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. 2014 Summer;5(3):97–107.

Table 1. Evidence table summary of different laser used in Removal of oral mucosa lesions .

Study type Author year Sample size Laser type Laser parameters Result
Randomized clinical trial Lopez-jornet20
 
2013 48 CO₂ laser   The CO₂ laser causes only minimal pain and swelling
Randomized clinical trial Simsek15 2012 20
-gallium aluminum arsenide diode laser
-Er:YAG laser
 - continuous wavelength of 808 nm, -continuous wavelength of 2,940 nm Diode and Er:YAG lasers administered at 1 W both result in satisfactory depigmentation
Randomized clinical trial Agha-Hosseini11 2012 57 low-level laser
CO(2) laser
  Both methods may be effective in the treatment of OLP
Clinical trial Kawczyk 6 2012 85 photodynamic therapy (δ-aminolevulinic acid (ALA) 630-635 nm wavelength PDT is more convenient for patients, less painful, and more esthetic.
Prospective study Montebugnoli8 2012 13 Nd:YAG laser   clinical healing of leukoplakia treated by laser surgery may be accompanied by altered cell turnover in 20% of the cases
Prospective study Jerjes17 2012 123 CO(2) laser   Laser resection/ablation is recommended for oral dysplasia to prevent recurrence and malignant transformation
Prospective study Deppe18 2012 148 CO(2) laser   CO(2) laser  was used in treatment of premalignant lesions of the oral mucosa
Retrospective study Luna-oritz 19 2011 4 CO(2) laser   CO2 laser is adequate for melanomas of the oral mucosa with extraction of the dental organs
Clinical study Hegde 13 2013 140 CO2 laser
 
Er:YAG laser
 
(CO2 laser, 2 to 4 W, continuous wave),and "brushstroke" (Er:YAG laser, 180 mJ, 10 Hz, long pulse) Surgical stripping for gingival depigmentation remains the gold standard; however, Er:YAG laser and CO2 lasers can be effectively used but with distinct differences.
Clinical study Fornaini21 2012 52  KTP laser the KTP laser (532 nm), used with low power parameter (1 Watt - CW) KTP laser with low parameters permits to perform oral surgery with good pain control and good wound healing
Clinical study Yang‏ 9 2011 114 CO(2) laser   Continuous smoking after surgical treatment and widespread multiple-focus lesions are the prognostic indicators for recurrence after laser surgery.
Case report Misra10 2013 1 Diode laser diode laser (940 nm) Diode laser therapy seems to be an effective alternative treatment for relieving the symptoms of OLP
Case report Fornaini 12 2012 2 Er: YAG laser energy, 80-120 mJ; frequency, 6-15 Hz; non-contact hand piece; spot size diameter, 0.9 mm; pulse duration, 100 μsec (VSP) to 300 μsec (SP) ; fluences, 12.6-18.9 J/cm(2); and air/water spray (ratio: 6/5) The use of this wavelength offers several advantages including, a good and fast healing process, a very low level of discomfort during and after intervention, and a rapid disappearance of symptoms.
Case report de Magalhaes-Junior13 2011 1 CO2 laser   The use of the CO2 laser was found to be useful and effective to treat lichen planus.
 
Non-randomized single arm, single site Shafirstein 7 2011 23 Pulsed dye laser   It could be used to achieve regression of oral leukoplakia