이산화탄소 레이저(CO₂ laser)를 이용한 치은에 발생한 자극성 섬유종의 치료

Abstract

Carbondioxide(CO₂) laser is one of the most widely employed lasers in oral soft tissue surgery because of its excellent affinity for water‐based soft tissues. It has some inherent advantages such as hemostasis, less postoperative swelling, reduction of bacterial population at surgical site, less need for suturing, less scarring, and less postoperative pain compared to conventional surgical therapies including the use of scalpel, diathermy, cryotherapy and electrosurgery. A 30-years-old male was presented with gingival swelling. Clinical examination revealed a well‐defined pedunculated fibrotic mass on the buccal gingiva near right maxillary 1st molar. In radiographic examination, no remarkable abnormality was seen. Excisional biopsy was performed with CO₂ laser (continuous wave mode, 4.0W). Histological diagnosis was “Irritation fibroma”. CO₂ laser has advantages those are suitable for surgical treatment of intraoral lesion. If appropriate training and experience are provided, the dentist would be able to manage intraoral lesions more efficiently and successfully with the use of the CO₂ laser