Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2013; 113(1): 3-6 | DOI: 10.51479/cspzl.2013.031

Diagnosis and Treatment Possibilities of Oral Lichen Planus

N. Markovská
1. stomatologická klinika LF UPJŠ a UNLP, Košice

Introduction and aim: The aim of article was description of causes of oral lichen planus a lichenoid lesions on oral mucosal membrane. Oral lichen planus represents most frequently occured chronic of the stratified squamous epithelia. Clinical picture is variable, manifested by basic eflorescence - white polygonal papula, which can form white reticular net till combination of erosion formation. The article presents contemporary division on oral lichen planus, on lichenoid contact reaction, lichenoid medicament's reaction and lichenoid graft reaction versus host reaction. Treatment is paliative and supportive with the aim to decrease pain and clinical signs. The condition of treatment success is to minimalize the bacterial influence, plaque removing, aplication of purposive local antimicrobial teatment and patient education about seriosity of disease.

Conclusion: Basic principle of oral lichen planus treatment is early diagnosis, which is completed on analysis of detailed history and on careful examination of oral mucosal membrane. Early diagnosis and early treatment can stop disease on the level of the topical corticoid therapy, whereby it minimize side effects of systematically administrated corticoids in case of advanced oral lichen planus and case of resistant to local corticosteroid. Important part is regular in 3-months interval realised professional oral hygiene and local antibacterial treatment.

Keywords: oral lichen planus; lichenoid reaction to drugs; graft versus host disease

Published: March 1, 2013  Show citation

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Markovská N. Diagnosis and Treatment Possibilities of Oral Lichen Planus. Čes. stomatol. Prakt. zub. lék. 2013;113(1):3-6. doi: 10.51479/cspzl.2013.031.
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    References

    1. Andreasen, J. O.: Oral lichen planus. I. A clinical evaluation of 115 cases. Oral Surg. Oral Med. Oral Path., roč. 25, 1968, č. 1, s. 31-42. Go to original source... Go to PubMed...
    2. Azizi, A., Rezaee, M.: Comparison of periodontal status in gingival oral lichen planus patients and healthy subjects. Dermatol. Res. Pract., 2012, č. 4, s. 10-13. Go to original source... Go to PubMed...
    3. Bagan, J., Compilato, D., Paderni, C., Panzarella, V., Picciotti, M., Lorenzini, G., Di Fede, O.: Topical therapies for oral lichen planus management and their efficacy: a narrative review. Curr. Pharm. Des., roč. 25, 2012, 5, v tlači. Go to original source... Go to PubMed...
    4. Cawson, R. A., Odell, E. W.: Cawson's essentials of oral pathology and oral medicine. London, Churchill Livingstone, 2002, ISBN 0 443 071 063, s. 197-201.
    5. Ďurovič, E., Vodrážka, J., Ďurovičová, J., Vincze, K: Choroby sliznice ústnej dutiny. Prešov, VMV, 2005, s. 271-275, ISBN 80-7165-506-6.
    6. Greenberg, M. S., Glick, M., Ship, J. A.: Burket's oral medicine. Philadelphia, Pennsylvania, BC Decker Inc., 2008, s. 89-100, ISBN 978-1-55009-345-2.
    7. Hall, W. B.: Critical decisions in periodontology. Philadelphia, Pennsylvania, BC Decker Inc., 2003, s. 68-69, ISBN 1-55009-184-0.
    8. Janitorová, E., Kaiferová, J., Markovská, N., Veselínyová, Z.: Naše prvé skúsenosti s ozonoterapiou pri ochoreniach parodontu a ústnych slizníc. Stomatológ, roč. 16, 2006, č. 4, s. 2-6.
    9. Markovská, N., Ďurovič, E.: Klinické formy lichen ruber planus. Čs. Stomat., roč. 82, 1982, č. 1, s. 42-45.
    10. Mohamadi Hasel, K., Besharat, M. A., Abdolhoseini, A., Alaei Nasab, S., Niknam, S. Relationships of personality factors to perceived stress, depression, and oral lichen planus severity. Int. J. Behav. Med., 2012, č. 4, v tlači. Go to original source... Go to PubMed...
    11. Reichart, P. A., Altermatt, H. J., Bornstein, M. M.: Prekancerózní léze ústní sliznice s obzvláštním zřetelem na orální leukoplakii. Quintessenz, roč. 11, 2010, č. 2, s. 55-61.
    12. Roopashree, M. R., Gondhalekar, R. V., Shashikanth, M. C., George, J., Thippeswamy, S. H., Shukla, D. K.: Pathogenesis of oral lichen planus - a review. J. Oral Pathol. Med., roč. 39, 2010, č. 10, s. 729-734. Go to original source... Go to PubMed...
    13. Schmidt-Westhausen, A. M.: Orální lichenoidní léze. Quintessenz, roč. 11, 2010, č. 1, s. 53-58.
    14. Scully, C., Beyli, M., Ferreiro, M. C., Ficarra, G., Gill, Y., Holstrtup, P., Mutlu, S., Porter, S., Wray, D.: Update on oral lichen planus: ethiopathogenesis and management. Crit. Rev. Oral Biol. Med., roč. 9, 1998, č. 1, s. 86-122. Go to original source... Go to PubMed...
    15. Scully, C., Eisen, D., Carrozzo, M.: Management of oral lichen planus. Am. J. Clin. Dermatol., roč. 5, 2000, č. 1, s. 287-306. Go to original source... Go to PubMed...
    16. Thongprasom, K., Carrozzo, M., Furness, S., Lodi, G.: Intervention for treating oral lichen planus. Cochrane Database Syst Rev., 2011, 7:CD001168. Go to original source... Go to PubMed...
    17. Urban, D., Markovská, N., Janitorová, E., Stašová, E.: Koncept fotodynamickej terapie. Hodnotenie výsledkov terapie orálnych lézií prístrojom FotoSan. http://www.dentsply.sk/durban/pdf/Fotosan.pdf.
    18. Guidelines for the management of oral lichen planus in secondary care: The British Society for Oral Medicine - G dostupné na http://www.bsom.org.uk/LP_guidelines_-_BSOM.pdf.
    19. WHO: Oral lichen planus. http://www.who.int/.

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