Diode Laser as Minimal Invasive Treatment Modality for Oral Pyogenic Granuloma in a Pediatric Patient: A Case Report

Abstract

The pyogenic granuloma is a soft-tissue growth relatively common in oral cavity, which is considered as reactive rather than neoplastic in nature. The pyogenic granuloma may occur at any age, but its peak incidence occurs in the second decade of life. Lasers emerged as an alternative surgical tool for such soft tissue lesions. Till now, there was no case reported in the literature about using diode laser for pyogenic granuloma in the pediatric patient. This article presents a case report of an 11 year-old boy with pyogenic granuloma in the anterior hard palatal region in relation to marginal gingiva of central incisors. A GaAlAs diode laser with wavelength 808±10 nm was used to perform laser surgery with parameters settings such as: Pulse-power: 5 W; Pulse-Length: 26μs; Frequency 20 kHz, Average output: 5 W. The fiber tip of 400 μm in contact mode was used for conducting the laser beam in excising the lesion. The whole laser surgical procedure was performed successfully and was found advantageous in intra-operative and post-operative aspects with faster and good healing in follow up visits. The behavior and anxiety of the patient were assessed before, during, and after the laser surgery procedure using the Venhams’s anxiety scale. Hence, Laser was found as the conservative surgical tool for pyogenic granuloma for minimally invasive dentistry and helped in instilling a positive dental attitude and behavior in pediatric patient.