J Dent Rehabil Appl Sci.  2015 Jun;31(2):134-142. 10.14368/jdras.2015.31.2.134.

Effect of supportive periodontal treatment in the oral lichen planus patients

Affiliations
  • 1Department of Periodontology, School of Dentistry, Pusan National University, Yangsan, Republic of Korea. betteryoung@hanmail.net

Abstract

Lichen planus is an immune-mediated mucocutaneous disease, affects more frequently middle-aged Caucasian women and makes signs and symptoms in the oral mucosa. Cutaneous lichen planus lesions cause itching but they are self-limiting, oral lichen planus lesions are usually chronic, recalcitrant to treatment and potentially premalignant in some cases. Although, oral lichen planus is non-plaque related disease, they possess particular problems because plaque control is complicated by pain and bleeding and might cause plaque-related disease. The resulting condition comprises accumulations of plaque, which again can influence the progress of oral lichen planus with burning sensation, spontaneous gingival bleeding. Thus, it should be noted that both medication and supportive periodontal treatment are essential for the remission of the lesions. This case report introduces topical corticosteroid therapy and supportive periodontal treatment including intensive oral hygiene procedures to obtain an improvement of subjective symptoms and objective changes and to prevent relapse the lesions.

Keyword

lichen planus; periodontal diseases; oral hygiene

MeSH Terms

Burns
Female
Hemorrhage
Humans
Lichen Planus
Lichen Planus, Oral*
Mouth Mucosa
Oral Hygiene
Periodontal Diseases
Pruritus
Recurrence
Sensation
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