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100:Lower Lip Mucocele Excision using 940 nm Diode and 2780 nm Er,Cr:YSGG Lasers in Young Patients[AAOM2021]
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Poster Title: 100:Lower Lip Mucocele Excision using 940 nm Diode and 2780 nm Er,Cr:YSGG Lasers in Young Patients[AAOM2021]
Submitted on 29 Mar 2021
Author(s): Lubna Majed Al Otaibi
Affiliations: PSMMC, Saudi Arabia
This poster was presented at 2021 American Academy of Oral Medicine Virtual Conference
Poster Views: 110
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Poster Information
Abstract: Mucocele is a common benign neoplasm of the oral cavity and the most common after fibroma. The various treatment options available for the treatment of mucocele are cryosurgery, intralesional corticosteroid injection and marsupialization. However, these techniques are associated with a relatively high incidence of recurrence making surgical treatment necessary for a permanent cure. Conventional surgical approach, however, arouses patient apprehension and is associated with bleeding and post-operative pain.

Recently, treatment of mucocele with lasers has become a viable treatment option. Various types of lasers are being used and are preferable over the conventional surgical procedure as they provide good hemostasis, reduced postoperative swelling, reduced bacterial population, lesser need for suturing, faster healing, less postoperative pain and low recurrence rates.

The diode laser device has specifications such as a relatively small size, portability, and lower cost that attracts dental practitioners to its use for various surgical procedures in comparison with other laser equipment. Er,Cr:YSGG is a solid-state laser with great affinity to water molecule. Its hydrokinetic cutting action allows it to work effectively on hydrated tissues without any thermal damage. However, up to date, only a few studies have reported their use in the removal of lip mucocele in young children.

Under local anesthesia, mucocele excision was done for a selected number of pediatric patients using either a 940 nm diode or a 2780 nm Er,Cr:YSGG laser. Bleeding was stopped using a hemostasis setting and no suturing was needed. The specimens were sent for histopathological examination. Patients were assessed for intra-operative and post-operative complications.

The procedure was easy to perform with excellent precision and with minimum bleeding. The patients reported no post-operative pain and optimum healing was achieved within 1 month.

Laser assisted mucocele excision, using 940 nm diode and 2780 nm Er,Cr:YSGG lasers, offers technical and clinical advantages over other mucocele management techniques. Therefore, it can be a viable treatment option for oral mucocele and should be considered as an alternative to conventional surgical technique.
Summary: Mucocele is a common benign neoplasm of the oral cavity and the most common after fibroma The various treatment options available for the treatment of mucocele are cryosurgery, intralesional corticosteroid injection and marsupialization These techniques are associated with a relatively high incidence of recurrence making surgical treatment necessary for a permanent cureReferences: • Zeinoun T, Nammour S, Dourov N, Aftimos G, Luomanen M. Myofibroblasts in healing laser excision wounds. Lasers Surg Med 2001; 28:74-9. • Kotlow L (2008) Lasers and soft tissue treatments for the pediatric dental patient. Alpha Omegan 101:140–151.
• Yagüe-García J, España-Tost AJ, Berini-Aytés L, Gay-Escoda C. Treatment of oral mucocele-scalpel versus CO2 laser. Med Oral Patol Oral Cir Bucal. 2009;14: 469-74. • Wu CW, Kao Y-H, Chen C-M et al (2011) Mucoceles of the oral cavity in pediatric patients. Kaohsiung J Med Sci 27:276–279. • Verma S, Chaudhari P, Maheshwari S, Singh R (2012) Laser in dentistry: an innovative tool in modern dental practice. Natl J Maxillofac Surg 3:124.
• Romeo U, Palaia G, Tenore G, Del Vecchio A, Nammour S. Excision of oral mucocele by different wavelength lasers. Indian J Dent Res. 2013; 24: 211-5.
• Ortega-Concepcion D, Cano-Duran JA, Pena-Cardelles J-F, Paredes-Rodriguez V-M, Gonzalez-Serrano J, Lopez-Quiles J. The application of diode laser in
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