Oral Lichen Planus-A Study of 216 Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Introduction:Oral lichen planus (OLP) is a relatively common inflammatory mucocutaneous disorder that frequently involves the oral mucosa. The clinical presentation of OLP ranges from mild painless white keratotic lesions to painful erosions and ulcerations. An important complication of OLP is the development of oral squamous cell carcinoma, which led the World Health Organization (WHO) to classify OLP as a potentially malignant disorder. Objective: The present clinical study was carried out to clarify the demographic and clinical profile of 216 patients with OLP. Materials and Methods:The patients were identified based on the diagnostic criteria proposed by van der Meij et al. (2003), modified from the WHO’s (1978) clinical and histopathologic definition of OLP. Results: Mean age of OLP patients was 45.4 years, and among the identified patients, 70.4% were females. The most frequent clinical type was the reticular form (80.6%). The OLP lesions were symptomatic in 77.8% of the patients. The buccal mucosa was the most affected site (87.9%) and multiple oral lesions were observed in 41.7% of the patients. Histo-pathologically, epithelial dysplasia was seen in three cases. The chronic nature of OLP warrants patient education, psychological support and long-term follow up. Conclusion:Most of the characteristics are consistent with previous studies. Lichen planus is a chronic disease where treatment is directed to control symptoms. Long‑ term follow‑ up is essential to monitor for symptomatic flare ups and possible malignant transformation.
Authors and Affiliations
Prof. (Dr. ) Altaf H. Chalkoo, Dr. Rizwan Hamid, 3, . Dr. Prenika Sharma
Keywords
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- EP ID EP361581
- DOI 10.9790/0853-1702047881
- Views 79
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