Overview of the Clinical Benefits Using the Different Diode Laser Wavelengths in Treatment of the Mucocele: Clinical Cases Report Review

Oral Cavity Mucocele and Different Surgical Treatment Strategies: Is Laser Excision Effective? A Scoping Review

Mucocele is a common lesion localized in the oral cavity; it originates from the lesion of a salivary duct and the consequent accumulation of mucin in soft tissues. It is a common lesion of young patients and is frequently associated with areas subject to traumas. Surgical treatment is needed especially if it reaches considerable dimensions, as it can cause discomfort in the patient and tends to increase in size if subjected to further traumatism. This scoping review aims to investigate which treatments are used for this type of lesion, which are the most suitable to prevent recurrence, and if laser-assisted surgery is considered more efficient than other methods. An electronic search was performed within the PubMed (MEDLINE) and Scopus databases. Articles published in the years 2010 to 2023 were selected. Techniques like marsupialization and laser-assisted excision effectively treat mucoceles, with no clear prevalence between them. Laser surgery offers speed, precision, and minimal post-operation discomfort, but randomized trials are needed for conclusive comparisons.

The Effectiveness of Lasers in Treatment of Oral Mucocele in Pediatric Patients: A Systematic Review

The mucocele is the most common minor salivary gland associated disease of the oral cavity. It is also considered one of the most common biopsied oral lesions in pediatric patients. In recent years, extensive evidence has been published about the usage of lasers in treating mucoceles in pediatric patients. The aim of the present study was to assess the effectiveness of laser irradiation in the treatment of pediatric mucocele. An electronic search of databases (PubMed, Scopus, Web of Science and Google Scholar) was carried out in order to identify all relevant articles using a combination of the following keywords: "Pediatric", "Oral", "Mucocele", "Dental", "Oral Medicine", "Soft Dental Lasers", "Hard Dental Lasers", and "Lasers," for all case reports, case series, case-control and cohort studies published from 2007 to 2021. After limiting the search results, removing duplicate titles, and eligibility evaluation, 17 papers were enrolled in the study. Out of the total studies included, 10 articles were related to the diode (635 nm, 808 nm, 810 nm, and 980 nm), 5 to CO₂ (10,600 nm), 3 to Er, Cr: YSGG (2780 nm), and 1 involving KTP lasers (532 nm). All studies indicated successful clinical results on mucocele excision with better intra- and post-operative indicators. The general characteristics and outcomes were summarized, and the quality of the studies was assessed using CARE guidelines in this systematic review. The reduction or absence of pain and bleeding, hemostasis, reduced operating time, minimal analgesic consumption, and an antibacterial effect were among the advantages of laser irradiation in the included studies. The laser has proven itself to play an effective role in the treatment of oral mucocele in paediatric patients.