Treatment of Different Oral Soft Tissue Lesions With Surgical Neodymium: Yttrium-Aluminum-Garnet Laser: Case Series

Abstract

Introduction: Oral soft tissue lesions cause discomfort and potentially serious clinical problems.

Case Series: These case reports present different gingival and/or mucosal lesions (pyogenic granuloma, verruca vulgaris, giant cell granuloma, fibroma, etc.) and the surgical treatment of these lesions with a neodymium: yttrium-aluminum-garnet (Nd:YAG) laser (320-mu m optic fiber; 4 W; 100 mJ, 40 Hz; emission mode, pulsed, and contact mode). Patients were evaluated after laser surgery on degree of postoperative pain; discomfort; functional complications (eating and speech); and recurrence. Results indicated that patients had minimal postoperative pain, few functional complications, and low rates of pain. Laser surgery produced minimal bleeding, damage to the surrounding tissue, and post-surgical edema.

Conclusion: In these cases, the Nd: YAG laser provided a non-bleeding environment at the surgical area with an acceptable operating time, quick postoperative hemostasis, good patient acceptance, low rates of pain, and no post-treatment adverse events among patients with oral soft tissue lesions.