双波长激光联合治疗缝龈瘤后行全口义齿修复1例

One Case of Complete Denture Repair after Dual-waved Laser Combined Treatment of Epulis Fissuratum

目的:本病例将探讨双波长激光联合治疗缝龈瘤的手术方法,并评价全口义齿术后修复的临床效果。诊治经过:对68岁女性牙列缺失患者进行口腔检查,明确治疗计划,联合应用掺铒钇铝石榴石(Er:YAG)激光分阶段切除病灶并行前庭沟加深术,掺钕钇铝石榴石(Nd:YAG)激光理疗,创口愈合后行全口义齿修复。结果:手术切除增生软组织,恢复良好后,行全口义齿修复恢复其咀嚼功能及美观。随访1年后未见软组织增生复发。结论:双波长激光联合治疗缝龈瘤可以缩短手术时间,减少术中出血,促进创口愈合,免除缝合需求,能够满足术后修复要求,可为口腔软组织病变治疗方式的选择提供重要的参考价值。

Objective:To explore the surgical method of dual-wavelength laser combined treatment of epulis and evaluate the clinical effect of complete denture repair after operation.Diagnosis and treatment:Oral examination was performed on a 68-year-old female patient with dentition loss to clarify the treatment plan.The lesion was removed in stages and vestibular sulcus deepening surgery was performed by Er:YAG,Nd:YAG laser physiotherapy and after wound healing complete denture repair was performed.Results:The operation was carried out smoothly,and the masticatory function and aesthetics of the complete denture were restored after good recovery.No recurrence of soft tissue hyperplasia was found during 1-year follow-up.Conclusions:Dual-wavelength laser combined treatment of epulis can shorten the operation time,reduce intraoperative bleeding,promote wound healing,and avoid suture requirements.It can meet the requirements of postoperative repair and provide important reference value for the choice of treatment methods for oral soft tissue lesions.