Laser Excisional Biopsy of Bleeding Tumor near Newly Erupted Tooth in an 11-Month-Old Patient under General Anesthesia.

Autor: Shirani AM; Oral Medicine Department, Dental School, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.; Fellowship of Laser Therapy in Dentistry, RWTH Aachen University, Aachen, Germany., Tadayonnezhad P; Dental School, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran., Arzani S; Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran., Kiansadr SO; Private Practitioner, and Researcher, Isfahan, Iran., Kaviani N; Oral and Maxillofacial Department, Dental Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Jazyk: angličtina
Zdroj: Case reports in dentistry [Case Rep Dent] 2024 Jan 18; Vol. 2024, pp. 6668716. Date of Electronic Publication: 2024 Jan 18 (Print Publication: 2024).
DOI: 10.1155/2024/6668716
Abstrakt: Pyogenic granuloma (PG) is a well-known tumor-like growth that commonly appears in the gingiva of the oral cavity. This reactive lesion can develop in response to local irritation, chronic low-grade trauma, long-term low-grade infection, or hormonal imbalances. PG is more frequently observed in individuals during their second and third decades of life, although it can occur at any age. It is more prevalent in young females than males, but on rare occasions, it can be found in children, even infants. Several treatment options exist for PG lesions, which apply after a final diagnosis specified by biopsy and histopathological investigations. Surgical excision is the most common treatment choice for PG lesions. However, comparisons between laser therapy and surgical excision have shown numerous advantages for laser treatment, making it a preferred option for soft tissue lesions. Laser excision offers benefits such as precise and deep incisions, preservation of sterile conditions, improved hemostasis, avoidance of sutures, and less invasive procedures resulting in reduced intra- and postoperative discomfort, pain, and bleeding. This report is aimed at presenting a case of an 11-month-old infant with a gradually growing pyogenic granuloma (PG) lesion that appeared in the palate behind the upper left first deciduous tooth, with a duration of approximately 2 months. The parents reported a history of bleeding associated with the lesion, which emerged after the eruption of the mandibular tooth. An excisional biopsy was done by the application of an 810 nm diode laser under general anesthesia, and the specimen was evaluated by a pathologist. No posttreatment complications or relapses were observed in this case.
Competing Interests: The authors deny any conflicts of interest.
(Copyright © 2024 Amir Mansour Shirani et al.)
Databáze: MEDLINE
Externí odkaz: