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Background
: To examine the process of epithelial reparation in a surgical wound caused by diode laser.
Material and Methods
:
A
n experimental study with 27 Sprage-Dawley rats was undertaken. The animals were
randomly allocated to two experimental groups, whose individuals underwent glossectomy by means of a diode
laser at different wattages, and a control group treated using a number 15 scalpel blade.
The animals were slaughtered at the 2nd, 7th, and 14th day after glossectomy. The specimens were independently
studied by two pathologists (blinded for the specimens’ group).
Results: At the 7th day, re-epithelisation was slightly faster for the control group (conventional scalpel) (
p
=0.011).
At the 14th day, complete re-epithelization was observed for all groups. The experimental groups displayed a
pseudoepitheliomatous hyperplasia.
Conclusions: It is concluded that, considering the limitations of this kind of experimental studies, early re-epithelisation occurs slightly faster when a conventional scalpel is used for incision, although re-epithelisation is completed in two weeks no matter the instrument used. In addition, pseudoepitheliomatous hyperplasia is a potential
event after oral mucosa surgery with diode laser. Knowledge about this phenomenon (not previously described)
may prevent diagnostic mistakes and inadequate treatment approaches, particularly when dealing with potentially
malignant oral lesions.
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