Gülnihal Emrem DOĞAN, Gülşah UYANIK, Zeliha AYTEKİN, Nesrin GÜRSAN, Cenk Fatih ÇANAKÇI

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

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 DERLEMESİÖZETPiyojenik 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

Anahtar Kelimeler:

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

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