Pediatric Oral Squamous Papilloma of the Lower Lip Managed with Diode Laser: A Case Report.

Dr. Anusha Dixit; Dr. Ashish Saxena; Dr. Madhu Ratre; Dr. Reshama Bansal

doi:10.21276/ujds.2026.12.2.27

Dr. Anusha Dixit M.D.S third year
Dr. Ashish Saxena Professor and head https://orcid.org/0000-0001-9846-7095
Dr. Madhu Ratre Professor and Head https://orcid.org/0000-0002-8405-1547
Dr. Reshama Bansal M.D.S https://orcid.org/0009-0003-3617-5195

DOI: https://doi.org/10.21276/ujds.2026.12.2.27

Keywords: Oral squamous papilloma, Pediatric patient, Diode laser

Abstract

ABSTRACT

Oral squamous papilloma (OSP) is an uncommon benign epithelial lesion in pediatric patients and is associated with low-risk human papillomavirus infection, particularly when arising at unusual intraoral sites such as the lower lip. The present case report describes the treatment of oral squamous papilloma in a 12-year-old boy presenting with a painless, exophytic papillary growth on the inner aspect of the lower lip. Based on clinical examination, a provisional diagnosis of oral squamous papilloma was made, and the lesion was excised using a diode laser under local anesthesia. Histopathological evaluation confirmed the diagnosis, demonstrating papillary projections with fibrovascular cores and koilocytosis. The procedure was well tolerated with minimal bleeding and uneventful healing. No recurrence was observed during follow-up. Diode laser excision offers a minimally invasive, effective treatment option with favorable healing and improved patient comfort in pediatric patients

Author Biographies

Dr. Anusha Dixit, M.D.S third year

Dr. Anusha Dixit, Third year, M.D.S student, Department of Pediatric and Preventive Dentistry, Government College of Dentistry, Indore

Dr. Ashish Saxena, Professor and head

Professor and head, Department of Pediatric and Preventive Dentistry, Government College of Dentistry, Indore

Dr. Madhu Ratre, Professor and Head

Dr. Madhu Rathe, Professor and Head, Department of Periodontology, Government College of Dentistry, Indore

Dr. Reshama Bansal, M.D.S

Dr. Reshama Bansal, M.D.S, Department of Periodontology, Government College of Dentistry, Indore

References

1. Kamath MP, Hande A, Kudva A, et al. Minimally invasive management of oral squamous papilloma in a pediatric patient using diode laser: a case report with literature review. Int J Clin Pediatr Dent. 2023;16(4):678–683.
2. Jaitley P, Agrawal A, Agrawal S. Squamous papilloma of the soft palate: a case report. Int J Clin Pediatr Dent. 2023;16(2):312–315.
3. Syrjänen S, Puranen M. Human papillomavirus infections in children: the potential role of maternal transmission. Crit Rev Oral Biol Med. 2000;11(2):259–274.
4. Abbey LM, Page DG, Sawyer DR. The clinical and histopathologic features of a series of 464 oral squamous cell papillomas. Oral Surg Oral Med Oral Pathol. 1980;49(5):419–428.
5. Summersgill KF, Smith EM, Levy BT, et al. Human papillomavirus in the oral cavities of children and adolescents. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(1):62–69.
6. Naik S, Nidoni M. Oral squamous papilloma of the palate: a case report. Int J Dent Sci Res. 2014;2(6B):17–18.
7. Saad RH, Halawa SM, Zidan AM, et al. Malignant transformation of oral squamous cell papilloma: a case report. Int J Surg Case Rep. 2020;75:348–351.
8. Orenuga OO, Oluwo A, Oluwakuyide RT, et al. Recurrent oral squamous papilloma in a pediatric patient: a case report and review of the literature. Niger J Clin Pract. 2018;21(12):1674–1677.
9. Toledano-Serrabona J, López-Ramírez M, Sánchez-Torres A, Jané-Salas E, López-López J. Recurrence rate of oral squamous cell papilloma after excision with surgical scalpel or laser therapy: a retrospective cohort study. Med Oral Patol Oral Cir Bucal. 2019;24(4):e433–e437.
10. Saad RH, Halawa SM, Zidan AM, El-Sharkawy TM. Malignant transformation of oral squamous cell papilloma: a case report. Int J Surg Case Rep. 2020;75:348–351.