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:: Volume 22, Issue 1 (زمستان 1398) ::
Koomesh 1398, 22(1): 198-201 Back to browse issues page
Treatment of lichen planus-induced desquamative gingivitis
Malek Kotab , Maryam Jalili sadrabad , Sina Ebrahimi
Abstract:   (4960 Views)
Introduction: Lichen planus is a mucocutaneouse inflammatory disease. Its complications including the formation of ulcers, irritation and discomfort, and the possibility of malignancy. In previous studies, no definite treatment for desquamative gingivitis due to lichen planus has been reported and different treatments have different results. According to importance of the subject, the main aim of this study was pressenting a special curative method for this disease. Case report: A 45-year-old woman was referred to a dental clinic with a complaint of sorness of her gingiva that was resistant to the routine treatment. The patient was systemically healthy. In the intraoral examination, white and red lesions were observed in the mucous membranes of the cheek and tongue. According to the presence of the lines of wikham, the diagnosis of lichen plan was introduced. The gums also had a desquamative gingivitis. Some calculus and plaque were also seen in the examination. Initially, the presence of dysplasia was role out by coloring Toluidian Blue. The patient was then referred to periodontitist and treated with scaling, root planling and accurate health education. In order to control the lesions in the cheek and tongue, the patient was asked to take a triamcinolone daily and for more resistant gum lesions, apply hydrocortisone ointment twice a day for 5 minutes. The patient was re-examined after one, two and three weeks, and a clear recovery from the first week began and resolved until the third week. Conclusion: Conclusively, the administration of corticosteroids using the Terry method is a suitable method for treating desquamative gingivitis caused by lichen planus.  
Keywords: Oral Lichen Planus, Desquamate Gingivitis, Corticosteroid, Gingivitis
Full-Text [PDF 1400 kb]   (1396 Downloads)    
Type of Study: case report | Subject: General
Received: 2017/12/3 | Accepted: 2019/08/6 | Published: 2020/01/4
References
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20. [20] Khandelwal V, Nayak PA, Nayak UA, Gupta A. Oral lichen planus in a young Indian child. BMJ Case Reports 2013; 2013. [DOI:10.1136/bcr-2013-010516] [PMID] [PMCID]
21. [21] Lavanya N, Jayanthi P, Rao UK, Ranganathan K. Oral lichen planus: An update on pathogenesis and treatment. J Oral Maxillofac Pathol 2011; 15: 127-132. [DOI:10.4103/0973-029X.84474] [PMID] [PMCID]
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24. [24] Balraj L, Nagaraj T, Nigam H, Tagore S. Erosive lichen planus: A case report. J Medic Radio Patho Surg 2017; 4: 11-14. [DOI:10.15713/ins.jmrps.82]
25. [25] Raj PR, Rawther NN, James J, Siyad K, Padiyath S. Erosive lichen planus of the oral cavity: A Case Report. IJSS J Surg 2015; 1: 24-28.
26. [1] Reddy VK, Ramya SS, Maloth KN, Sunitha K. Childhood Oral Lichen Planus. Inter J of Dent Clin 2014; 6: 25-26.
27. [2] Woo VL, Manchanda-Gera A, Park DS, Yoon AJ, Zegarelli DJ. Juvenile oral lichen planus: a report of 2 cases. Pediatr Dent 2007; 29: 525-530.
