Therapeutic Effects of Diode Laser on the Treatment of Epulis : A Case Report

Abstract

Abstract INTRODUCTION :- Epulis is a pseudo-tumor growth characterized by fibrous connective tissue hyperplasia in gingivobuccal region. The swelling is usually a result of a local irritant such as calculus formation or a poorly adapted margin of a dental restoration. AIM : - The aim of this case report is removal of an epulis using diode laser, which was located at the aesthetic zone of the lower incisors, and to report on associated changes in the periodontal parameters such gingival inflammation and the position of the tooth following the introduction of an effective oral hygiene regime for the patient. OBJECTIVE :- To evaluate the outcome of surgically excised Epulis using diode laser located at the aesthetic zone of the lower incisors in a  27 years old female patient. METHODOLOGY :- Surgical excision of Epulis by diode laser (810 nm) under local anesthesia. RESULT :-  Complete re-epithelization and healing was seen at 1 and 4 weeks time interval. CONCLUSION :- Epulis is observed in patients with poor oral hygiene in areas with local irritating factors. Tissue excision should not extend beyond to the periosteum and adjacent teeth should be thoroughly scaled to remove any source of irritation. Coagulation properties associated with the use of diode laser are beneficial during removal of tumors of inflammatory origin with bleeding tendencies. There is less post-operative bleeding, pain and swelling. Keywords: Diode laser, Oral lesions, Epulis granulomatosa, Female