Published online Apr 16, 2024. doi: 10.12998/wjcc.v12.i11.1974
Peer-review started: January 19, 2024
First decision: February 23, 2024
Revised: February 28, 2024
Accepted: March 21, 2024
Article in press: March 21, 2024
Published online: April 16, 2024
Processing time: 83 Days and 4.4 Hours
This case of gestational gingival tumor is huge and extremely rare in clinical practice. As the growth location of this gingival tumor is in the upper anterior tooth area, it seriously affects the pregnant woman's speech and food, causing great pain to the patient. The use of Nd:YGA water mist laser to remove the gingival tumor resulted in minimal intraoperative bleeding, minimal adverse reactions, and good postoperative healing, which is worthy of clinical promotion and application.
The patient, a pregnant woman, reported a large lump in her mouth on the first day of postpartum treatment. Based on medical history and clinical examination, the diagnosis was diagnosed as gestational gingival tumor. Postoperative pathological biopsy also confirmed this diagnosis. The use of Nd:YAG water mist laser to remove the tumor resulted in minimal intraoperative bleeding, clear surgical field of view, short surgical time, and good postoperative healing.
In comparison to traditional surgery, Nd:YAG water mist laser surgery is minimally invasive, minimizes cell damage, reduces bleeding, ensures a clear field of vision, and virtually eliminates postoperative edema, carbonization, and the risk of cross infection. It has unique advantages in oral soft tissue surgery for pregnant patients. Therefore, the clinical application of Nd:YAG water mist laser for the treatment of gestational gingival tumors is an ideal choice.
Core Tip: Pregnant gingival tumors are more common in clinical practice, usually smaller than 1 cm, but gestational gingival tumors with a size of nearly 4 cm are relatively rare. There have been reports of using semiconductor lasers to treat gestational gingival tumors in clinical practice, but the tumors are relatively small and have less bleeding. In this case, Nd:YAG water mist laser was used to remove large tumors. The intraoperative bleeding was minimal, the field of vision was clear, and there was water mist cooling without carbonization. The postoperative effect was ideal.