High-power diode laser use on Fordyce granule excision: a case report

Summary Background Fordyce granules are conventionally considered to be a developmental oral lesion with a higher incidence in men. Objective To report a clinical case of surgical lip Fordyce granule excision in a 19-year-old male. Methods Fordyce granules were excised using a high-power diode laser (gallium arsenide [GaAs], Diode Vision®, MDL, 10 Dental Laser Unit, GmbH, Lower Saxony, Germany) with wavelength emission at 980 ± 10 nm, in a continuous wave mode, pulse width of 0.5 μs, fiber optic delivery system of 400 μm in diameter, at 2.5 W. Subsequently, low-intensity laser therapy was applied (gallium-aluminum-arsenide [GaAlAs], at 670 nm, 50 mW, at 4 J/cm2; Dentoflex®, Sao Paulo, Brazil] in order to stimulate a faster wound tissue–healing process and less postoperative pain and inflammation. Conclusion The excellent esthetic result demonstrated the effectiveness of both high- and low-intensity laser therapy on the excision of Fordyce granules.