Excision of Traumatic Fibroma with Diode Laser: A Case Report

Abstract

Background: Fibromas are considered as benign tumors arising from mesenchyme tissue that are composed of fibrous or connective tissue.Out of all the fibromas, irritative or traumatic fibromas have been reported to be the most prevalent in the general population.

 Most common site is tongue but it can also been seen in other sites such as buccal mucosa, gingiva and on lower lip. Usually nodule shaped, firm, painless and integrating in colour with the surrounding tissue. Oral fibromas typically grow to a maximum size of 1 cm in diameter, although occasionally they can grow larger over the course of weeks or months. The ideal course of treatment is total excision and elimination of the irritant source. The use of LASER in a variety of dental procedures has increased in relevance as a treatment method. The primary benefits of implementing a soft tissue Diode LASER on patients with better surgical outcomes, less invasiveness, fast and effective hemostasis. It is a rapid and secure process that makes tissue manipulation easy and leaves no scars.

Methods: An entirely removed lesion under local anesthesia ( 2% Lignocaine HCL with Adrenaline bitartrate 1: 80,000) using a Diode LASER with a wavelength of 445 nm, power of 2W, and continuous mode for 3 X 60 seconds. The fiber tip was in contact with the lesion during the procedure, and if required, analgesics were prescribed. After 1 week, 1 month, and 3 months, the patient was examined.

Conclusion: After three months of assessment, patient showed complete satisfactory healing with no reoccurrence.

Keywords: Diode LASER,Traumatic or Irritational Fibroma, lateral border of tongue.