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. 2022 Sep 17:2022:8269221.
doi: 10.1155/2022/8269221. eCollection 2022.

Comparative Evaluation of Efficacy and Safety of the Diode Laser (980 nm) and Sclerotherapy for the Treatment of Oral Pyogenic Granuloma

Peeyush Shivhare  1 , Naqoosh Haidry  1 , Neha Sah  2 , Ajay Kumar  3 , Abhishek Gupta  4 , Ankur Singh  5 , Mohan Raju Penumatcha  6 , Shalini Subramanyam  7
Affiliations

Comparative Evaluation of Efficacy and Safety of the Diode Laser (980 nm) and Sclerotherapy for the Treatment of Oral Pyogenic Granuloma

Peeyush Shivhare et al. Int J Dent. .

Abstract

Background: Pyogenic granuloma (PG) is a tumor-like, non-neoplastic lesion of the soft tissue that commonly appears in the oral cavity. Various treatment modalities have been discussed, including surgical excision, cryosurgery, curettage, electrodessication, corticosteroid injection, sclerotherapy, and lasers. This observational retrospective study compared effectiveness between diode lasers and sclerotherapy for PG treatment.

Materials and methods: From July 2016 to January 2021, data of oral PG cases treated with sclerotherapy and diode lasers were gathered. Patients were evaluated and categorized according to their gender, sex, site of lesions, size of lesions, number of sessions, details of side effects, details of the VAS (Visual Analogue Scale) on third postoperative day, response of treatment to individual groups, time required for complete resolution, and details of recurrence. Inferential statistical analysis was performed.

Results: We included 73 patients, of whom 43 and 30 received laser and sclerotherapy treatment, respectively. Compared with the sclerotherapy group, the laser group had less side effects including pain, edema, ulceration, ecchymosis, infections, and scarring. The difference in postoperative pain (VAS scale) between the groups was statistically significant (p-value 0.004). Complete remission was seen in the laser group, while 3 cases of the sclerotherapy group had no response (p-value -0.034). The laser group experienced greater recurrence than did the sclerotherapy group.

Conclusions: Both sclerotherapy with laser and 3% sodium tetradecyl sulfate are effective for treating oral PG. Sclerotherapy is more effective in preventing recurrence. In terms of side effects, diode lasers are superior to sclerotherapy.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Case of pyogenic granuloma of gingival region treated with sclerotherapy with sodium tetradecyl sulfate (STS). (a) Presence of reddish pink sessile growth in relation with 42, 43. (b) Color changes soon after injection of 0.1 ml STS 3%. (c) 90% regression of the lesion. (d) Complete healing (proper scaling and root planning were advocated).
Figure 2
Figure 2
Another case of pyogenic granuloma of labial mucosa treated with sclerotherapy with sodium tetradecyl sulfate (STS). (a) Presence of reddish pink sessile growth on the tip of the tongue. (b) Intralesional color changes soon after injection of 0.2 ml STS 3%. (c) 90% regression of the lesion. (d) Complete healing.
Figure 3
Figure 3
Pyogenic granuloma of gingival lesion treated with diode laser 980 nm (IndiLase). (a) Presence of reddish pink sessile growth in relation with 32 and 33. (b) Postoperative after laser excision. (c) Healing of the lesion. (d) Complete healing (proper scaling and root planning were advocated).
Figure 4
Figure 4
Another case of pyogenic granuloma of retrocommissural region treated with diode laser 980 nm (IndiLase). (a) Presence of reddish pink sessile growth. (b) Postoperative after laser excision. (c) 90% regression of the lesion. (d) Complete healing.
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