The Carbon Dioxide Laser in Oral Surgery

The CO₂ laser has a definite advantage in surgery of the oral cavity. This is related to the ability to perform accurate hemostatic surgery, while at the same time, sterilizing the operative area. Lesions of various kinds can be treated either by excision or vaporization. In the latter case, anesthesia can be avoided by using the pulsed mode. Minimal postoperative pain and edema with rapid healing results in speedy recovery without significant discomfort. We are presenting some demonstrative cases to support this assertion. Gingival Hyperplasia: In the treatment of gingival hyperplasia, the laser has an advantage because of its hemostatic potential and sterilizing capability. We also noted, in these cases, that postoperative discomfort is minimal, and the use of peripack after the operation is unnecessary. Epulis of the Gingiva: A case of epulis of the gingiva treated by vaporization without local anesthesia. Leukoplakia of the Residual Ridges and Palate: A case of a 64-year-old female with leukoplakia of the lower residual ridges and the palate. Treatment was by vaporization of the lesions with pulsed rnode without anesthesia. Leukoplakia of the Tongue: The ability to treat lesions of the tongue occupying extensive surfaces without anesthesia and without bleeding while leaving the patient free of postoperative pain, is an impressive application of the CO₂ laser.