| Přispěvatelé: |
Polizzi, B, Albanese, A, Giannatempo, G, Colella, Giuseppe, Campisi, G. |
| Popis: |
The purpose of this case is describing the treatment of a fibrous epulis (FE), the most common type of localized gingival overgrowths, with a Diode Laser. FE management involves causal periodontal treatment, surgical excision, usually performed with scalpel, and often the extraction of adjacent teeth. The Laser surgery has been proposed as a less invasive method based on the following advantages: better control of intra/post-operative pain and bleeding by coagulation, resulting in a bloodless surgical field, an excellent intra-operative visibility for the operator and an increase in surgical accuracy. A male patient of 78 years, anamnestically not reporting systemic diseases, drugs and smoke/alcohol assumption, was observed at Sector of Oral Medicine for a firm, pink and painless mass (> 1 cm) at the interdental papillae between 1.2–1.3. Clinical examination reveals a poor oral hygiene state and severe mobility of 1.2. The treatment plan consisted of extraction of 1.2, excision of the lesion and causal periodontal therapy. After superficial desensitization with application of a lidocaine 2.5% + prilocaine 2.5% cream (EMLA®), excision was performed with Diode Laser 915nm (900 LASEmaR, Eufoton, TS, Italy) according to the manufacturer’s protocols (C.M. continues, 1.5 W, 300 μm). Surgical wound healing occurred by secondary epithelialization. Excised tissue was submitted for histological examination, confirming the diagnosis. The treatment protocol showed the following advantages: a) reduced administration of anesthetic, despite the considerable lesion size, without any intraoperative pain; b) absence of significant complication (e.g hemorrhage-pain-edema-swelling-infection) in the post-operative period with complete healing process in 20 days without scaring; c) complete removal of lesion, without any recurrence at 1 year follow-up. Given the intrinsic features of Diode Laser, it is reasonable assuming that it may be an advantageous device in the surgery of soft oral tissues. |
