Fibroma removal from tongue - Laser Dentistry Forum

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July 19, 2005 at 8:18 pm #2756 Reply

Benchwmer
Spectator

PerioLase MVP-7 has multiple pulse widths, but also an increased choice of pulse rates.
A pre-set for Biopsy is 3.6W 100Hz 100usec.
The following 50+ year old male, presents with the following raised lesion on the side of his tongue.

Diagnosis is an irritation fibroma.
Treatment will consist of an excisional biopsy using the PerioLase Free pulsed Nd:YAG laser at it’s “Diode” setting of 3.6W 100Hz 100usec.
A couple drops of 4% Citanest Forte was infiltrated into the area.
The lesion was removed as tension was applied to the tissue pulling the fibroma with tissue forceps.

Immediately post-lase.

No bleeding, no charring, no sutures.
This “Diode” setting. Makes for a quicker cleaner excision than the 50Hz setting I have traditionally used.

Jeff

July 21, 2005 at 6:04 pm #5749 Reply

Swpmn
Spectator

Looks real nice, Jeff.

Dr. Gregg once let me use the PerioLase at the 100Hz “diode” setting on hog palate. Was impressed with the smooth incision.

Al

July 21, 2005 at 11:57 pm #5742 Reply

Benchwmer
Spectator

Al,
Saw the patient at 3 week post-op today, couldn’t even find the excision site. All healed.
Looking good.
Jeff

July 22, 2005 at 4:30 am #5748 Reply

Robert Gregg DDS
Spectator

Very nice Jeff!

Did you get a photo of the post op AREA that you didn’t find? Tough to rationalize and do in a busy day. Just wondering.

Bob

July 22, 2005 at 1:21 pm #5743 Reply

Benchwmer
Spectator

Bob,
I took 4 photos yesterday. I still use my Nikkon and Macro 1:1 lens w/ Ring Flash for thses cases I post. That means I need to have the slide film developed, then I scan the slides using an HP PhotoSmart scanner and software.
Lester Dine wants &#362000 to retrofit my lenses on a Fugi digital camera body (which is twice the size of my present camera). I’m still shopping.
Eric Compton set up the MirrorScope for video and still photography in my new operatory. It works well for video capturing and direct viewing in the adjacent classroom, but doesv’t work as sold for still photography. Creates great DVDs though.
Will post post-ops in a couple of weeks.
Jeff

July 23, 2005 at 4:55 am #5746 Reply

Glenn van As
Spectator

Nice case Jeff………your photos are sharp and clear. I did some DVD filming for Ivoclar in the office for the Odyssey and it seems like video is the way to go these days…….

Anyways……gotta run but nice case and your photos are nice and sharp.

Glenn

August 11, 2005 at 1:07 am #5744 Reply

Benchwmer
Spectator

Bob,
Here is a post-op at 21 days.

Before

After:

Jeff

August 29, 2005 at 3:41 pm #5747 Reply

RobertFHawke
Spectator

Be sure to include the fact that the specimen was removed with a laser and the type of laser and settings if you intend to biopsy the specimen. It will help the pathologist.

Hawkeye in Tucson
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August 30, 2005 at 1:07 am #5745 Reply

Benchwmer
Spectator

This lesion was removed with the pulsed Nd:YAG, great hemostatis, no tissue was left to send out for biopsy.
Since my diagnosis was an irritation fibroma, I wasn’t that concerned with this sample.
When I want a sample to send out I use the Erbium with water. Less collateral tissue damage.
Jeff
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