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. |
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Non-randomized single arm, single site | Shafirstein 7 | 2011 | 23 | Pulsed dye laser | It could be used to achieve regression of oral leukoplakia |