Laser excision of peripheral ossifying fibroma: Report of two cases

| Posted in: Science

Journal name: Journal of Indian Society of Periodontology
Original article title: Laser excision of peripheral ossifying fibroma: Report of two cases
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:

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Author:

Samir Chugh, Nupur Arora, Amit Rao, Sunil Kumar Kothawar


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Laser excision of peripheral ossifying fibroma: Report of two cases

Year: 2014 | Doi: 10.4103/0972-124X.131351

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Peripheral ossifying fibroma (POF) is a non-neoplastic growth that typically occurs in the interdental papilla and anterior part of the maxilla, with a higher prevalence in females. Representing about 9% of all gingival growths, POF is often reactive in nature and poses a challenge due to its unpredictable clinical course and notable recurrence rates of 7% to 45% after surgical excision. Traditional treatments like scalpel surgery have evolved towards less invasive alternatives such as laser excision, which is increasingly being recognized for its patient-centered benefits, including reduced bleeding and improved recovery times.

Advantages of Laser Excision

The use of neodymium-doped yttrium aluminum garnet (Nd: YAG) laser for excising POF has emerged as a promising therapeutic modality. Case reports demonstrate its effectiveness in managing POF, as evidenced by two successful treatments reported in the literature. In these cases, laser excision resulted in minimal intraoperative bleeding, reduced postoperative pain, and quick recovery, with both patients experiencing no recurrence at the one-year follow-up mark. The laser's ability to precisely remove the lesion while coagulating tissue minimizes damage to surrounding areas and enhances patient comfort, highlighting a crucial shift towards laser-assisted dental surgeries.

Conclusion

The complexity and unpredictability of POF necessitate effective management strategies that minimize recurrence rates. This report underscores the potential of laser excision as a viable treatment option for POF, especially considering the positive outcomes from the two cases treated with Nd: YAG laser. The lack of recurrence over a year allows for optimism in using laser technology, suggesting that it not only meets clinical needs but also addresses patient preferences in surgical interventions. Further studies are warranted to consolidate these findings and evaluate long-term effectiveness in a larger cohort.

FAQ section (important questions/answers):

What is Peripheral Ossifying Fibroma (POF)?

POF is a non-neoplastic enlargement of the gingiva, commonly seen in females, particularly in the maxillary anterior region, and accounts for about 9% of all gingival growths.

How is Peripheral Ossifying Fibroma typically treated?

Surgical excision is the standard treatment for POF, though it has a recurrence rate ranging from 7% to 45%, making management challenging for clinicians.

What role do lasers play in treating POF?

Lasers, specifically Nd:YAG lasers, provide a feasible and patient-preferred approach for excising POF due to advantages like minimal bleeding, reduced discomfort, and quicker recovery times.

What were the outcomes of the cases treated with laser excision?

In the reported cases, patients experienced uneventful healing post-laser excision, with no recurrences observed during a one-year follow-up.

What histological features are seen in POF cases?

Histological examinations of POF typically show fibrous connective tissue with mineralized structures resembling cellular bone and droplets of calcified material, indicating the lesion's peculiar nature.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Laser excision of peripheral ossifying fibroma: Report of two cases”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Bleeding:
Bleeding refers to the loss of blood from the circulatory system, which can occur during surgical procedures such as the excision of peripheral ossifying fibroma. Minimizing bleeding is crucial in surgical settings to enhance patient safety, reduce recovery time, and prevent complications like infections. In the context of laser surgery, reduced bleeding is a significant benefit.

2) Table:
In a medical context, a 'table' often refers to a systematic arrangement or a collection of data, results, or findings that helps clinicians and researchers analyze specific conditions or procedures. Tables can organize complex information pertaining to treatment outcomes, patient demographics, or clinical statistics, facilitating clearer understanding and comparison.

3) Post:
The term 'post' typically denotes something occurring after a particular event or timeframe. In medical settings, it often pertains to postoperative care or follow-up. Post-operative monitoring is essential to assess recovery, identify potential complications, and ensure the healing process is proceeding as expected after surgical interventions.

4) Relative:
Relative denotes a comparison or relationship between two or more variables. In medical studies, relative risks or outcomes can provide insights into the likelihood of recurrence of diseases or conditions. Understanding relative statistics can help medical professionals devise more effective treatment strategies and better manage patient expectations.

5) Hygiene (Hygienic):
Hygiene refers to practices that promote health and cleanliness, particularly oral hygiene in dentistry. Proper hygiene prevents infections, reduces inflammation, and plays a vital role in the healing process following surgical procedures such as the excision of peripheral ossifying fibromas. Ensuring good oral hygiene is a key aspect of patient care.

6) Surface:
Surface refers to the outermost layer of an object, which in a dental context can relate to the surface of the gums or teeth. In surgical procedures, the condition of the surface where treatment is applied influences healing and recovery. The laser excision techniques aim to maintain the integrity of the surface.

7) Nature:
In medical literature, 'nature' often refers to the characteristics, qualities, or properties of a condition or disease. Understanding the nature of peripheral ossifying fibromas, including their non-neoplastic nature and tendency to recur, is crucial for effective management, patient counseling, and treatment planning.

