Squamous papilloma treated with diode laser
Squamous papillomas are asymptomatic, benign, exophytic mass commonly seen on the palate, uvula, and vermilion border of the lip.

A 52-year-old healthy male patient reported to private dental hospital with a chief complaint of growth on the left buccal mucosa since 6 months. He noticed the growth 4 months back which was groundnut size and has progressed to the present size. Growth was painless, but the patient complaint of discomfort whenever touched with the tongue. He had a history of chewing 10–12 gutkhas per day and keeps the quid on the left buccal mucosa since 15 years for half an hour and used to spit out the quid.

The growth was homogeneous, raised, non-tender, immobile, and rough in nature with circumscribed borders. Differential diagnosis of verrucous carcinoma, xanthoma, and papillary hyperplasia was given. The most prominent part of the growth was excised first for histopathological examination which showed stratified squamous epithelium with well vascularized stroma and infiltration of chronic inflammatory cells. Final diagnosis of squamous papilloma was given.

Since the growth was large, it was decided to excise the lesion in two phases. Using the same parameters of diode laser as above, a section of the growth was excised completely. Since the growth was deep, a slight bleeding was noticed which was controlled by hemostatic effect of diode laser. The patient was prescribed mild analgesics and antiseptic mouthwashes and recalled after a week for removal of the second half of the growth and to check for re-epithelization.

After a week, healing and new mucosal growth was seen in the area where ablation had been done. The patient reported no post-operative complications and was ready for ablation of the second half of the tissue. Similar parameters and safety measures were followed and the posterior half of the tissue was excised and he was recalled after a week for follow up. The patient reported with complete healing of the lesion and no postoperative complication. The patient was kept under observation and asked to report after 15 days, but he did not follow up.

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