Laser in the treatment of peripheral giant cellular granuloma (pgcg) vs. Traditional surgical excéresis

Abstract

Peripheral Cellular Giant Granuloma (GGCP) is a benign tumor, characterized by containing numerous multinucleated macrophages in a fibrovascular stroma, with hemosiderin deposits. The recurrence rate is 5 to 11%. In recent years, LASER therapy, diode laser therapy (975 nm) and LASER CO₂ and Er,Cr:YSGG have been proposed.

Objectives: A review of the literature in order to evaluate methodological adjustment in therapy with the contribution of LASER therapy in the GGCP.

Methodology: Bibliographic review of LASER therapy for GGCP, and cold knife technique. We analyze adjustments in therapy such as the elimination of infectious and traumatic factors that could be the cause of recurrence.

Expected results: The bibliographic data are controversial. The LASER protocol proposed by our group is cutting with pulsed 450 or 980nm strips and biomodulation around the lesion. Preliminarily, we present 2 cases with a history of recurrence of GGCP. One of them was resolved by treating the infectious focus (pulp gangrene), while case 2 presented a good response in the first week of LASER therapy. This background will allow the development of future studies for the treatment of GGCP according to conventional surgery and LASER phototherapy. The evaluation of septic, dental, prosthetic, periodontal and endodontic force before analysis of surgery with and without LASER will allow a more accurate assessment when evaluating results.