Successful Excision of Oral Irritational Fibroma Using940 nm Diode Laser: Case Series

Abstract

Background: Irritational fibroma is a frequently observed benign exophytic and reactive oral lesion that develops as a result of trauma. The usual sites of irritational fibroma are buccal mucosa, tongue, and lower labial mucosa. These lesions are excised using conventional surgery, electrosurgery, or more recently by laser.

Methods: A total of 36 patients underwent surgical excision of superficial proliferative lesions under local anesthesia using a 940 nm diode laser. Bleeding was stopped using laser dry bandage setting, and no suturing was needed. All specimens were sent for histopathological examination. Patients were examined for intra-operative and post-operative complications.
Results: The procedure was simple to perform with minimum bleeding and excellent precision. It was well accepted by the patients, who also reported mild post-operative pain. Optimum healing was achieved with no residual ulceration or scarring. The excised specimens were adequate for histopathological examination and all diagnosed as oral fibromas.
Conclusion: The 940 nm diode laser can be utilized in excisional biopsy of irritational fibromas with minimum bleeding, discomfort, scarring, and postoperative pain and should be considered as a practical alternative to the traditional surgical technique. PSMMC REC clinical study registration number: 1203, series of 2019