Comparing Laser-Assisted and Conventional Excision in the Management of Oral Soft Lesions: A Prospective Clinical Study

Author:

Mangalekar Sachin B.1,Bagde Hiroj S.2,Sale Madhuri3,Jambhekar Samidha V.4,Patil Chetan5,Deshmukh Chetan V.6

Affiliation:

1. Department of Periodontology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Wanlesswadi, Sangli, Maharashtra, India

2. Professor, Department of Periodontology, CDCRI, Rajnandgaon, Chhattisgarh, India

3. Department of Oral Pathology and Microbiology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Sangli, Maharashtra, India

4. Department of Periodontics, Dr. D. Y. Patil Dental College and Hospital, D. Y. Patil Vidyapeeth, Pune, Maharashtra, India

5. Department of Public Health Dentistry, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Sangli, Maharashtra, India

6. Department of Public Health Dentistry, Nair Hospital Dental College, Mumbai, Maharashtra, India

Abstract

ABSTRACT Introduction: Oral soft lesions represent a diverse array of pathological conditions that necessitate precise and effective treatment. Laser-assisted excision has gained prominence due to its purported benefits in terms of reduced procedural time, decreased bleeding, and improved aesthetic outcomes. However, conventional excision remains a common practice Materials and Methods: A total of 100 patients with clinically diagnosed oral soft lesions were enrolled in this prospective study. The patients were randomly divided into two groups: the laser-assisted excision group and the conventional excision group. Demographics, lesion characteristics, and medical histories were recorded for each patient. Procedural parameters such as operative time and intraoperative bleeding were meticulously documented. Results: The laser-assisted excision group exhibited a statistically significant reduction in procedural duration compared to the conventional excision group (P < 0.05), with mean operative times of 15.2 and 20.8 min, respectively. Intraoperative bleeding was significantly reduced in the laser-assisted group (P < 0.01), with an average blood loss of 15.7 ml, while the conventional excision group reported an average blood loss of 28.6 ml. Postoperative complications analysis demonstrated that the laser-assisted group had a lower incidence of wound infections (P < 0.05) compared to the conventional excision group (5% vs. 15%). Additionally, the laser-assisted group exhibited significantly reduced scarring (P < 0.01) as reported by both patients and clinicians. Patient satisfaction scores were consistently higher in the laser-assisted excision group, with 85% of patients reporting contentment with the procedure, in contrast to 65% in the conventional excision group Conclusion: In light of the results obtained from this study, laser-assisted excision emerges as a favorable approach for the management of oral soft lesions.

Publisher

Medknow

Reference6 articles.

1. Laser in dentistry: An innovative tool in modern dental practice;Choudhary;Natl J Maxillofac Surg,2013

2. Laser versus scalpel incision in oral soft tissue biopsy: A histological evaluation;Moura;Lasers Med Sci,2011

3. The current status of laser applications in dentistry;Walsh;Aust Dent J,2003

4. Laser-assisted excision of benign oral lesions: A preliminary study;Chinnaswamy;J Maxillofac Oral Surg,2010

5. Antimicrobial effects of 2.94 ?m Er: YAG laser radiation on root surfaces: An in vitro study;Folwaczny;J Clin Laser Med Surg,1999

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