13th World Congress for Laser Dentistry

26-28, April 2012

Barcelona, Spain

Meeting Abstract

Sponsors: World Federation for Laser Dentistry

- Oral Presentation 63

TITLE: Evaluation of three different laser techniques in the treatment of benign oral vascular lesions.

AUTHORS: Lerario F, Palaia G, Romeo U, Polimeni A.

Sapienza University of Rome

SOURCE: Med Oral Patol Oral Cir Bucal. 2012 May 1;17(Supplement1):S63.

* doi:10.4317/medoral.17643562

http://dx.doi.org/10.4317/medoral.17643562

Abstract

Introduction: Benign Oral Vascular Lesions (BOVLs) are a group of vascular diseases characterized by congenital, inflammatory or neoplastic vascular dilations clinically evidenced as more or less wide masses of commonly dark bluish color.

Aim: The aim was to evaluate the capabilities of KTP laser in the management of BOVLs, using three different techniques.

Materials and Methods: Three different laser techniques of BOVLs treatment are discussed, a traditional excisional biopsy, and two minimal invasive techniques, the transmucosal thermocoagulation (TMT) and the intralesional photocoagulation (ILP). A KTP laser (SmartLite®, DEKA, Italy, 532nm) was adopted using these parameters between 1.2 – 2.5 W, selected becuse of its great affinity on hemoglobin.

Results: In every case, KTP permitted safe treatments of BOVLs without hemorrhages, both during the intervention and in the post-operative period. The TMT and ILP permitted even the safe resolution of big lesions without tissue loss.

Conclusions: The KTP laser could be considered the “gold standard” in BOVLs treatment, permitting even the introduction of minimal invasive surgery principles and reducing the risks of hemorrhage typical of these neoplasms. As usual in laser surgery, it is necessary a clear knowledge of the device and of the laser-tissue interaction to optimize the results reducing risks and disadvantages.