Pre-prosthetic atraumatic laser-assisted mandibular rehabilitation: Er,Cr:YSGG 2780 nm for alveoloplasty and mucocele removal

Lasers are a popular technology in many areas of dentistry due to their low invasiveness, quick tissue response, and rapid healing time. Mucoceles develop from minor salivary glands, whereas bony exostosis is a prosthodontic challenge that prevents optimal prosthetic management. Scarring, pain, and discomfort are common drawbacks of traditional surgical approaches, which are followed by prolonged postoperative healing. Laser-assisted mandibular rehabilitation is a promising approach with predictable results. The patient complained of severe pain during denture fabrication, as well as a small, painless swelling on the inner aspect of the lower lip. The patient was able to receive the planned complete dentures after undergoing atraumatic laser-assisted removal of mucocele and bone exostosis with an Er,Cr:YSGG (Erbium, chromium-doped, yttrium, scandium, gallium, and garnet) laser treatment at 2780 nm. Both procedures were completed quickly, and there were no postoperative complications to report. Blanching overlying both lesions quickly faded after healing and was replaced by a healthy pink mucosal color; both lesions were monitored until complete healing. The Er,Cr:YSGG effectively ablated and removed both soft and hard tissue lesions with minimal bleeding and pain

激光技术在牙科领域的多个方面备受欢迎，得益于其低侵入性、迅速的组织反应以及快速的愈合时间。粘液囊肿起源于小唾液腺，而骨性外生骨疣则成为了一种义齿修复的挑战，阻碍了最佳义齿管理方案的实施。传统手术方法常伴随疤痕、疼痛和不适等常见弊端，术后愈合期也因此延长。激光辅助下颌康复是一种具有可预测结果的潜在方法。患者在义齿制作过程中主诉严重疼痛，同时在下唇内侧出现了一个微小、无痛的肿胀。经过使用2780纳米波长的Er,Cr:YSGG（铒掺杂、铬、钇、镓和石榴石）激光治疗的创伤性激光辅助粘液囊肿和骨性外生骨疣的去除后，患者能够接受预定的全口义齿。两项手术均迅速完成，且未出现术后并发症。愈合后，覆盖在两个病变部位的漂白现象迅速消退，被健康的粉红色粘膜颜色所取代；两个病变均得到了持续的监测直至完全愈合。Er,Cr:YSGG激光有效地消融并移除了软组织和硬组织病变，出血和疼痛均降至最低。