Excision of Telangiectatic Granuloma Using 810 nm Diode Laser and 10,600 nm CO2 Laser: A Case Report
Published: 2021-08-13
Page: 164-173
Issue: 2021 - Volume 4 [Issue 2]
Prerna Ghodke
Department of Periodontology and Oral Implantology, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
Sharayu Rajendra Dhande *
Department of Periodontology and Oral Implantology, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
Rashmi Hegde
Department of Periodontology and Oral Implantology, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
Waqas Ansari
Department of Periodontology and Oral Implantology, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
Sangeeta Muglikar
Department of Periodontology and Oral Implantology, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
Salman Sayyed
Department of Periodontology and Oral Implantology, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Telangiectatic granuloma is a solitary, pedunculated and vascular lesion. Etiology can be any trauma or chronic irritation can is formed from granulation tissue. Differential diagnosis can be varied from clinician to clinician. However, the final diagnosis will always be based on co-relation of clinical, radiographic and histopathological features. For such vascular lesions, lasers are preferred and compared over scalpel due to their haemostatic action, precise incision, coagulation property, better wound healing. Diode laser mechanism works on ‘hot-tip’ effect which is accumulation of heat at the end of fiber tip and results in to thick layer of coagulation on the treated surface. The CO2 laser was concomitantly used during this case because of its larger spot size and continuous mode and its bactericidal action.
Keywords: Telangiectatic granuloma, diode laser, CO2 laser, inflammatory hyperplastic lesion, dentistry, pyogenic granuloma, pregnancy granuloma, hormone replacement therapy