High potency diode laser as a therapeutic alternative in oral vascular lesions: the comparison of 2 protocols

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Oral Surgery Oral Medicine Oral Pathology Oral Radiology Pub Date : 2025-03-14 DOI:10.1016/j.oooo.2025.01.029

Ana Luiza Medeiros Cesar, Bruna Lavinas Sayed Picciani, Juliana Tristão Werneck, Maria Carolina de Lima Jacy Monteiro Barki, Eduarda Henrique Portugal, Abel Sobrinho de Freitas Vianna, Karla Bianca Fernandes da Costa Fontes

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Abstract

An 11-year-old male patient presented 2 erythematous macules on the upper gum, above the central incisors, after using maxillary expansion 1 year ago. Given the positive diascopy, the diagnostic hypothesis was a vascular lesion. Two different protocols using photocoagulation with a high potency 980 nm diode laser (Thera Lase Surgery, DMC, SP, Brazil) were chosen for the treatment. There were 2 lesions in the attached gum: in tooth 11 a 1W and continuous mode were used, whereas in tooth 21, a 2W and pulsed mode were used. Consequently, within 14 days, an ulcer was observed only in the region of the former, and after 30 days, there was complete remission of the lesions in both regions; a better appearance on the left side was observed, though. It is concluded that photocoagulation with a high-potency diode laser is an effective option for oral vascular lesions, with the pulsed mode being preferable.

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高效二极管激光作为口腔血管病变的替代治疗方案：两种方案的比较

一名11岁男性患者，一年前使用上颌扩张术后，在中门牙上方的上龈处出现2个红斑。考虑到腹水分流阳性，诊断假设是血管病变。选择两种不同的方案，使用高效980 nm二极管激光器（Thera Lase Surgery， DMC， SP，巴西）进行光凝治疗。附著牙龈有2个病变，第11颗牙采用1W连续模式，第21颗牙采用2W脉冲模式。因此，在14天内，仅在前者区域观察到溃疡，30天后，两个区域的病变完全缓解；然而，观察到左侧的外观更好。结论：以脉冲激光治疗口腔血管病变是一种有效的治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral Surgery Oral Medicine Oral Pathology Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.80

自引率

6.90%

发文量

1217

审稿时长

2-4 weeks

期刊介绍： Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.