Treatment options for focal epithelial hyperplasia (FEH) depend on the severity of the lesions and the patient’s preferences. In most cases, FEH does not require treatment unless the lesions are causing aesthetic concerns or if accidental or deliberate biting of the lesions occurs.
When treatment is deemed necessary, several options can be considered. One common approach is excisional biopsy, where the affected tissue is surgically removed. This method allows for a definitive diagnosis and can also alleviate any discomfort caused by the lesions. However, it is important to note that recurrence of FEH is possible even after complete removal of the affected tissue.
Another treatment option is the use of a carbon dioxide (CO2) laser. This technique involves using a focused beam of laser light to selectively vaporize the lesions. The CO2 laser is known for its precision and ability to minimize damage to surrounding healthy tissue. It can be an effective treatment option for FEH, offering good cosmetic outcomes and reducing the risk of recurrence.
Diathermy is another option for treating FEH. This technique uses an electrical current to generate heat, which is then used to destroy or remove the lesions. Diathermy can be performed using various methods, including electrosurgery or electrocautery. It is a relatively simple and cost-effective treatment option, but it may be associated with a higher risk of scarring compared to other methods.
In some cases, a combination of treatment modalities may be employed to achieve the best outcomes. The choice of treatment depends on various factors, including the size and location of the lesions, the patient’s overall health, and their personal preferences.
It is important to note that treating FEH does not guarantee permanent eradication of the condition. Recurrence of lesions is possible, and long-term follow-up may be necessary to monitor the patient’s oral health and address any new or recurrent lesions that may arise.
Treatment for focal epithelial hyperplasia is typically not required unless there are aesthetic concerns or issues related to accidental or deliberate biting of the lesions. When treatment is necessary, options such as excisional biopsy, CO2 laser, or diathermy can be considered. The choice of treatment depends on various factors, and recurrence of lesions is possible even after treatment. Long-term follow-up may be necessary to monitor the patient’s oral health.