Case Study & Medical Treatment by Dr. Eleni Siamplettou | Updated for 2026 Dental Care Standards
Living with persistent, abnormal tissue growth inside or on your lips can be both uncomfortable and frustrating. Many patients assume these raised bumps or fibrous growths are permanent or require painful, invasive surgery with extensive recovery time.
However, modern soft-tissue technologies available through our advanced laser dental treatments in Limassol allow us to eliminate traumatic oral lesions comfortably, quickly, and cleanly in a single visit.
In this case study, we walk through how our team at Dentall Clinic used state-of-the-art Er,Cr:YSGG laser technology to help a 62-year-old patient overcome a long-standing lip fibroma with minimal bleeding and immediate post-procedure healing.
An oral fibroma (or traumatic fibroma) is a benign, smooth tissue growth that develops as a response to chronic irritation or repeated tissue trauma, such as accidental lip biting, sharp tooth edges, or rubbing from dental appliances.
While these growths are non-cancerous, early identification during routine oral health checkups is key to preventing them from enlarging over time, which can cause functional difficulty while chewing or speaking as well as cosmetic self-consciousness.
Raised, firm bump on the inner lip, tongue, or cheek
Smooth, pink tissue appearance
Gradual enlargement over months or years
Painless growth that periodically becomes sore if re-traumatized
| Patient Profile & History | Case Details |
|---|---|
| Patient: A.K. | Patient Age: 62 |
| General Health: Good (no systemic medical contraindications) | Location: Inner/Lower Lip Mucosa |
| Oral Health Status: Within Normal Limits (WNL) | Diagnosis: Traumatic Fibrotic Tissue / Oral Fibroma |
| Main Complaint: A large, prominent excess tissue mass on the inner lip that caused functional discomfort and aesthetic distress for several years. The patient previously believed there was no effective way to remove it without severe scarring or pain. | Cause: Chronic physical trauma/friction |
| Treatment Choice: Er,Cr:YSGG All-Tissue Laser Removal | |
| Recovery Time: Immediate clot formation; follow-ups at 1 week, 2 weeks, and 1 month |
When treating oral fibromas, clinicians historically relied on conventional surgical scalpels. However, advanced laser systems offer significant biological and patient-comfort benefits.
| Clinical Feature | Conventional Scalpel Surgery | Er,Cr:YSGG Laser (Dentall Clinic) |
|---|---|---|
| Bleeding Control | Moderate to severe; requires surgical sutures to stop bleeding. | Minimal: Immediate vascular seal and biological blood clot formation. |
| Need for Suturing | Almost always required. | Rarely necessary: The wound seals cleanly without stitches. |
| Post-Operative Pain | Higher tenderness and swelling due to mechanical tissue trauma. | Significantly reduced: Laser seals nerve endings during treatment. |
| Healing Speed | Slow recovery taking 2 to 3 weeks. | Accelerated: Promotes rapid natural tissue recovery. |
| In-Office Sterilization | Standard clinical surface cleaning protocols. | Instantaneous: High-precision laser energy decontaminates the surgical bed on contact. |
The Er,Cr:YSGG laser operates at a 2780 nm wavelength highly absorbed by water. Histological evaluations demonstrate that Er,Cr:YSGG laser ablation minimizes lateral thermal necrosis at surgical margins while delivering precise tissue excision (Al-Ani et al., 2024). Furthermore, clinical studies on benign oral soft tissue lesions show that Er,Cr:YSGG lasers significantly reduce postoperative pain, virtually eliminate intraoperative bleeding, and accelerate early wound re-epithelization compared to conventional scalpel surgery (Odah et al., 2024).
Targeted local anesthesia was applied to ensure complete numbness around the defect, prioritizing total patient comfort.
Using precise Er,Cr:YSGG laser energy following our specialized minimally invasive soft tissue laser surgery protocols, the fibrotic mass was meticulously excised layer-by-layer without scalpels or micro-fracturing surrounding healthy tissue.
The laser simultaneously cauterized small capillaries, creating an immediate biological blood clot while sterilizing the surgical bed to prevent secondary infection.
Figures 1 and 2 above illustrate the immediate, clean post-ablation wound site captured via intraoral camera, demonstrating minimal thermal margin damage and controlled hemostasis.)
The entire procedure was completed in a single appointment. The laser instantly eliminated the mass, left a clean, decontaminated wound surface, and allowed the patient to return to normal daily activities immediately without stitches or severe swelling.
The minimal bleeding, immediate blood clot formation, and rapid recovery observed in Patient A.K.’s case directly align with clinical findings by Odah et al. (2024). Their research confirms that Er,Cr:YSGG laser excision significantly improves patient satisfaction, reduces functional interference during eating or speaking within days, and promotes rapid wound re-epithelialization.
Myth 1: “Soft tissue growths inside the mouth always require stitches.” Reality: Advanced laser systems automatically cauterize blood vessels as they work, eliminating the need for sutures in most superficial fibroma excisions.
Myth 2: “Laser removal leaves severe thermal burns or scars.” Reality: Er,Cr:YSGG lasers use water atomization to continuously cool the tissue during cut micro-pulses, protecting soft tissue from thermal damage and reducing scar formation.
Myth 3: “Removing excess lip tissue requires a long, painful recovery.” Reality: Because lasers seal nerve endings upon contact, postoperative discomfort is minimal, allowing most patients to manage recovery with basic over-the-counter care.
At Dentall Clinic, all clinical laser procedures strictly adhere to our published strict biological safety protocols and laser decontamination standards, as well as global safety benchmarks established by leading regulatory bodies:
If you are struggling with an uncomfortable, raised bump or persistent lip irritation, you do not have to live with it or undergo invasive surgery. Modern laser dentistry makes tissue removal fast, painless, and gentle.
Ready to restore your smile’s comfort?