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980纳米二极管激光切除巨大妊娠性龈瘤

980-nm diode laser excision of a giant pregnancy epulis.

作者信息

Li Lifeng, Liu Yanming

机构信息

Lifeng Li, Department of Stomatology, The First People's Hospital of Fuyang Hangzhou, Hangzhou 311400, China.

Yanming Liu, Department of Oral and Maxillofacial Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang, China. Department of Stomatology, The First People's Hospital of Fuyang Hangzhou, Hangzhou 311400, China.

出版信息

Pak J Med Sci. 2022 Mar-Apr;38(3Part-I):773-775. doi: 10.12669/pjms.38.3.5102.

DOI:10.12669/pjms.38.3.5102
PMID:35480503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9002400/
Abstract

The pure pregnancy epulis is mostly vascular, and generally shrinks or disappears with the drop in estrogen levels following delivery. However, the fibrous epulis or granulomatous epulis may enlarge rapidly in the early stages of pregnancy, necessitating surgical resection after pregnancy. This report described a 25-year-old patient with a post-term pregnancy. She had a lump on the buccal side of left mandibular molar region that was associated with intermittent hemorrhage and eating difficulty. Since the patient feared the conventional surgery, the 980-nm diode laser excision was performed to remove the epulis two weeks after delivery, with the involved teeth preserved. The new technique of 980-nm diode semiconductor laser may be a potential good option to treat pregnancy epulis, with less discomfort and involved teeth preserved.

摘要

纯妊娠性龈瘤大多为血管性,通常在分娩后随着雌激素水平下降而缩小或消失。然而,纤维性龈瘤或肉芽肿性龈瘤在妊娠早期可能迅速增大,需要在产后进行手术切除。本报告描述了一名25岁过期妊娠患者。她左下颌磨牙区颊侧有一肿物,伴有间歇性出血和进食困难。由于患者惧怕传统手术,在分娩两周后采用980纳米二极管激光切除术切除龈瘤,保留患牙。980纳米二极管半导体激光新技术可能是治疗妊娠性龈瘤的一个潜在的良好选择,不适较少且可保留患牙。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69bc/9002400/0ad710d4524b/PJMS-38-773-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69bc/9002400/431e6f8f6a8f/PJMS-38-773-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69bc/9002400/3e82e5564345/PJMS-38-773-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69bc/9002400/0ad710d4524b/PJMS-38-773-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69bc/9002400/431e6f8f6a8f/PJMS-38-773-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69bc/9002400/3e82e5564345/PJMS-38-773-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69bc/9002400/0ad710d4524b/PJMS-38-773-g003.jpg

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引用本文的文献

1
Excision of a Benign Peripheral Giant Cell Granuloma in the Oral Mucosa of the Anterior Mandibular Teeth with a 975-nm Diode Laser: A Case Report of a 39-Year-Old Woman.应用 975nm 半导体激光切除前牙区口腔黏膜下良性外周性巨大细胞瘤 1 例:39 岁女性。
Am J Case Rep. 2023 Apr 12;24:e938793. doi: 10.12659/AJCR.938793.

本文引用的文献

1
Therapeutic effects of diode laser on vascular epulis in esthetic area.二极管激光对美学区域血管性龈瘤的治疗效果。
J Indian Soc Periodontol. 2021 Jan-Feb;25(1):75-77. doi: 10.4103/jisp.jisp_591_19. Epub 2021 Jan 7.
2
The clinical application of partial removal periodontal surgery in the therapy of epulis.部分切除牙周手术在龈瘤治疗中的临床应用
Medicine (Baltimore). 2019 Jul;98(27):e16107. doi: 10.1097/MD.0000000000016107.
3
A puzzling pregnancy epulis with aggressive bone loss mimicking malignant neoplasm: A case report.
一个令人费解的妊娠性牙龈瘤,伴有侵袭性骨丢失,酷似恶性肿瘤:病例报告。
J Stomatol Oral Maxillofac Surg. 2020 Jun;121(3):312-316. doi: 10.1016/j.jormas.2019.04.007. Epub 2019 Apr 11.
4
Adjunctive efficacy of diode laser in the treatment of peri-implant mucositis with mechanical therapy: A randomized clinical trial.二极管激光辅助机械治疗对种植体周围黏膜炎的疗效:一项随机临床试验。
Clin Oral Implants Res. 2019 May;30(5):429-438. doi: 10.1111/clr.13428. Epub 2019 Apr 16.
5
Sclerotherapy for the recurrent granulomatous epulis with pingyangmycin.平阳霉素硬化治疗复发性肉芽肿性牙龈瘤
Med Oral Patol Oral Cir Bucal. 2017 Mar 1;22(2):e214-e218. doi: 10.4317/medoral.21422.
6
Comparison of Antibacterial Effects of 810 and 980- nanometer Diode Lasers on Enterococcus Faecalis in the Root Canal System -An study.810纳米和980纳米二极管激光对根管系统中粪肠球菌抗菌效果的比较——一项研究。
Laser Ther. 2016 Oct 1;25(3):209-214. doi: 10.5978/islsm.16-OR-17.