Odah Zainab Fadhil, Taher Hanan Jafer, AlAlawi Ammar Saleh
Medical and Biological Applications Branch, Institute of Laser for Postgraduate Studies, University of Baghdad, Baghdad, Iraq.
Photonics Units, Institute of Laser for Postgraduate Studies, University of Baghdad, Baghdad, Iraq.
J Dent Res Dent Clin Dent Prospects. 2024 Fall;18(4):291-296. doi: 10.34172/joddd.40905. Epub 2024 Dec 14.
Managing benign oral soft tissue lesions presents a clinical challenge, often requiring invasive procedures with associated drawbacks. The Er,Cr:YSGG laser has emerged as a potential solution, given its precision and minimal tissue disruption in other medical contexts.
This pre-post study involved 16 participants diagnosed with benign oral soft tissue lesions. The lesions were excised using the Er,Cr:YSGG laser (2780 nm) with 2.75‒3.75-W power outputs. Pain was quantified using a numerical rating scale from 0 to 10, and edema presence was noted. Function interference and satisfaction were graded. Healing was assessed via the Early Wound Healing Score (EHS). The observation spanned three postoperative intervals: day 1, day 3, and day 7.
This study included 16 participants with benign oral soft tissue lesions, predominantly pyogenic granuloma and fibroepithelial polyp. Initial discomfort and bleeding were common, while a small proportion reported pain. Er,Cr:YSGG laser treatment significantly reduced discomfort (VAS score) and promoted healing (EHS score) over time. Function interference decreased, and patient satisfaction improved from day 1 to day 7. Additionally, bleeding scores decreased drastically, confirming the laser's effective hemostatic properties.
The findings suggest that Er,Cr:YSGG laser treatment presents a promising, less invasive approach for managing oral benign soft tissue lesions, prioritizing patient well-being and contentment alongside successful lesion removal.
处理口腔良性软组织病变是一项临床挑战，通常需要采用有相关缺点的侵入性手术。鉴于铒铬：钇钪镓石榴石激光（Er,Cr:YSGG激光）在其他医学领域的精准性和对组织的最小损伤，它已成为一种潜在的解决方案。
这项前后对照研究纳入了16名被诊断为口腔良性软组织病变的参与者。使用输出功率为2.75 - 3.75瓦的Er,Cr:YSGG激光（2780纳米）切除病变。使用0至10的数字评分量表对疼痛进行量化，并记录水肿情况。对功能干扰和满意度进行分级。通过早期伤口愈合评分（EHS）评估愈合情况。观察期涵盖术后三个时间段：第1天、第3天和第7天。
本研究包括16名患有口腔良性软组织病变的参与者，主要为化脓性肉芽肿和纤维上皮性息肉。最初的不适和出血很常见，只有一小部分人报告疼痛。随着时间的推移，Er,Cr:YSGG激光治疗显著减轻了不适（视觉模拟评分）并促进了愈合（EHS评分）。功能干扰减少，患者满意度从第1天到第7天有所提高。此外，出血评分大幅下降，证实了激光有效的止血特性。
研究结果表明，Er,Cr:YSGG激光治疗为口腔良性软组织病变的处理提供了一种有前景的、侵入性较小的方法，在成功切除病变的同时，优先考虑患者的福祉和满意度。
