Excision of fibroma with diode laser: A case series

Abstract

Traumatic or irritation fibroma is a common benign exophytic oral lesion that develops secondary to tissue injury. It is the most common benign reactive lesion, and the treatment of choice is surgical excision. The use of lasers in different dental procedures has become very common. The diode laser which was introduced in dentistry since 1999. It is a solid-state semiconductor laser that typically uses a combination of gallium (Ga), arsenide (Ar), and other elements such as aluminium (Al) and indium (In). It has a wavelength ranging from 810 to 980 nm. This energy is absorbed by pigments in the soft tissues and makes the diode laser an excellent hemostatic agent and helps in ablation of soft tissue. Lasers have obvious benefits for all the patients without administering anesthetic shots and that means less time spent in the dental chair. Procedures were performed more conservatively, with less trauma for patients. Laser applications also enable the patient to enjoy a more relaxed dental experience, reducing or diminishing their fears, and resulting excellent post-operation experience for patients. This case series describes the use of diode laser on the excision of fibromas. The excision of fibroma using the diode laser was a quick clinical procedure without bleeding. During the days following surgery, the patient reported no pain or discomfort. The wound healing of the soft tissue was satisfactory and no scarring could be seen in the region of the surgery. The excision of the fibroma with the diode laser is a safe, quick procedure, with minimum postoperative discomfort and complications.