Removal of fibrous epulis with Er,Cr:YSGG laser: case report

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ABSTRACT

Results

BACKGROUND: Epulis is a benign tumour located in the area of the alveolar bone, periodontal ligament and marginal
gingiva. A clinical case of Epulis, treated using an Er,Cr:YSGG laser in our Paediatric Dentistry division of the PTV Hospital, University
of Rome Tor Vergata, is described. CASE REPORT: A pink, sessile, broad-based lesion, elastic in consistency, was detected on the
maxillary vestibular gum above the lateral right incisor. The lesion was removed with Er,Cr:YSGG laser (2780 nm) without anaesthetic
infiltration, power ranged from 1,5 to 2,0 Watts at 20 Hz repetition rate under 20-15 air-water spray. The
histopathological examination confirmed the diagnosis of fibrous epulis. The immediate postoperative course was excellent, with no pain
or need for anti-inflammatory or analgesic drugs. Wound healing was good after 1 week, and was completed after 1 month. The patient
was followed up for 3-6 months, and checked again after 1 and 2 years to assess possible relapse. The Er,Cr:YSGG laser has several
treatment advantages, fundamental in Paediatric Dentistry: it requires only topical anaesthesia, it has a high clinical safety, there is a
short treatment time, no surgical sutures are required; no complications were encountered during or immediately following laser surgery,
all resulting in excellent patient cooperation.

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