The Management of Oral Lichen Planus

A Peer-Reviewed Publication Written by Jeff Burgess, DDS, MSD

A Peer-Reviewed Publication Written by Jeff Burgess, DDS, MSD

Abstract

Oral Lichen Planus (LP), a disease defined as reticular, erosive, atrophic, or bullous in nature, is an immune mediated condition that typically develops in women in their fifth and sixth decade. Reticular LP, absent erythema, is asymptomatic and does not usually need intervention. However reticular LP associated with erythema or erosions needs treatment and periodic re-evaluation as there is potential for conversion to carcinoma. The literature suggests that erosive and ulcerated LP is best managed with topical corticosteroid preparations and in refractory cases, systemic steroids. Several other immunosuppressive medications and non-medication based interventions are also available but at greater cost and with greater potential for adverse reactions and side effects. This educational review article focuses on the best practices management of oral lichen planus.

Educational Objectives

At the conclusion of this educational activity participants will be able to:

1. Describe interventions used to manage oral lichen planus.

2. Identify the appropriate medications to be prescribed for managing erosive and ulcerative oral lesions.

3. Implement treatment strategies for managing oral ulcers associated with the disease.

4. Identify the interventions mentioned in the literature that are supported by limited evidence.

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