by yellow fibrinous membrane. The color of the lesion depends on the vascularity of the growth, so it can be red, purple or pink. 1,3,[8][9][10] In the 75% of all cases, gingiva is the most affected site by PG. Aside from the gingiva it is also encountered on the lips, tongue, buccal mucosa and the hard palate. The maxillary gingiva is more commonly affected than the mandibular one and the anterior region more than the posterior. Also the lesions are more frequently on the buccal side of the gingiva than the lingual side. 6,10,11 The lesion usually develops slowly, without pain and asymptomatically. But in some cases it may develops fast, reaches its full size and remains stable. The size ranges from a few millimeters to several centimeters but it rarely Gazi University, School of Dentistry, Department of Oral Surgery, Ankara, Turkey Abstract Introduction: Pyogenic granuloma (PG) is a prevalent inflammatory hyperplasia of skin and oral mucosa which is often caused by constant low-grade local irritation, traumatic injury or hormonal factors. In many cases, gingival irritation and inflammation due to poor oral hygiene are precipitating factors. Oral PG occurs predominantly on the gingiva, but it is also encountered on the lips, tongue, buccal mucosa and rarely on the hard palate. Although surgical excision is the first choice of treatment, many other treatment modalities could be counted such as cryosurgery, sodium tetradecyl sulfate sclerotherapy, intralesional steroids, flash lamp pulsed dye laser, neodymium-doped yttrium aluminium garnet (Nd:YAG) laser, carbon dioxide (CO2) laser, erbium-doped yttrium aluminum garnet (Er:YAG) lasers and diode laser have been suggested. After surgical excision recurrence occurs up to 16% of these lesions. It is believed that recurrence ensues as a result of incomplete excision, failure to eliminate etiologic factors or repeated trauma. Case Report: A 50-year-old female was referred to the Department of Oral Surgery, Gazi University, School of Dentistry, complaining of a swelling and growth on the right side of the hard palate for four months. Patient reported a similar growth in the same area about two years earlier, which had turned out to be a PG by histopathology. The treatment plan included surgical excision of the lesion using diode ...

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of a Recurrent Pyogenic Granuloma of the Hard Palate with Diode Laser: A Case Report

Erbaşar¹,

Şengüven

Gültekin

et al. 2016

J Lasers Med Sci

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“…18,19 Additionally to these treatment modalities for PG and depigmentation, in the past decade, therapy with the Nd:YAG laser has emerged as a new alternative. 20,21 In soft tissue surgery, such as previous treatments, use of Nd:YAG laser has been widely accepted, because of its various advantages versus scalpel surgery. The Nd:YAG laser increases coagulation, support hemostasis, which leads a dry surgical field; the ability to accomplish smooth curvatures and tissue contours; tissue surface sterilization; decreases swelling, edema and pain; presents less side effects such as scarring and pigmentar changes.…”

mentioning

confidence: 99%

The Use of Nd:yag Laser in Patients With Oral Pyogenic Granuloma and Melanin Pigmentation: A Case Report and Review of the Literature

DOĞAN¹,

UYANIK²,

GÜRSAN³

et al. 2016

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Pyogenic granuloma (PG) is a well known oral lesion which occurs as response of tissue to chronic lowgrade irrititation, traumatic injury, hormonal factors and some drugs. PG occurs cosmetic deformity, recurrent hemorrhage, and functional problems in speaking, swallowing and chewing. Beside this, oral melanin pigmentation on gingiva may cause esthetic problem. A 28-year old female applied to our clinic with nodular gingival enlargement in the maxillary gingiva on the vestibular surface of the right central and lateral incisors. Also she complained from gingival hyperpigmentation in her mandibular and maxillar gingival region. In this case report, we presented the use of surgical Nd:YAG lasers for gingivectomy of soft mass and depigmentation of vestibular gingiva without any complication. Treatment with laser presents minimal postoperative problems, discomfort and scarring.

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Diode laser versus sclerotherapy: bloodless approaches in the treatment of oral pyogenic granuloma (randomised controlled clinical trial)

2022

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Oral pyogenic granuloma (PG) is traditionally treated by surgical excision which is associated with bleeding, pain and a high rate of recurrence. Our research aimed to clinically assess the effectiveness of diode laser versus sclerotherapy, as bloodless approach, in the treatment of oral PG. We randomly divided 20 patients with oral PG into two groups, with those in the test group being managed via diode laser application and those in the control group via injections of ethanolamine oleate as a sclerosing agent. All patients were evaluated intraoperatively for bleeding severity and postoperatively for pain. The quality of healing was also assessed using Landry healing index after the 1st, 2nd and 4th weeks. Additionally, the patients were recalled after 3, 6 and 9 months from the end of treatment for recurrence evaluation. Our results revealed that intraoperative bleeding did not differ significantly between both groups while postoperative pain decreased significantly in the sclerotherapy group compared to the laser group. For different intervals, the sclerotherapy group had a higher healing quality index than the laser group, although the difference was not statistically significant. However, recurrence occurred in the laser group, there were no cases of recurrence in the sclerotherapy group in all intervals. In conclusion, diode laser treatment of PG is a reliable, less invasive, and sensitive procedure that requires an experienced operator and specialised equipment. However, ethanolamine oleate sclerotherapy is an inexpensive, simple technique besides being less prone to recurrence problems, especially when treatment duration is not a concern.

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The use of surgical Nd:YAG laser in an oral pyogenic granuloma: A case report

Cited by 24 publications

References 20 publications

Management of a Recurrent Pyogenic Granuloma of the Hard Palate with Diode Laser: A Case Report

Management of a Recurrent Pyogenic Granuloma of the Hard Palate with Diode Laser: A Case Report

The Use of Nd:yag Laser in Patients With Oral Pyogenic Granuloma and Melanin Pigmentation: A Case Report and Review of the Literature

Diode laser versus sclerotherapy: bloodless approaches in the treatment of oral pyogenic granuloma (randomised controlled clinical trial)

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