28. [3] Stone SJ, Heasman PA, Staines KS, McCracken GI. The impact of structured plaque control for patients with gingival manifestations of oral lichen planus: a randomized controlled study. J Clin Perio 2015; 42: 356-362. [DOI:10.1111/jcpe.12385] [PMID]
29. [4] Lopez Jornet P, Aznar-Cayuela C. Efficacy of topical chamomile management vs. placebo in patients with oral lichen planus: a randomized double-blind study. J Eur Acad Dermatol Venereol 2016; 30: 1783-1786. [DOI:10.1111/jdv.13770] [PMID]
30. [5] Singh AR, Rai A, Aftab M, Jain S, Singh M. Efficacy of steroidal vs non-steroidal agents in oral lichen planus: a randomised, open-label study. J Laryngol Otol 2017; 131: 69-76. [DOI:10.1017/S0022215116009658] [PMID]
31. [6] Saawarn N, Shashikanth M, Saawarn S, Jirge V, Chaitanya NC, Pinakapani R. Lycopene in the management of oral lichen planus: A placebo-controlled study. Indian J Dent Res 2011; 22: 639-643. [DOI:10.4103/0970-9290.93448] [PMID]
32. [7] Patil A, Prasad S, Ashok L, Sujatha G. Oral bullous lichen planus: Case report and review of management. Contem Clin Dent 2012; 3: 344-348. [DOI:10.4103/0976-237X.103634] [PMID] [PMCID]
33. [8] Gupta S., Jawanda M. Oral Lichen Planus: An Update on Etiology, Pathogenesis, Clinical Presentation, Diagnosis and Management. Ind Derm J 2015; 60(3): 222-229. doi: 10.4103/0019-5154.156315. [DOI:10.4103/0019-5154.156315] [PMID] [PMCID]
34. [9] Lodi G, Scully C, Carrozzo M, Griffiths M, Sugerman PB, Thongprasom K. Current controversies in oral lichen planus: report of an international consensus meeting. Part 2. Clinical management and malignant transformation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 78-164. [DOI:10.1016/j.tripleo.2004.06.076] [PMID]
35. [10] Mignogna MD, Lo Russo L, Fedele S. Gingival involvement of oral lichen planus in a series of 700 patients. J Clin Perio 2005; 32: 1029-1033. [DOI:10.1111/j.1600-051X.2004.00761.x] [PMID]
36. [11] Carrozzo M. How common is oral lichen planus? Evid Based Dent 2008; 9: 3-112. [DOI:10.1038/sj.ebd.6400614] [PMID]
37. [12] Stoopler E, et al. Oral lichen planus preceding concomitant lichen planopilaris. Oral Surg, Oral Med, Oral Path and Oral Rad 2016;122( 3): 82-85. doi.org/10.1016/j.oooo.2016.05.022. [DOI:10.1016/j.oooo.2016.05.022] [PMID]
38. [13] Hasan S. Desquamative gingivitis - A clinical sign in mucous membrane pemphigoid: Report of a case and review of literature. J Pharm Bioallied Sci 2014; 6: 122-126. [DOI:10.4103/0975-7406.129177] [PMID] [PMCID]
39. [14] Vijayakar HN, Shah PP, Desai AB, Ghonasgi SR, Gawankar RJ. Chronic desquamative gingivitis in siblings: A report of two cases. J Indian Soc Periodontol 2014; 18: 385-389. [DOI:10.4103/0972-124X.134585] [PMID] [PMCID]
40. [15] Parwani SR, Parwani RN. Desquamative gingivitis: what's behind it? A case report. Gen Dent 2014; 62: e5-8.
41. [16] Stoopler ET, Sollecito TP, DeRossi SS. Desquamative gingivitis: early presenting symptom of mucocutaneous disease. Quintessence Int 2003; 34: 582-586.
42. [17] Endo H, Rees TD. Diagnosis and Management of desquamative gingivitis, gingival diseases - their aetiology, prevention and treatment. In: Panagakos DF, editor. gingival diseases - their aetiology, prevention and treatment: InTech 2011. [DOI:10.5772/22864]
43. [18] Scott Froum D, Ramer DN, Cohen DM. Etiology, diagnosis, and treatment of desquamative gingivitis. Dent Economics 2015; 105: 125-133.
44. [19] Karagoz G, Bektas-Kayhan K, Unur M. Desquamative gingivitis: A review. J Istanbul Univ Fac Dent 2016; 20: 54-60. [DOI:10.17096/jiufd.57228] [PMID] [PMCID]
45. [20] Khandelwal V, Nayak PA, Nayak UA, Gupta A. Oral lichen planus in a young Indian child. BMJ Case Reports 2013; 2013. [DOI:10.1136/bcr-2013-010516] [PMID] [PMCID]
46. [21] Lavanya N, Jayanthi P, Rao UK, Ranganathan K. Oral lichen planus: An update on pathogenesis and treatment. J Oral Maxillofac Pathol 2011; 15: 127-132. [DOI:10.4103/0973-029X.84474] [PMID] [PMCID]
47. [22] Vatankhah M, Taghi Chitsazi M, Mehdipour M, Taghavi Zenouz A, Estakhri R. Treatment of desquamative gingivitis with free gingival graft: a case report. J Dent Res Dent Clin Dent Prospects 2010; 4: 33-36.
48. [23] Popova C, Doseva V, Kotsilov K. Desquamative Gingivitis as a symptom of defferent Mucocutaneous disorders. J IMAB 2007;13: 31.
49. [24] Balraj L, Nagaraj T, Nigam H, Tagore S. Erosive lichen planus: A case report. J Medic Radio Patho Surg 2017; 4: 11-14. [DOI:10.15713/ins.jmrps.82]
50. [25] Raj PR, Rawther NN, James J, Siyad K, Padiyath S. Erosive lichen planus of the oral cavity: A Case Report. IJSS J Surg 2015; 1: 24-28.
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Kotab M, Jalili sadrabad M, Ebrahimi S. Treatment of lichen planus-induced desquamative gingivitis. Koomesh 1398; 22 (1) :198-201
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