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. 2018 Jun;9(Suppl 1):S17-S22.
doi: 10.4103/ccd.ccd_708_17.

Cryosurgery: A Simple Tool to Address Oral Lesions

Sumit Asrani  1 , Praveen B Reddy  2 , Rajesh B Dhirawani  1 , Sanchit Jain  1 , Sanyog Pathak  1 , Pranav Asati  3
Affiliations

Cryosurgery: A Simple Tool to Address Oral Lesions

Sumit Asrani et al. Contemp Clin Dent. 2018 Jun.

Abstract

Aim: The study was aimed at evaluating the efficacy of cryosurgery in the management of oral mucosal lesions. Time taken for healing, postoperative pain, secondary infection, and recurrence of lesion was evaluated.

Materials and methods: A total of 30 patients with oral mucosal lesions were included in the study. The patients were evaluated for pain and postoperative infection which was documented on the 1st, 3rd, 7th, 21st day after the procedure. Other parameters such as healing time and scarring were assessed at 21st day. Recurrence of the lesion was evaluated in the 3rd and 6th postoperative month. All these data were statistically evaluated.

Results: The pain and swelling which reduced mainly during the 7th postoperative day which was highly significant. The discomfort of the patient was relatively less. Only three patients showed delayed healing out of all patients. Recurrence of lesion was noted in two cases which conclude to about 6.7%.

Conclusion: The cryosurgery is overall a better modality for treatment of oral lesions as it is more reasonable with adequate success. The procedure is relatively more acceptable and has shown to have a faster recovery.

Keywords: Cryosurgery; general dentists; oral lesions.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Cryosurgical apparatus (Model-004, Basco Surgicals, Chennai) and nitrous oxide cylinder
Figure 2
Figure 2
Visual analog scale
Figure 3
Figure 3
(a) Graph showing the gender-wise distribution of the patients. (b) Graph showing age-wise distribution of patients. (c) Graph showing the histopathological distribution of various pathologies addressed. (d) Graph showing the pain experienced by patients. (e) Graph showing the swelling experienced by patients
Figure 4
Figure 4
(a) Leukoplakia – preoperative photograph. (b) First-day postoperative photograph. (c) Third-day postoperative photograph (formation of pseudomembrane). (d) First-week postoperative photograph (ulceration). (e) Third-week postoperative photograph (complete epithelization) (f) Six months’ postoperative photograph
Figure 5
Figure 5
(a) Mucocele – preoperative photograph. (b) Application of cryoprobe and formation of the ice ball. (c) First-day postoperative photograph.(d) Third-day postoperative photograph (formation of pseudomembrane). (e) First-week postoperative photograph (ulceration). (f) Third-week postoperative photograph (complete epithelization). (g) Three months’ postoperative photograph. (h) Six months’ postoperative photograph
See this image and copyright information in PMC

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