Excision of Fibroma using Dental Soft-tissue Diode Laser

WUHAN, China - July 24, 2020 - PRLog -- Clinical Features- Fibromas are often found on the interior of the cheek, lips, or lateral borders of the tongue and result from tissue being trapped between the maxillary and mandibular teeth when occluding. An oral fibroma presents as a firm smooth lump and is usually similar in color to the surrounding soft tissue, although it may be paler due to less vascularity and increased connective tissue within it. A fibroma also may present darker if trauma has led to bleeding inside of it and may have an ulcerated surface related to recent trauma.
Treatment Biopsy and oral fibroma removal traditionally has been performed with a scalpel that results in excision resulting in bleeding margins. The raw bleeding edge left by scalpel excision frequently requires suture placement to control bleeding. Additionally, these types of wounds have been associated with postoperative pain and inflammation. The use of sutures for wound management may exacerbate site irritation until their resorption or removal. Later techniques advocated the use of monopolar electrosurgery as an alternative to the scalpel blade. Electrosurgery, if used improperly, has the potential to cause tissue burns and increased site inflammation that may hamper healing.
With the advent of lasers for soft-tissue surgeries, various types of laser devices have been used successfully for oral fibroma removal. Laser selection is practitioner dependent. PIOON Laser offers different wavelengths like 450nm/810nm or 980nm. The most preferred among them is 450nm wavelength. After informed consent, the lesion was infiltrated with local anesthesia, the protective eye wear were worn and then the lesion was excised using 450nm in noncontact mode with surgical tip (400µm) making sure to remove the stalk attaching the lesion. After the procedure, postoperative instructions were given and analgesic was prescribed on as and when basis.
Conclusion- Dental Diode lasers (http://www.pioon.com/) can be used for fibroma removal. A 450 nm wavelength offers significantly better healing with comfort for the patient themselves.