Management of a Recurrent Pyogenic Granuloma of the Hard Palate with Diode Laser: A Case Report

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Erbasar G. N. H., Senguven B., GÜLTEKİN S. E., ÇETİNER S.

JOURNAL OF LASERS IN MEDICAL SCIENCES, cilt.7, sa.1, ss.56-61, 2016 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 7 Sayı: 1
  • Basım Tarihi: 2016
  • Doi Numarası: 10.15171/jlms.2016.12
  • Dergi Adı: JOURNAL OF LASERS IN MEDICAL SCIENCES
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sayfa Sayıları: ss.56-61
  • Anahtar Kelimeler: Pyogenic Granuloma, Recurrence, Diode laser, PULSED DYE-LASER, NDYAG LASER, LESIONS, SATELLITOSIS, CHILDREN, GINGIVA, TISSUE
  • Gazi Üniversitesi Adresli: Evet

Özet

Introduction: Pyogenic granuloma (PG) is a prevalent inflammatory hyperplasia of skin and oral mucosa which is often caused by constant low-grade local irritation, traumatic injury or hormonal factors. In many cases, gingival irritation and inflammation due to poor oral hygiene are precipitating factors. Oral PG occurs predominantly on the gingiva, but it is also encountered on the lips, tongue, buccal mucosa and rarely on the hard palate. Although surgical excision is the first choice of treatment, many other treatment modalities could be counted such as cryosurgery, sodium tetradecyl sulfate sclerotherapy, intralesional steroids, flash lamp pulsed dye laser, neodymium-doped yttrium aluminium garnet (Nd:YAG) laser, carbon dioxide (CO2) laser, erbium-doped yttrium aluminum garnet (Er:YAG) lasers and diode laser have been suggested. After surgical excision recurrence occurs up to 16% of these lesions. It is believed that recurrence ensues as a result of incomplete excision, failure to eliminate etiologic factors or repeated trauma.