J Oral Laser Applications 8 (2008), No. 1 (18.03.2008)
Surgical Diode Laser Excision for Peripheral Cemento-Ossifying Fibroma: A Case Report and Literature Review
Alam, Tanveer / Dawasaz, Ali Azhar / Thukral, Naresh / Jangam, Daya
Peripheral cemento-ossifying fibroma is a rare osteogenic neoplasm that ordinarily presents as an epulis-like growth. A rare case of peripheral cemento-ossifying fibroma of the maxilla, 3.0 cm mesiodistally and 2.5 cm occluso-gingivally in diameter and causing difficulty in eating and speech, is reported. The choice of treatment should always be founded on the basic principles of pathology and sound surgical judgment. The ideal modality would allow a bloodless field, require no anesthesia, allow histological examination without distortion, provide a precise and controlled cut, enable a painless postoperative period, and cause no collateral damage to adjacent tissues. Although scalpel surgery does allow for precise incision with minimal collateral damage, it also usually necessitates working in a bloody field and does little to decrease postoperative pain and swelling. Diode lasers have several distinct advantages over the other modalities for the removal of benign lesions. Here we present a case of peripheral cemento-ossifying fibroma surgically excised using diode laser.
Keywords: peripheral cemento-ossifying fibroma, diode laser