Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 16, 2024; 12(11): 1974-1979
Published online Apr 16, 2024. doi: 10.12998/wjcc.v12.i11.1974
Nd:YAG water mist laser treatment for giant gestational gingival tumor: A case report
Hong-Yu Chen, Jun-Ji Xu, Xiu-Lin Chang, Pei Wu
Hong-Yu Chen, Jun-Ji Xu, Xiu-Lin Chang, Pei Wu, Department of Stomatology, Women and Children's Hospital Affiliated to Ningbo University, Ningbo 315012, Zhejiang Province, China
Co-first authors: Hong-Yu Chen and Jun-Ji Xu.
Author contributions: Chen HY and Xu JJ contributed equally to this work; Chen HY, Xu JJ, Chang XL and Wu P designed the research study; Chen HY, Xu JJ and Wu P performed the research and completed the surgery; Chen HY and Wu P wrote the manuscript. All authors have read and approve the final manuscript.
Informed consent statement: All study participants provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong-Yu Chen, Doctor, Department of Stomatology, Women and Children's Hospital Affiliated to Ningbo University, No. 339 Liuting Street, Haishu District, Ningbo 315012, Zhejiang Province, China. 123123924@qq.com
Received: January 19, 2024
Peer-review started: January 19, 2024
First decision: February 23, 2024
Revised: February 28, 2024
Accepted: March 21, 2024
Article in press: March 21, 2024
Published online: April 16, 2024
Abstract
BACKGROUND

This case of gestational gingival tumor is huge and extremely rare in clinical practice. As the growth location of this gingival tumor is in the upper anterior tooth area, it seriously affects the pregnant woman's speech and food, causing great pain to the patient. The use of Nd:YGA water mist laser to remove the gingival tumor resulted in minimal intraoperative bleeding, minimal adverse reactions, and good postoperative healing, which is worthy of clinical promotion and application.

CASE SUMMARY

The patient, a pregnant woman, reported a large lump in her mouth on the first day of postpartum treatment. Based on medical history and clinical examination, the diagnosis was diagnosed as gestational gingival tumor. Postoperative pathological biopsy also confirmed this diagnosis. The use of Nd:YAG water mist laser to remove the tumor resulted in minimal intraoperative bleeding, clear surgical field of view, short surgical time, and good postoperative healing.

CONCLUSION

In comparison to traditional surgery, Nd:YAG water mist laser surgery is minimally invasive, minimizes cell damage, reduces bleeding, ensures a clear field of vision, and virtually eliminates postoperative edema, carbonization, and the risk of cross infection. It has unique advantages in oral soft tissue surgery for pregnant patients. Therefore, the clinical application of Nd:YAG water mist laser for the treatment of gestational gingival tumors is an ideal choice.

Keywords: Gestational gingival tumor, Nd:YAG water mist laser, Granulomatous gingival tumor, Minimally invasive dentistry, Pregnancy related diseases, Oral soft tissue surgery, Case report

Core Tip: Pregnant gingival tumors are more common in clinical practice, usually smaller than 1 cm, but gestational gingival tumors with a size of nearly 4 cm are relatively rare. There have been reports of using semiconductor lasers to treat gestational gingival tumors in clinical practice, but the tumors are relatively small and have less bleeding. In this case, Nd:YAG water mist laser was used to remove large tumors. The intraoperative bleeding was minimal, the field of vision was clear, and there was water mist cooling without carbonization. The postoperative effect was ideal.