Benign soft tissue tumor-like lesions of the oral cavity are said to be any pathological growth that projects above the normal contours of the oral surface whose size may be large or small depending on the degree to which one or more of the components of inflammatory reactions and healing response are exaggerated. There are different mechanisms that lead to the development of a soft tissue tumor-like lesion in the oral cavity, the most common being reactive hyperplasia. These growths are subject to continual masticatory trauma and need to be excised early to prevent malignancy. This article presents different clinical cases of benign reactive soft tissue tumor-like lesions of the oral cavity excised using CO2 lasers, as they provide a bloodless field and also allow histological examination without distortion, resulting in a painless postoperative period and no collateral damage to adjacent tissues. Although scalpel surgery does allow for precise incision with minimal collateral damage, it also usually necessitates working in a bloody field and does little to decrease postoperative pain and swelling. Postsurgical healing after laser excision progressed well with no postoperative complications. Re-epithelialization was complete within 4 weeks. Thus, it is concluded that lasers can be considered as a revolutionary modality for the surgical excision of oral exophytic growths.
Keywords: benign soft tissue tumor, CO2 laser