Artículo
Prospective study of the 532 nm laser (KTP) versus diode laser 980 nm in the resection of hyperplastic lesions of the oral cavity
Autor/es | Bargiela Pérez, Patricia
González Merchán, Jorge Díaz Sánchez, Rosa María Serrera Figallo, María de los Ángeles Volland, Gerd Joergens, Martin Gutiérrez Pérez, José Luis Torres-Lagares, Daniel |
Departamento | Universidad de Sevilla. Departamento de Estomatología Instituto de Biomedicina de Sevilla (IBIS) |
Fecha de publicación | 2018 |
Fecha de depósito | 2024-07-16 |
Publicado en |
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Resumen | Background: The aim of this study is to evaluate the resection of hyperplastic lesions on the buccal mucosa
comparing the 532nm laser (KTP), versus diode 980nm laser, considering pain, scarring, inflammation and drug ... Background: The aim of this study is to evaluate the resection of hyperplastic lesions on the buccal mucosa comparing the 532nm laser (KTP), versus diode 980nm laser, considering pain, scarring, inflammation and drug consumption that occurred postoperatively with each lasers. Material and Methods: A prospective study of consecutive series of 20 patients in two groups that presents hy perplastic lesions on the buccal mucosa. The choice of the KTP laser or diode 980nm laser for the surgery was made randomly. The power used was 1.5W in both groups in a continuous wave mode with a 320 μm optical fiber. Parameters of pain, scarring, inflammation and consumption of drugs were recorded by a Numerical Rating Scale and evaluated postoperatively. These recordings were made the day of the surgery, 24 hours after, 14 and 28 days after. Results: Pain and inflammation was light - moderate. The consumption of paracetamol was somewhat higher in the diode 980nm laser versus the KTP laser after 24 hours, although data was not statistically significant; signifi cant differences were found after 28 days in regards to pain (p = 0.023) and inflammation (p = 0.023), but always in the absence parameter so we find no pain in both lasers. Scarring in the two types of laser showed no differences along the visits, with not detected scar retractable. Conclusions: Although there is a slight histological difference regarding the KTP laser in the oral soft tissues for clinical use, both wavelengths are very suitable for excision of oral fibroma. |
Cita | Bargiela Pérez, P., González Merchán, J., Díaz Sánchez, R.M., Serrera Figallo, M.d.l.Á., Volland, G., Joergens, M.,...,Torres-Lagares, D. (2018). Prospective study of the 532 nm laser (KTP) versus diode laser 980 nm in the resection of hyperplastic lesions of the oral cavity. Medicina oral, patología oral y cirugía bucal, 23 (23), E78-E85. https://doi.org/10.4317/medoral.21812. |
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