8) Reason:
Reason pertains to the justification or rationale behind a diagnosis or treatment choice. Identifying reasons for conditions such as peripheral ossifying fibromas is essential for understanding etiology and guiding treatment options. Clinicians must consider underlying reasons that contribute to persistent or recurring disease manifestation.

9) Garnet:
Garnet refers to a group of silicate minerals, one form being neodymium-doped yttrium aluminum garnet (Nd:YAG), which is significant in laser surgery. This laser type is effective for soft tissue procedures, providing controlled penetration and minimal bleeding, making it a preferred option for treating excisions in gingival growths.

10) Pur:
Poor typically indicates substandard conditions, such as poor oral hygiene, which can exacerbate health issues. In the context of peripheral ossifying fibroma, poor hygiene can lead to inflammation, compounding the need for surgical intervention. Addressing poor hygiene is essential for preventing recurrence after treatment.

11) Accumulation (Accumulating, Accumulate):
Accumulation denotes the buildup of substances, such as plaque and calculus in oral hygiene, which may lead to gingival diseases. In surgical cases, reducing the accumulation of irritants is important to prevent the recurrence of conditions like peripheral ossifying fibromas and to ensure successful postoperative healing.

12) Inflammation:
Inflammation is the body's response to injury or infection, characterized by redness, swelling, and discomfort. In dental contexts, chronic inflammation due to conditions like gingivitis can influence the development of lesions such as peripheral ossifying fibromas. Managing inflammation is crucial for effective treatment and recovery.

13) Discussion:
Discussion in medical literature usually emphasizes analysis and interpretation of findings, contributing to the understanding of conditions and implications for practice. It synthesizes research outcomes, treatment modalities, and reviews existing literature, enhancing knowledge to advance clinical practices, especially in managing peripheral ossifying fibromas.

14) Knowledge:
Knowledge encompasses the information and understanding crucial in both medical practice and research. In the context of peripheral ossifying fibromas, having thorough knowledge about the condition, treatment options, and potential outcomes enriches clinicians’ decision-making and can lead to improved patient care and management strategies.

15) Resolving:
Resolving refers to the process of alleviating or eliminating medical conditions. For peripheral ossifying fibromas, resolution may entail surgical excision or other effective treatment modalities that address the growth and prevent recurrence, contributing to patient comfort and oral health improvement over time.

16) Disease:
Disease refers to a pathological condition characterized by abnormal functioning or structure, affecting health and well-being. Peripheral ossifying fibroma represents a non-neoplastic disease of the gingiva that necessitates clinical attention and intervention. Understanding disease characteristics is essential for diagnosis, management, and patient education.

17) Account:
Account generally means considering or describing a particular matter. In medical research, it involves capturing data and outcomes from patient treatments, as well as understanding the incidence of conditions like peripheral ossifying fibromas, to inform best practices, improve patient outcomes, and guide future research.

18) Sugar:
Sugar relates to dietary intake, which can influence oral health. High sugar consumption is linked to dental issues like plaque accumulation, leading to gingival inflammation and possibly contributing to conditions such as peripheral ossifying fibromas. Awareness of sugar's role in oral health is vital for effective dietary counseling.

19) Blood:
Blood is vital for body function and is crucial in surgical settings for assessing health and managing bleeding. In procedures involving peripheral ossifying fibromas, techniques that minimize blood loss, such as laser excision, significantly enhance patient outcomes and postoperative recovery.

20) Study (Studying):
Study refers to systematic investigation or review aimed at enhancing understanding of medical conditions or treatment modalities. In the context of peripheral ossifying fibromas, studies contribute essential data about recurrence rates, treatment efficacy, and patient outcomes, guiding clinicians in providing quality care.

21) Alam (Alaṁ):
In medical literature, 'Alam' may refer to a researcher or author that contributed to notable findings related to conditions and treatments. Referencing Alam's work on laser excision techniques emphasizes the growing body of evidence supporting innovative approaches in treating conditions like peripheral ossifying fibromas.

22) Pain:
Pain refers to physical discomfort or suffering that can accompany medical conditions or surgical procedures. Managing pain effectively during and after the excision of peripheral ossifying fibromas is a key component of patient care, as it significantly impacts recovery and overall patient satisfaction.

23) Male:
Male refers to one of the biological sexes, reflecting demographic considerations in medical literature. In the context of peripheral ossifying fibromas, understanding gender predispositions can inform clinicians about the characteristics and treatment expectations for patients, guiding individualized care approaches.

24) Life:
Life encompasses the overall well-being of individuals and functional efficacy. In medical contexts, enhancing life quality through effective treatments for conditions like peripheral ossifying fibromas is paramount. Continuous improvement in patient care impacts not only health outcomes but also psychological and social well-being.

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Discover the significance of concepts within the article: ‘Laser excision of peripheral ossifying fibroma: Report of two cases’. Further sources in the context of Science might help you critically compare this page with similair documents:

Oral hygiene, Surgical excision, Local anesthesia, Case report, Recurrence Rate, Tissue examination, Chronic gingivitis, Esthetic Zone, Peripheral ossifying fibroma, Cosmetic reason.

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