Next Article in Journal
Primary Reason for Drinking Among Current, Former, and Never Flushing College Students
Next Article in Special Issue
Hydrophobic Organic Pollutants in Soils and Dusts at Electronic Waste Recycling Sites: Occurrence and Possible Impacts of Polybrominated Diphenyl Ethers
Previous Article in Journal
Acute and Chronic Toxicity of Carbamazepine on the Release of Chitobiase, Molting, and Reproduction in Daphnia similis
Previous Article in Special Issue
Estimation of the Spatial Suitability of Winter Tourism Destinations Based on Copula Functions
Article Menu
Issue 2 (January-2) cover image

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2019, 16(2), 210; https://doi.org/10.3390/ijerph16020210

The Effectiveness of Laser-Assisted Surgical Excision of Leukoplakias and Hyperkeratosis of Oral Mucosa: A Case Series in A Group of Patients

1
Department of Medicine and Surgery, Centre of Neuroscience of Milan, University of Milano-Bicocca, 20126 Milan, Italy
2
Multidisciplinary Department of Medical and Dental Specialties, University of Campania- Luigi Vanvitelli, 80138 Naples, Italy
3
Department of Stomatology, University of Valencia, University Hospital Dr Peset, 46017 Valencia, Spain
4
Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, 44121 Ferrara, Italy
Equal contribution for the first authorship.
*
Author to whom correspondence should be addressed.
Received: 24 November 2018 / Revised: 26 December 2018 / Accepted: 9 January 2019 / Published: 13 January 2019
(This article belongs to the Special Issue IJERPH: 15th Anniversary)
Full-Text   |   PDF [9049 KB, uploaded 13 January 2019]   |  

Abstract

Introduction: In the different branches of dentistry, the use of laser to solve different clinical situations is increasing due to numerous advantages that have been studied in literature since the 70s. Leucoplakia and hyperkeratosis can benefit from laser-assisted treatment. In most cases biopsy sampling, histological examination and, if no malignant cells are present, the follow-up is needed. However, even if the lesion is free of dysplasia patients often ask to eliminate these white spots that are always a cause of concern. Aim: From these numerous requests comes the idea of setting up a laser-assisted protocol as less invasive as possible to be offered to patients. The aim of the study is to find a laser-assisted protocol for the surgical excision of leucoplakia and hyperkeratosis that can both improve the clinical aspect of the lesion and be sustainable for patients. The null hypothesis has been identified in the following statement: the treatment is effective and efficient at the same time; where effectiveness was tested with the following criteria: size of the lesion, tactile perception, discomfort, pain; and efficiency with the following criteria: pain and discomfort perceived during the treatment. Materials and methods: To collect all data, a specially designed medical record was used. The diode laser was used with a pulsed mode and the maximum power corresponds to 1.8 W. No anaesthesia was used. Before laser-assisted treatment, the fibre was activated and was used with a contact overflowing. Results: Our results show a decrease in the size of the lesion statistically significant. No pain was referred during treatment, except for a slight burning sensation. Conclusion: In conclusion we can state that the treatment is both efficient and effective. View Full-Text
Keywords: oral surgery; oral medicine; leucoplakia; hyperkeratosis; laser oral surgery; oral medicine; leucoplakia; hyperkeratosis; laser
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Lauritano, D.; Lucchese, A.; Gabrione, F.; Di Stasio, D.; Silvestre Rangil, J.; Carinci, F. The Effectiveness of Laser-Assisted Surgical Excision of Leukoplakias and Hyperkeratosis of Oral Mucosa: A Case Series in A Group of Patients. Int. J. Environ. Res. Public Health 2019, 16, 210.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top