Randomized comparative study in the treatment of oral leucoplakia with laser and conventional surgery
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Dental Science |
Texto Completo: | https://ojs.ict.unesp.br/index.php/cob/article/view/2566 |
Resumo: | Objective: High-energy lasers are used as an alternative to surgical treatment of potentially malignant disorders in the oral cavity. The present article aims to make a prospective randomised comparative clinical assessment of the effect of laser surgery and conventional surgery in the treatment of oral leukoplakia (OL). Materials and methods: In the study were included 89 patients with histologically confirmed oral leukoplakia lesions. Laser excision of the lesions using Er YAG laser was performed in 36 of the patients, while standard surgical excision was used in 53 of the cases. Following clinical assessment comparing the two treatment methods was conducted based on: pain, wound healing, infection and recurrence of the lesions. Results: A statistically significant difference between two groups according pain in the postoperative period was found. Patients treated with laser ablation experienced far less pain than those treated with surgical excision. The healing time was significantly faster in the group treated with Er YAG laser, and regarding the occurrence of postoperative infections, the results of the two methods did not differ significantly. Recurrence was observed earlier in the group treated with laser ablation, but the levels align over a longer period of time. Conclusion: Er YAG laser ablation is a contemporary method for the treatment of oral leukoplakia without dysplasia, providing similar success, compared to conventional surgical excision, with less postoperative discomfort for the patients. Keywords Er YAG laser; Leukoplakia; Potentially malignant disorders. |
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oai:ojs.pkp.sfu.ca:article/2566 |
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UNESP-20 |
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Brazilian Dental Science |
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spelling |
Randomized comparative study in the treatment of oral leucoplakia with laser and conventional surgeryObjective: High-energy lasers are used as an alternative to surgical treatment of potentially malignant disorders in the oral cavity. The present article aims to make a prospective randomised comparative clinical assessment of the effect of laser surgery and conventional surgery in the treatment of oral leukoplakia (OL). Materials and methods: In the study were included 89 patients with histologically confirmed oral leukoplakia lesions. Laser excision of the lesions using Er YAG laser was performed in 36 of the patients, while standard surgical excision was used in 53 of the cases. Following clinical assessment comparing the two treatment methods was conducted based on: pain, wound healing, infection and recurrence of the lesions. Results: A statistically significant difference between two groups according pain in the postoperative period was found. Patients treated with laser ablation experienced far less pain than those treated with surgical excision. The healing time was significantly faster in the group treated with Er YAG laser, and regarding the occurrence of postoperative infections, the results of the two methods did not differ significantly. Recurrence was observed earlier in the group treated with laser ablation, but the levels align over a longer period of time. Conclusion: Er YAG laser ablation is a contemporary method for the treatment of oral leukoplakia without dysplasia, providing similar success, compared to conventional surgical excision, with less postoperative discomfort for the patients. Keywords Er YAG laser; Leukoplakia; Potentially malignant disorders. Institute of Science and Technology of São José dos Campos2021-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.ict.unesp.br/index.php/cob/article/view/256610.14295/bds.2021.v24i4.2566Brazilian Dental Science; Vol. 24 No. 4 (2021): Oct - Dec / 2021 - published Oct 2021Brazilian Dental Science; v. 24 n. 4 (2021): Oct - Dec / 2021 - published Oct 20212178-6011reponame:Brazilian Dental Scienceinstname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)instacron:UNESPenghttps://ojs.ict.unesp.br/index.php/cob/article/view/2566/4400Copyright (c) 2021 Brazilian Dental Scienceinfo:eu-repo/semantics/openAccessPetrov, Petko GeorgievDaskalov, Hristo IvanovDinkova, Atanaska Spasova2021-10-01T18:48:37Zoai:ojs.pkp.sfu.ca:article/2566Revistahttp://bds.ict.unesp.br/PUBhttp://ojs.fosjc.unesp.br/index.php/index/oaisergio@fosjc.unesp.br||sergio@fosjc.unesp.br2178-60112178-6011opendoar:2022-11-08T16:30:37.454535Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)true |
dc.title.none.fl_str_mv |
Randomized comparative study in the treatment of oral leucoplakia with laser and conventional surgery |
title |
Randomized comparative study in the treatment of oral leucoplakia with laser and conventional surgery |
spellingShingle |
Randomized comparative study in the treatment of oral leucoplakia with laser and conventional surgery Petrov, Petko Georgiev |
title_short |
Randomized comparative study in the treatment of oral leucoplakia with laser and conventional surgery |
title_full |
Randomized comparative study in the treatment of oral leucoplakia with laser and conventional surgery |
title_fullStr |
Randomized comparative study in the treatment of oral leucoplakia with laser and conventional surgery |
title_full_unstemmed |
Randomized comparative study in the treatment of oral leucoplakia with laser and conventional surgery |
title_sort |
Randomized comparative study in the treatment of oral leucoplakia with laser and conventional surgery |
author |
Petrov, Petko Georgiev |
author_facet |
Petrov, Petko Georgiev Daskalov, Hristo Ivanov Dinkova, Atanaska Spasova |
author_role |
author |
author2 |
Daskalov, Hristo Ivanov Dinkova, Atanaska Spasova |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Petrov, Petko Georgiev Daskalov, Hristo Ivanov Dinkova, Atanaska Spasova |
description |
Objective: High-energy lasers are used as an alternative to surgical treatment of potentially malignant disorders in the oral cavity. The present article aims to make a prospective randomised comparative clinical assessment of the effect of laser surgery and conventional surgery in the treatment of oral leukoplakia (OL). Materials and methods: In the study were included 89 patients with histologically confirmed oral leukoplakia lesions. Laser excision of the lesions using Er YAG laser was performed in 36 of the patients, while standard surgical excision was used in 53 of the cases. Following clinical assessment comparing the two treatment methods was conducted based on: pain, wound healing, infection and recurrence of the lesions. Results: A statistically significant difference between two groups according pain in the postoperative period was found. Patients treated with laser ablation experienced far less pain than those treated with surgical excision. The healing time was significantly faster in the group treated with Er YAG laser, and regarding the occurrence of postoperative infections, the results of the two methods did not differ significantly. Recurrence was observed earlier in the group treated with laser ablation, but the levels align over a longer period of time. Conclusion: Er YAG laser ablation is a contemporary method for the treatment of oral leukoplakia without dysplasia, providing similar success, compared to conventional surgical excision, with less postoperative discomfort for the patients. Keywords Er YAG laser; Leukoplakia; Potentially malignant disorders. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/2566 10.14295/bds.2021.v24i4.2566 |
url |
https://ojs.ict.unesp.br/index.php/cob/article/view/2566 |
identifier_str_mv |
10.14295/bds.2021.v24i4.2566 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/2566/4400 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 Brazilian Dental Science info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 Brazilian Dental Science |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
dc.source.none.fl_str_mv |
Brazilian Dental Science; Vol. 24 No. 4 (2021): Oct - Dec / 2021 - published Oct 2021 Brazilian Dental Science; v. 24 n. 4 (2021): Oct - Dec / 2021 - published Oct 2021 2178-6011 reponame:Brazilian Dental Science instname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Brazilian Dental Science |
collection |
Brazilian Dental Science |
repository.name.fl_str_mv |
Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
repository.mail.fl_str_mv |
sergio@fosjc.unesp.br||sergio@fosjc.unesp.br |
_version_ |
1788346902199140352 |