Traumatic or irritation fibroma is a common benign exophytic oral lesion that develops secondary to tissue injury. It is the most common benign reactive lesion, and the treatment of choice is surgical excision. The use of lasers in different dental procedures has become very common in the last few years. In oral surgeries, it use is usually associated with no or little bleeding and a better postoperative period. Nd:YAP (Neodymium:Yttrium- Aluminum-Perovskite) laser has been reported in the literature mainly in hard tissue procedures. The literature contains no reports of the use of ND:YAP laser in oral soft tissues surgery. This report describe the use of Nd:YAP laser (1.34 μm, 250 mW, 30 Hz) on the excision of a traumatic fibroma in combination with daily phototherapy with low-intensity laser (InGaAlP; 660 nm;40 mW; 3 J/cm2). The excision of the fibroma using the Nd:YAP laser consisted was a quick clinical procedure, without bleeding. During the days following surgery, the patient reported no pain or discomfort. The wound healing of the soft tissue was satisfactory and no scarring could be seen in the region of the surgery. The excision of the fibroma with the Nd:YAP laser is a safe, quick procedure, and the postoperative photobiomodulation with low-intensity laser reduces edema and improves wound healing.
Keywords: Nd:YAP laser, InGaAlP, irritation fibroma, oral surgery, oral pathology