Clinical efficacy of Diode Laser in Oral PyogenicGranuloma

Abstract

Oral pyogenic granuloma (PG) is a benign but very vascular lesion that causes discomfort and bleeding.
Conventional surgical excision is effective but has a high recurrence rate and postoperative pain. Diode laser
excision is a less invasive procedure that offers precise tissue removal and better hemostasis. Our Objective is to
evaluate the safety and efficacy of diode laser excision for the treatment of oral pyogenic granuloma. A total of
sixteen patients (mean age 39.3; age range 15 - 74 years; 11 males and 5 females) with de novo oral PG were
enrolled and all lesions were removed under local anesthesia using a continuous 1.5 W 980 nm diode laser with
minimal bleeding, without the need for sutures and a 0.5 mm safety margin was kept. Patients were evaluated at one
week and three weeks after surgery and on postoperative days one and three. Wound healing, hemostasis, pain and
satisfaction were all assessed on every visit. The excised tissues were confirmed histopathologically. The diode laser
provided better control over intraoperative bleeding, as any small amount of bleeding was easily controlled. Pain
settled rapidly, as the majority of patients were comfortable by day three and completely pain-free within one week.
The healing process progressed quickly, with satisfactory to excellent results by one week and full recovery by
three. Nearly all patients expressed high satisfaction at the last follow-up. Diode laser excision is a safe and efficient
treatment for oral PG that provides excellent hemostasis, less discomfort following surgery, quick healing, and high
patient satisfaction. These findings corroborate the reliable clinical results of diode laser excision in current standard
treatment.