Removal of hyperplastic lesions of the oral cavity. A retrospective study of 128 cases.

Abstract

AIMS:

Based on our accumulated experience, the present study evaluates and discusses the indications, advantages and inconveniences of oral cavity epulis resection using the carbon dioxide laser (CO2) versus the Erbium:YAG laser (Er:YAG), diode laser and surgical scalpel.

MATERIAL AND METHODS:

A retrospective study has been made of 120 patients involving the removal of 128 epulis lesions with the CO2 laser, Er:YAG laser, diode laser and surgical scalpel. Postoperative controls were carried out after 7, 15 and 30 days to evaluate healing and wound evolution, and after 3, 6 and 12 months to assess possible relapse.

RESULTS:

Two groups were defined, based on the clinical and etiopathogenic characteristics of the excised lesions: gingival hyperplastic lesions (77 cases) and fibromatous hyperplasia (51 cases). The lower jaw was the most frequent location of gingival hyperplasia (51.9%). Fibrous hyperplasia was the most common histological diagnosis (49 cases; 63.6%). Percentage relapse following removal was 9.1%, of which 5 cases corresponded to fibrous hyperplasia. Only one malignancy was identified, corresponding to infiltrating squamous cell carcinoma. On the other hand, of the 51 treated cases of fibromatous hyperplasia, 58.8% were located in the upper jaw. These were histologically confirmed to be fibrous hyperplasia, with relapse in 19.6% of the cases.

CONCLUSIONS:

Although the different surgical techniques used for removal of epulis of the oral cavity are appropriate, we consider the CO2 laser to be the treatment of choice, since it offers a number of both intra- and postoperative advantages. On the other hand, all oral lesions require histological study to establish a firm diagnosis.

• Authors: Meritxell Tamarit-Borrás, Esther Delgado-Molina, Leonardo Berini-Aytés, Cosme Gay-Escoda
• Journal: Medicina oral, patologia oral y cirugia bucal (Med Oral Patol Oral Cir Bucal) 2005 Mar-Apr Vol. 10 Issue 2 Pg. 151-62 ISSN: 1698-6946 [Electronic] Spain
• PMID: 15735548 (Publication Type: Evaluation Study, Journal Article)

Chemical References

• Carbon Dioxide
• Erbium

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Carbon Dioxide
• Child
• Electrosurgery
• Erbium
• Female
• Fibromatosis, Gingival (pathology, surgery)
• Gingiva (pathology, surgery)
• Gingival Diseases (pathology, surgery)
• Gingival Hyperplasia (pathology, surgery)
• Gingivectomy (instrumentation)
• Humans
• Laser Therapy
• Male
• Middle Aged
• Retrospective Studies
• Secondary Prevention