Sotoode Somaye Mazarei, Azimi Somayyeh, Taheri Sayed Alinaghi, Asnaashari Mohammad, Khalighi Hamidreza, Rahmani Somayeh, Jafari Soudeh, Elmi Rankohi Zahra
Department of Oral Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
School of Chemistry, Shahrood University of Technology, Shahrood, Iran.
J Lasers Med Sci. 2015 Summer;6(3):133-8. doi: 10.15171/jlms.2015.08. Epub 2015 Jun 28.
The role of laser in conservative management of oral disease is well established. Laser procedures are common in the fields of oral surgery, implant dentistry, endodontic, and periodontic therapy.
This case series describes the use of diode laser for the excision of oral exophytic lesions. All the patients attended the oral medicine department of Shahid Beheshti University of Medical Sciences, Tehran, Iran. Criteria in patient selection were accessibility to lesions, patient fear from blade surgery, aesthetics, and probability of bleeding. An informed consent was filled by every patient. All of the lesions were completely excised under local anaesthesia by diode laser with 300 μm-fibre tip, 808 nm continuous wavelength and 3-3.5 W power for 3×60 seconds (Dr Smile, Italia). During surgery, the fibre tip was in contact with lesions. No analgesics were prescribed to the patients. The patients were followed for the first, second, and forth week after treatment.
The lesions could be excised using the diode laser. This procedure was a quick clinical technique without bleeding.
激光在口腔疾病保守治疗中的作用已得到充分确立。激光手术在口腔外科、种植牙科、牙髓病学和牙周病治疗领域很常见。
本病例系列描述了使用二极管激光切除口腔外生性病变。所有患者均就诊于伊朗德黑兰沙希德·贝赫什提医科大学口腔医学系。患者选择标准包括病变的可及性、患者对刀片手术的恐惧、美观性以及出血可能性。每位患者均签署了知情同意书。所有病变均在局部麻醉下，使用波长808nm、连续波、功率3 - 3.5W、光纤尖端300μm的二极管激光（意大利Dr Smile）切除，每次照射60秒，共照射3次。手术过程中，光纤尖端与病变接触。未给患者开止痛药。在治疗后的第一周、第二周和第四周对患者进行随访。
使用二极管激光可以切除病变。该手术是一种快速的临床技术，且无出血。
