Case Report: Interstitial-intralesional laser therapy and laser-assisted new attachment procedure for the treatment of alveolar bone loss provoked by an aggressive pyogenic granuloma [version 2; peer review: 2 approved]
Background: A pyogenic granuloma (PG) is a common benign vascular lesion found in the oral cavity. The gold standard treatment of this lesion, comprising surgical excision and the elimination of etiological factors, cannot avoid tooth loss in the case of an aggressive pyogenic granuloma. Because of...
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2022-09-01
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| Online Access: | https://f1000research.com/articles/11-883/v2 |
| _version_ | 1811227217229774848 |
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| author | Poramaporn Klanrit Sajee Sattayut Anon Akkarapatum |
| author_facet | Poramaporn Klanrit Sajee Sattayut Anon Akkarapatum |
| author_sort | Poramaporn Klanrit |
| collection | DOAJ |
| description | Background: A pyogenic granuloma (PG) is a common benign vascular lesion found in the oral cavity. The gold standard treatment of this lesion, comprising surgical excision and the elimination of etiological factors, cannot avoid tooth loss in the case of an aggressive pyogenic granuloma. Because of the prominent properties of 980 nm and 635 nm diode lasers in photocoagulation and photobiomodulation, we applied these wavelengths in the treatment of a large pyogenic granuloma with alveolar bone loss. Case presentation: Our objective was to use a combination of interstitial-intralesional laser therapy, photocoagulation and laser-assisted new attachment procedure (LANAP) to preserve the teeth and periodontal tissue in a case of an aggressive pyogenic granuloma. Results: The patient was a 13-year-old Thai male with a pyogenic granuloma involving the interdental papilla and lingual gingiva of the lower left first and second molars. The teeth were also displaced by the lesion. After treatment with three sessions of photocoagulation, three sessions of interstitial-intralesional laser therapy and two sessions of LANAP, the lesion was completely resolved. The periodontal status of the teeth was improved at the six-month follow-up. Conclusion: The combination of interstitial-intralesional laser therapy, photocoagulation and LANAP was able to treat an aggressive pyogenic granuloma with tooth preservation. |
| first_indexed | 2024-04-12T09:38:51Z |
| format | Article |
| id | doaj.art-6505b88cf9c94f6bbebee456b2e676dd |
| institution | Directory Open Access Journal |
| issn | 2046-1402 |
| language | English |
| last_indexed | 2024-04-12T09:38:51Z |
| publishDate | 2022-09-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | F1000Research |
| spelling | doaj.art-6505b88cf9c94f6bbebee456b2e676dd2022-12-22T03:38:09ZengF1000 Research LtdF1000Research2046-14022022-09-0111138280Case Report: Interstitial-intralesional laser therapy and laser-assisted new attachment procedure for the treatment of alveolar bone loss provoked by an aggressive pyogenic granuloma [version 2; peer review: 2 approved]Poramaporn Klanrit0Sajee Sattayut1https://orcid.org/0000-0001-7111-9381Anon Akkarapatum2Oral Biomedical Science-Division of Oral Diagnosis, Khon Kaen University, Khon Kaen, 40002, ThailandOral and Maxillofacial Surgery, Faculty of Dentistry, Khon Kaen University, Khon Kaen, 40002, ThailandOral and Maxillofacial Surgery, Faculty of Dentistry, Khon Kaen University, Khon Kaen, 40002, ThailandBackground: A pyogenic granuloma (PG) is a common benign vascular lesion found in the oral cavity. The gold standard treatment of this lesion, comprising surgical excision and the elimination of etiological factors, cannot avoid tooth loss in the case of an aggressive pyogenic granuloma. Because of the prominent properties of 980 nm and 635 nm diode lasers in photocoagulation and photobiomodulation, we applied these wavelengths in the treatment of a large pyogenic granuloma with alveolar bone loss. Case presentation: Our objective was to use a combination of interstitial-intralesional laser therapy, photocoagulation and laser-assisted new attachment procedure (LANAP) to preserve the teeth and periodontal tissue in a case of an aggressive pyogenic granuloma. Results: The patient was a 13-year-old Thai male with a pyogenic granuloma involving the interdental papilla and lingual gingiva of the lower left first and second molars. The teeth were also displaced by the lesion. After treatment with three sessions of photocoagulation, three sessions of interstitial-intralesional laser therapy and two sessions of LANAP, the lesion was completely resolved. The periodontal status of the teeth was improved at the six-month follow-up. Conclusion: The combination of interstitial-intralesional laser therapy, photocoagulation and LANAP was able to treat an aggressive pyogenic granuloma with tooth preservation.https://f1000research.com/articles/11-883/v2pyogenic granuloma interstitial-intralesional laser therapy photocoagulation LANAP diode laser tooth preservationeng |
| spellingShingle | Poramaporn Klanrit Sajee Sattayut Anon Akkarapatum Case Report: Interstitial-intralesional laser therapy and laser-assisted new attachment procedure for the treatment of alveolar bone loss provoked by an aggressive pyogenic granuloma [version 2; peer review: 2 approved] F1000Research pyogenic granuloma interstitial-intralesional laser therapy photocoagulation LANAP diode laser tooth preservation eng |
| title | Case Report: Interstitial-intralesional laser therapy and laser-assisted new attachment procedure for the treatment of alveolar bone loss provoked by an aggressive pyogenic granuloma [version 2; peer review: 2 approved] |
| title_full | Case Report: Interstitial-intralesional laser therapy and laser-assisted new attachment procedure for the treatment of alveolar bone loss provoked by an aggressive pyogenic granuloma [version 2; peer review: 2 approved] |
| title_fullStr | Case Report: Interstitial-intralesional laser therapy and laser-assisted new attachment procedure for the treatment of alveolar bone loss provoked by an aggressive pyogenic granuloma [version 2; peer review: 2 approved] |
| title_full_unstemmed | Case Report: Interstitial-intralesional laser therapy and laser-assisted new attachment procedure for the treatment of alveolar bone loss provoked by an aggressive pyogenic granuloma [version 2; peer review: 2 approved] |
| title_short | Case Report: Interstitial-intralesional laser therapy and laser-assisted new attachment procedure for the treatment of alveolar bone loss provoked by an aggressive pyogenic granuloma [version 2; peer review: 2 approved] |
| title_sort | case report interstitial intralesional laser therapy and laser assisted new attachment procedure for the treatment of alveolar bone loss provoked by an aggressive pyogenic granuloma version 2 peer review 2 approved |
| topic | pyogenic granuloma interstitial-intralesional laser therapy photocoagulation LANAP diode laser tooth preservation eng |
| url | https://f1000research.com/articles/11-883/v2 |
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