HIGH-POWER DIODE LASER FOR CLINICAL MANAGEMENT IN RARE SYNDROME PRESENTING RECURRENT GINGIVAL FIBROMATOSIS

Abstract

Barber-Say syndrome (SBS) is extremely rare, affecting less than 20 people worldwide. It has an autosomal dominant inheritance, classified as a subtype of ectodermal dysplasia, associated with mutations in the Twist-2 gene. The following clinical characteristics seen in SBS are as follows: a marked facial dysmorphology, hypertrichosis, hypertelorism, atrophic/redundant skin, bulbous nose, dental anomalies, and gingival fibromatosis. The patient performs gingivectomy annually since she was 9 years old. At the age of 17, she returned for another intervention, and a high-powered laser (HPL) (DMC, Diode, 808 nm, 1.5W) was used. During the procedure, there were no complications, with excellent hemostatic control and absence of postoperative pain. After 2 years of follow-up, she has no recurrences. We conclude that, in cases of gingival fibromatosis associated with syndromes, HPL promotes greater comfort in the postoperative period in addition to increasing the time interval between procedures.