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Treatment of Oral Fibroma of the Tongue Using Erbium, Chromium:Yttrium‐Scandium‐Gallium‐Garnet Laser: Report of Two Cases
Author(s) -
Arora Shipra,
Lamba Arundeep Kaur,
Faraz Farrukh,
Tandon Shruti,
Chawla Kirti,
Yadav Neha
Publication year - 2014
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1902/cap.2012.120069
Subject(s) - medicine , tongue , surgery , irritation , dentistry , fibroma , pathology , immunology
Fibroma is a benign tumor that is composed of fibrous connective tissue (CT) and is also known as irritation or traumatic fibroma. It represents a reactive hyperplasia of fibrous CT in response to local irritation or trauma. The aim of the present case report is to evaluate the treatment outcome of two cases of fibroma of the tongue after excision with an erbium, chromium:yttrium‐scandium‐gallium‐garnet (Er,Cr:YSGG) laser. Case Presentation: Two patients presented with the chief complaint of growth on the dorsal surface of the tongue, which was causing constant irritation as well as esthetic concerns. After examination, the growths were excised with an Er,Cr:YSGG laser in non‐contact mode at a power setting of 1.5 W, 20 Hz frequency and with a spray of 9% water and 13% air. This resulted in less blood in the operating field and minimal patient discomfort. No sutures were used; instead, a laser bandage was applied. The healing was uneventful and patients did not require postoperative analgesics. The histopathologic report confirmed the presurgical diagnosis. No relapse was observed at the 1‐year follow‐up. Conclusions: The Er,Cr:YSGG laser works at cellular levels and promotes tissue repair by photo modulation. It causes negligible bleeding and postoperative discomfort with minimal need of local anesthesia and better patient compliance. Therefore, the Er,Cr:YSGG laser may be considered a patient‐ and clinician‐friendly tool.