THE USE OF ND:YAG LASER IN PATIENTS WITH ORAL PYOGENIC GRANULOMA AND MELANIN PIGMENTATION: A CASE REPORT AND REVIEW OF THE LITERATURE

Year 2016, Supplement 16, 1 - 6, 24.11.2016

Gülnihal Emrem Doğan Gülşah Uyanık Zeliha Aytekin Nesrin Gürsan Cenk Fatih Çanakçı

https://doi.org/10.17567/ataunidfd.290502

Abstract

ABSTRACT 

Pyogenic granuloma
(PG) is a well known oral lesion which occurs as response of tissue to chronic
low-grade irrititation, traumatic injury, hormonal factors and some drugs. PG
occurs cosmetic deformity, recurrent hemorrhage, and functional problems in
speaking, swallowing and chewing. Beside this, oral melanin pigmentation on
gingiva may cause esthetic problem. A
28-year old female applied to our clinic with nodular gingival enlargement in
the maxillary gingiva on the vestibular surface of the right central and
lateral incisors. Also she complained from gingival hyperpigmentation in her
mandibular and maxillar gingival region. In this case report, we presented the
use of surgical Nd:YAG lasers for gingivectomy of soft mass and depigmentation
of vestibular gingiva without any complication. Treatment with laser presents
minimal postoperative problems, discomfort and scarring.

Key
Words:
Pyogenic granuloma, melanin pigmentation, Nd:YAG laser, gingivectomy,
depigmentation

ORAL PİYOJENİK
GRANÜLOMU VE MELANİN PİGMENTASYONU OLAN HASTADA ND:YAG LAZER KULLANIMI: BİR
VAKA RAPORU VE LİTERATÜR DERLEMESİ

ÖZET

Piyojenik
granülom (PG) iyi bilinen bir oral lezyondur. PG travmatik yaralanmalar,
hormonal faktörler, bazı ilaçlar ve düşük şiddetli kronik irritasyonlara tepki
sonucu oluşur. Genellikle estetik problemlere, tekrar- layan kanamalara ve
konuşma, yutma, çiğneme prob- lemleri gibi fonksiyonel problemlere neden olur.
Ayrıca, hastalarda estetik açıdan problem oluşturan oral melanin pigmantasyonu
görülebilir. 28 yaşındaki bayan hasta kliniğimize sağ santral ve lateral kesi- cilerin
fasiyal yüzeyinde maksiller gingivaya atake nodular gingival büyüme şikayetiyle
başvurdu. Hasta aynı zamanda maksiller ve mandibular gingival bölge- deki
pigmentasyonlardan estetik olarak rahatsızlık duy- duğunu ifade etti. Bu vaka
raporunda, Nd:YAG lazer kullanımı ile cerrahi yumuşak kitlenin eksizyonu ve
vestibül gingival  depigmentasyon tedavisinin
herhangi bir  komplikasyon olmadan  sunumu amaçlanmıştır. Laser ile tedavi
postoperatif problemleri, rahatsızlıkları ve skar oluşumunu minimal düzeye
indirerek avantaj sağlamaktadır.

Anahtar
Kelimeler:
Piyojenik granülom, melanin pigmentasyonu, Nd:YAG lazer, gingivektomi,
depigmentasyon

Keywords

Pyogenic granuloma, melanin pigmentation, Nd:YAG laser, gingivectomy

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