Effective management of focal reactive gingival overgrowths by diode laser: A review and report of two cases

Laser Ther. 2019 Dec 31;28(4):291-297. doi: 10.5978/islsm.19-CR-03.

Abstract

Background: Focal reactive gingival overgrowths (FRGO) are a common observation in a clinical dental practice that may occur in response to external and internal chronic stimuli in form of fibrous connective tissue lesions in the oral mucosa. Gingiva is the most commonly involved site of oral reactive lesions. For the confirmed diagnosis of FRGO not only clinical, but the histopathological presentation of the lesion plays a vital role. Various surgical treatment modalities like a scalpel, cryosurgery, electrosurgery, and lasers have been applied in the management of FRGO. The laser is new treatment modality being employed for treatment of FRGO.

Case report: The purpose of this paper is to attempt short review on FRGO with the management of FRGO using diode laser. Here, we present effective management of peripheral giant cell granuloma and peripheral ossifying fibroma using diode laser. The follow-up of 01year showed no recurrence in both the cases.

Conclusions: Diode soft tissue laser has added advantages like a bloodless surgical field, reduced bacteremia, minimal intra and postoperative discomfort over conventional modalities. Thus it is highly effective in the surgical management of FRGO.

Keywords: Gingival overgrowths; gingival reactive lesions; peripheral giant cell granuloma; peripheral ossifying fibroma; reactive lesions.

Publication types

  • Case Reports