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Purpose <p>The aim of this study was to compare the clinical outcomes of diode laser excision with conventional scalpel surgery in the management of gingival pyogenic granuloma.</p> Methods <p>Twenty patients (11 males and 9 females; age range: 18–59 years; mean age: 36.18 years) with a clinical diagnosis of pyogenic granuloma were included in this experimental study. Patients were randomly assigned to two groups. The study group underwent excision using a diode laser, whereas the control group was treated with conventional scalpel surgery. The evaluated clinical parameters included intraoperative bleeding, postoperative pain intensity, operative time, and wound healing. All laser procedures were performed using a 980-nm diode laser system (Pioon®, H1 Dental Laser) operated in continuous wave (CW) mode at an output power of 3 W. Energy was delivered through an initiated 400-µm fiber-optic tip applied in contact with the lesion.</p> Results <p>Postoperative pain was lower in the diode laser group compared with the scalpel group; however, the differences were not statistically significant (<i>P</i> &gt; 0.05). Pain intensity was highest on the day of surgery and on the second postoperative day in both groups, followed by a gradual decrease by the seventh postoperative day. Intraoperative bleeding showed a statistically significant difference between the two groups, with lower bleeding scores recorded in the diode laser group compared with the conventional surgical group (<i>P</i> &lt; 0.05). The mean operative time was shorter in the diode laser group than in the conventional surgery group; however, the difference was not statistically significant. Wound healing, assessed using Landry’s healing index, showed no statistically significant difference between the two groups at the two-week follow-up. Patient satisfaction scores were also not significantly different between groups, although slightly higher scores were observed in the diode laser group.</p> Conclusion <p>Diode laser excision and conventional scalpel surgery demonstrated comparable clinical outcomes in the management of intraoral pyogenic granuloma. No statistically significant differences were observed between the two treatment modalities regarding postoperative pain, operative time, wound healing, or patient satisfaction. However, intraoperative bleeding was significantly lower in the diode laser group. These findings suggest that diode laser excision may represent a useful alternative technique for the surgical management of pyogenic granuloma, particularly in situations where improved hemostasis is desirable.</p>

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Comparing the efficacy and patient satisfaction of conventional surgical techniques versus diode laser in the treatment of intraoral pyogenic granuloma

  • 期刊论文

  • 发表日期：

    2026年3月30日

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  • Marwah S. Ali,
  • Dhyaa M.J. Hirz Al-Deen,
  • Hani M. Al-Kufi,
  • Muntadhr A. Al-Musawi

摘要

Purpose

The aim of this study was to compare the clinical outcomes of diode laser excision with conventional scalpel surgery in the management of gingival pyogenic granuloma.

Methods

Twenty patients (11 males and 9 females; age range: 18–59 years; mean age: 36.18 years) with a clinical diagnosis of pyogenic granuloma were included in this experimental study. Patients were randomly assigned to two groups. The study group underwent excision using a diode laser, whereas the control group was treated with conventional scalpel surgery. The evaluated clinical parameters included intraoperative bleeding, postoperative pain intensity, operative time, and wound healing. All laser procedures were performed using a 980-nm diode laser system (Pioon®, H1 Dental Laser) operated in continuous wave (CW) mode at an output power of 3 W. Energy was delivered through an initiated 400-µm fiber-optic tip applied in contact with the lesion.

Results

Postoperative pain was lower in the diode laser group compared with the scalpel group; however, the differences were not statistically significant (P > 0.05). Pain intensity was highest on the day of surgery and on the second postoperative day in both groups, followed by a gradual decrease by the seventh postoperative day. Intraoperative bleeding showed a statistically significant difference between the two groups, with lower bleeding scores recorded in the diode laser group compared with the conventional surgical group (P < 0.05). The mean operative time was shorter in the diode laser group than in the conventional surgery group; however, the difference was not statistically significant. Wound healing, assessed using Landry’s healing index, showed no statistically significant difference between the two groups at the two-week follow-up. Patient satisfaction scores were also not significantly different between groups, although slightly higher scores were observed in the diode laser group.

Conclusion

Diode laser excision and conventional scalpel surgery demonstrated comparable clinical outcomes in the management of intraoral pyogenic granuloma. No statistically significant differences were observed between the two treatment modalities regarding postoperative pain, operative time, wound healing, or patient satisfaction. However, intraoperative bleeding was significantly lower in the diode laser group. These findings suggest that diode laser excision may represent a useful alternative technique for the surgical management of pyogenic granuloma, particularly in situations where improved hemostasis is desirable.