Observational Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clinical Cases. Sep 16, 2016; 4(9): 253-257
Published online Sep 16, 2016. doi: 10.12998/wjcc.v4.i9.253
450 nm diode laser: A new help in oral surgery
Carlo Fornaini, Jean-Paul Rocca, Elisabetta Merigo
Carlo Fornaini, Jean-Paul Rocca, Elisabetta Merigo, Micoralis Laboratory EA7354, Faculty of Dentistry, University of Nice, 06357 Nice, France
Author contributions: Fornaini C performed surgical procedure; all the authors contributed equally to this work: All participated in the acquisition of the data (VAS, NRS, pictures) and also in the redaction of the article.
Institutional review board statement: N/A.
Informed consent statement: The described patient gave her informed consent prior to study inclusion.
Conflict-of-interest statement: Authors disclosed no potential financial conflict of interest with this study.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Carlo Fornaini, MD, Micoralis Laboratory EA7354, Faculty of Dentistry, University of Nice, Diables Bleus Avenue, 06357 Nice, France. carlo@fornainident.it
Telephone: +33-4-92001111 Fax: +33-4-92001263
Received: February 14, 2016
Peer-review started: February 16, 2016
First decision: March 25, 2016
Revised: July 1, 2016
Accepted: July 14, 2016
Article in press: July 16, 2016
Published online: September 16, 2016
Processing time: 207 Days and 15.3 Hours
Abstract
AIM

To describe the performance of 450 nm diode laser in oral surgery procedures.

METHODS

The case described consisted of the removal of a lower lip fibroma through a blue diode laser (λ = 450 nm).

RESULTS

The efficacy of this device, even at very low power (1W, CW), allows us to obtain very high intra and postoperative comfort for the patient, even with just topical anaesthesia and without needing suture. The healing process was completed in one week and, during the follow-up, the patient did not report any problems, pain or discomfort even without the consumption of any kind of drugs, such as painkillers and antibiotics. The histological examination performed by the pathologist showed a large area of fibrous connective tissue with some portions of epithelium-connective detachments and a regular incision with very scanty areas of carbonization.

CONCLUSION

The 450 nm diode laser proved of being very efficient in the oral soft tissue surgical procedures, with no side effects for the patients.

Keywords: Blue laser; Advantages; Oral surgery; Patient satisfaction

Core tip: In this work we described a single case consisting of the removal of a lower lip fibroma by means of a blue diode laser (λ = 450 nm), showing its efficacy even at very low power (1W, CW) and allowing us to obtain very high intra and postoperative comfort for the patient, even with just topical anaesthesia and without needing suture. The observed healing process after one week and the complete absence of pain during the follow-up without the consumption of any kind of drugs, such as painkillers and antibiotics, together with the perfect histological readability are very great advantages in favour of this surgical approach.