Management of irritational fibroma with LASER & photo-biomodulation: A case report

  • Dr Yasir S. Khan
  • DR PRASOON PURWAR
  • Shipra Tiwari POST GRADUATE STUDENT
  • DR HIMANI TRIPATHI
Keywords: Keywords: Irritational fibroma, Fibroepithelial hyperplasia, Diode LASER, Minimal bleeding, Improved healing, Photo-biomodulation

Abstract

Abstract

Traumatic or irritational fibroma is a benign exophytic tumour or neoplasm of fibrous connective tissue origin that can be considered a reactionary connective tissue hyperplasia in response to trauma and irritation. They are clinically marked by solid well-demarcated rounded, sessile, or pedunculated growths covered by normal mucosa and are a relatively uncommon lesion. Local trauma can generate ulceration of these lesions. They are usually seen on the maxillary gingival margin but can appear on any intra-oral site. These lesions are more common in adults. Simple, complete excision and removal of the cause of irritation are the preferred treatment. The use of LASER in different dental procedures has become very common and preferred treatment modality. LASER has obvious benefits for all the patients without administering anaesthetic shots and that means less time spent in the dental chair. Procedures were performed more conservatively, with less trauma for patients. The excision of the fibroma with the diode laser is a safe, quick procedure, with minimum postoperative discomfort and complications. This paper reports the management of a gingival fibroma in a 21-year-old male with 940 nm diode LASER followed by photo-biomodulation for enhanced healing.

References

1. Pal S, Hegde S, Ajil V. The varying clinical presentationsof peripheral ossifying fibroma: A report of three cases.Rev Odonto Cienc 2012;27:251 5.
2. Bouquot JE, Gundlach KK. Oral exophytic lesions in23,616 white Americans over 35 years of age. Oral SurgOral Med Oral Pathol 1986; 62:284 91.
3. Kalyanyama BM, Matee MI, Vuhahula E. Oral tumoursin Tanzanian children based on biopsy materialsexamined over 15 year period from 1982 to 1997. IntDent J 2002; 52:10 4.
4. Pedrona IG, Ramalhob KM, Moreirac LA, Freitasd PM.Association of two lasers in the treatment of traumaticfibroma: Excision with Nd: YAP laser andPhotobiomodulation Using InGaAlP: A case report. OralLaser Appl 2009; 9:49 53.
5. Esmeili T, Lozada Nur F, Epstein J. Common benign oraltissue masses. Dent Clin North Am 2005; 49:223 40.
6. Filhoa WN, Morosollib AR, Bianchib M. CO2 lasersurgery of obstructive fibroma in the oropharyngealcavity. J Oral Laser Appl 2005; 5:103 5.
7. Regezi JA, Sciubba JJ, Jordan RC, Abrahams PH. Oral pathology: Clinical pathologic correlations. 5th ed. StLouis: WB Saunders; 2003. p. 165 6.
8. López Labady J, Villarroel M, Lazarde J, Rivera H.Fibroma traumatico. Revisión de la literatura y reportedos casos. Acta Odontol Venez 2000; 38:479.
9. Pick RM, Colvard DM. Current status of lasers in softtissue dental surgery. J Periodontol 1993; 64:589 602.
10. Kafas P, Kalfas S. Carbonization of radicular cyst using fiberoptic diode laser: A case report. Cases J 2008; 1:113.
11. Jackson SD, Lauto A. Diode-pumped fiber lasers: A new clinical tool. Lasers Surg Med 2002; 30:184 90.
12. de Souza EB, Cai S, Simionato MR, Lage Marques JL.High power diode laser in the disinfection in the depth of root canal dentin. Oral Surg Oral Med Oral Pathol OralRadiol Endod 2008;106: e68 72.
13. Deppe H, Horch HH. Laser applications in oral surgery and implant dentistry. Lasers Med Sci 2007; 22:217 21.
14. Tanuja P, Babu BK, Krishna M. Laser-assisted crown lengthening and gingival depigmentation to enhance aesthetics A Case Report. Ann Essen Dent 2011; 3:56 60.
15. Wigdor AH, Walsh JT Jr, Featherstone JD, Visuri SR,Freid D, Waldvogel JL. Lasers in dentistry. Lasers SurgMed 1995; 16:103 33.
16. HirojBagde, AlkaWaghmare, B Savitha, PriyankaVhanmane, IrrItatIon fIbroma- a case report, International Journal of Dental Clinics, 2013, Volume 5,Issue 1.
17. DelwynDyall-Smith, Oral irritated fibroma, DermNet New Zealand, all about the skin.
Published
2024-11-02
How to Cite
Khan, Y., PURWAR, P., Tiwari, S., & TRIPATHI, H. (2024). Management of irritational fibroma with LASER & photo-biomodulation: A case report. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 10(4). https://doi.org/10.21276/ujds.2024.10.4.9

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