Management of Oral Squamous Papilloma of the Soft Palate with 450 nm Diode Laser and Adjunctive Photobiomodulation: A Case Report
Salvatore Luca La Terra1*, Francesco Buoncristiani2, Gianluigi Caccianiga3, Faisal Alzahrani4,5
1DDS, MSc, PgCert, PgDip, PhD Scholar by Research. Periodontist, Oral Surgeon, Implantologist, Private Dental Clinic, Rome and Ragusa, Italy.
2Department of Oral Surgery, "Buoncristiani" Private Dental Clinic, San Vincenzo (LI), Italy.
3Department of Translational Medicine, University of Ferrara, Ferrara, Italy.
4College of Medicine and Dentistry, Outreach Centre of Ulster University, United Kingdom.
5Oral and Maxillofacial Surgery Department, Armed Forces Hospital Southern Region, Saudi Arabia.
*Corresponding Author: Dr. Salvatore Luca La Terra, DDS, MSc, PgCert, PgDip, PhD Scholar by Research. Periodontist, Oral Surgeon, Implantologist, Private Dental Clinic, Rome and Ragusa, Italy. laterra3@virgilio.it
https://doi.org/10.58624/SVOADE.2025.06.031
Received: October 13, 2025
Published: November 04, 2025
Citation: La Terra SL, Buoncristiani F, Caccianiga G, Alzahrani F. Management of Oral Squamous Papilloma of the Soft Palate with 450 nm Diode Laser and Adjunctive Photobiomodulation: A Case Report. SVOA Dentistry 2025, 6:6, 193-199. doi: 10.58624/SVOADE.2025.06.031
Abstract
Oral squamous papilloma (OSP) is a benign epithelial lesion frequently linked with human papillomavirus infection. This case report describes the management of a 70-year-old male who presented with a painless, slow-growing exophytic lesion on the right soft palate that interfered with chewing, swallowing, and speech. Excisional biopsy was performed with a 450 nm diode laser under local anaesthesia, ensuring precise removal, excellent haemostasis, and elimination of sutures. Immediate photobiomodulation therapy (PBMT) was applied to enhance healing and reduce discomfort. Histopathology confirmed OSP, showing papillary projections with fibrovascular cores and koilocytosis without evidence of dysplasia. Post-operative recovery was uneventful, with low pain scores, complete mucosal repair by day seven, and no complications. At one month, the site demonstrated normal mucosal appearance without recurrence, and the patient reported high satisfaction. This case highlights the clinical applicability of blue diode lasers with adjunctive PBMT for managing oral squamous papilloma of anatomically sensitive regions.
Keywords: Oral Squamous Papilloma; Blue Diode Laser; Photobiomodulation Therapy; Soft Palate; Wound Healing.
