Diode LASER surgery in the treatment of fibrous hyperplasia: A prospective case series study

Abstract

Objective: Fibrous hyperplasia is frequently treated by surgical incision with a scalpel associated with removal of chronic trauma. However, hemostasis of the surgical wound is specially difficult for patients with hemorrhagic disorders or those undergoing antithrombotic therapy without the suturing of the wound borders. High-power LASER have been applied as a useful tool in the management of soft tissue lesions. Therefore, the present study aimed to present a prospective case series of fibrous hyperplasia treated using a high-power diode LASER. Methods: Fifteen patients with fibrous hyperplasia were enrolled in this study. LASER irradiation was performed using an 808 nm diode LASER with an optical fiber of 600 μm, at a power of 2.0W to 3.5W (average 2.96W), in a continuous-wave mode. The treatment performance of fibrous hyperplasia using a high-power diode LASER was determined by evaluating the pain, postoperative functional alterations, edema, secondary infection and bleeding. Results: Diode LASER surgery proved to be effective and presented a good performance in the treatment of fibrous hyperplasia. Conclusions: Randomized clinical trials may be performed to compare diode LASER and other LASER systems with conventional surgery and electrosurgery in the management of fibrous hyperplasia and other oral lesions.