Sclerotherapy – A Novel Approach in the Management of Oral Vascular Lesions – A Narrative Review

Sclerotherapy is a targeted elimination of small vessels, varicose veins, and vascular anomalies by the injection of a sclerosant. Sclerotherapy aims to damage the vessel wall and transform it into fibrous tissue. This modality of treatment is a useful substitute for traditional methods such as cryotherapy, laser ablation, and total excision. In comparison to other treatment techniques, it is less expensive, less technique-sensitive, produces little discomfort, and loses very little blood. Local anesthetic and postoperative dressings after the surgery are frequently not necessary. The management of oral mucosal lesions in close proximity of vital structures such as inferior alveolar canal, maxillary sinus, and other paranasal sinuses is challenging. Sclerotherapy is a simple, safe, effective procedure with minimal complications which offers an alternative to conventional methods. This article presents the suitability of various sclerosing agents in the treatment of oral vascular lesions such as pyogenic granuloma, lymphangioma, mucocele, etc.