Giri Debanti, Agarwal Nitin, Sinha Abhishek, Srivastava Sunita, Mishra Anuj
Department of Oral Medicine and Radiology, Gurunanak Institute of Dental Sciences and Research, Kolkata, West Bengal, India.
Department of Oral Medicine and Radiology, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India.
Contemp Clin Dent. 2016 Apr-Jun;7(2):250-4. doi: 10.4103/0976-237X.183043.
Laser first came into light in 1960 and had been used extensively in various fields of medicine. Laser has been experimented in the various dental field, and its utility is being recognized and established well in the dentistry. Lasers are widely used for a number of procedures such as cavity preparation, scaling, and root planning, surgical procedures like excision of soft tissue growths, etc., Improved healing, hemostasis, and sutureless excisions are some of the many advantages of laser over conventional treatment modalities. It is because of these advantages that laser is becoming more and more popular as a treatment option in various aspects of dentistry. We hereby present a case report, where we have used diode laser for surgical management of a proliferative verrucous leukoplakia (PVL), because of its many advantages over conventional methods. It presents very specific characteristics, mainly a more aggressive biological behavior than other forms of leukoplakia expressed by: A tendency toward multifocality (field cancerization); a high prospect of recurrence; and a high rate of malignant transformation, which can range between 40% and 100% in a follow-up period of 4.4-11.6 years. In this case, we evaluated the advantages of diode laser for the treatment of verrucous leukoplakia, where the results that we obtained were excellent. The patient had come for evaluation till the time of complete healing.
激光于1960年首次问世，并已在医学的各个领域得到广泛应用。激光已在牙科的各个领域进行了试验，其效用在牙科领域正得到广泛认可和确立。激光广泛应用于许多操作，如窝洞制备、洁治和根面平整，以及软组织肿物切除等外科手术。与传统治疗方式相比，激光具有促进愈合、止血和无需缝合切除等诸多优点。正是由于这些优点，激光在牙科的各个方面作为一种治疗选择正变得越来越受欢迎。我们在此呈现一份病例报告，其中我们使用二极管激光对增殖性疣状白斑（PVL）进行手术治疗，因为它比传统方法具有许多优势。它呈现出非常特殊的特征，主要是比其他形式的白斑具有更具侵袭性的生物学行为，表现为：多灶性倾向（场癌化）；高复发可能性；以及高恶变率，在4.4 - 11.6年的随访期内恶变率可达40%至100%。在该病例中，我们评估了二极管激光治疗疣状白斑的优势，所获得的结果非常理想。该患者前来就诊直至完全愈合。
