DOI QR코드

DOI QR Code

Management of Gingival Oral Lichen Planus with Free Gingival Graft: 10-Year Follow-Up Case Report

  • 투고 : 2022.08.25
  • 심사 : 2022.09.06
  • 발행 : 2022.09.30

초록

Oral lichen planus (OLP) is a chronic oral mucosal disease affecting the buccal cheek, tongue, palate, lip, and gingival mucosa. Lesions in the gingiva make it difficult to control dental plaque due to pain. As a result, the disease is often accompanied by gingivitis or periodontitis. If OLP and dental plaque are not properly managed, the patient's periodontal condition will worsen. Thus, clinicians treating OLP should emphasize periodic visits and dental plaque control. Here, we report the management of a patient who struggled with OLP for 20 years and discuss the importance of periodic regular observations and active periodontal management.

키워드

과제정보

This study was supported by Wonkwang University in 2021.

참고문헌

  1. Sugerman PB, Savage NW, Walsh LJ, et al. The pathogenesis of oral lichen planus. Crit Rev Oral Biol Med 2002;13:350-365. https://doi.org/10.1177/154411130201300405
  2. Camacho-Alonso F, Lopez-Jornet P, Bermejo-Fenoll A. Gingival involvement of oral lichen planus. J Periodontol 2007;78:640-644. https://doi.org/10.1902/jop.2007.060303
  3. Mignogna MD, Lo Russo L, Fedele S. Gingival involvement of oral lichen planus in a series of 700 patients. J Clin Periodontol 2005;32:1029-1033. https://doi.org/10.1111/j.1600-051X.2004.00761.x
  4. Azizi A, Rezaee M. Comparison of periodontal status in gingival oral lichen planus patients and healthy subjects. Dermatol Res Pract 2012;2012:561232. https://doi.org/10.1155/2012/561232
  5. Greene JC, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc 1964;68:7-13. https://doi.org/10.14219/jada.archive.1964.0034
  6. Escudier M, Ahmed N, Shirlaw P, et al. A scoring system for mucosal disease severity with special reference to oral lichen planus. Br J Dermatol 2007;157:765-770. https://doi.org/10.1111/j.1365-2133.2007.08106.x
  7. Lo Russo L, Fedele S, Guiglia R, et al. Diagnostic pathways and clinical significance of desquamative gingivitis. J Periodontol 2008;79:4-24. https://doi.org/10.1902/jop.2008.070231
  8. Caton JG, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implant diseases and conditionsintroduction and key changes from the 1999 classification. J Periodontol 2018;89 Suppl 1:S1-S8. https://doi.org/10.1002/JPER.18-0157
  9. Ramon-Fluixa C, Bagan-Sebastian J, Milian-Masanet M, Scully C. Periodontal status in patients with oral lichen planus: a study of 90 cases. Oral Dis 1999;5:303-306. https://doi.org/10.1111/j.1601-0825.1999.tb00094.x
  10. Tricamo MB, Rees TD, Hallmon WW, Wright JM, Cueva MA, Plemons JM. Periodontal status in patients with gingival mucous membrane pemphigoid. J Periodontol 2006;77:398-405. https://doi.org/10.1902/jop.2006.050113
  11. Liu H, Chen H, Liao Y, et al. Comparative analyses of the subgingival microbiome in chronic periodontitis patients with and without gingival erosive oral lichen planus based on 16S rRNA gene sequencing. Biomed Res Int 2021;2021:9995225.
  12. Salgado DS, Jeremias F, Capela MV, Onofre MA, Massucato EM, Orrico SR. Plaque control improves the painful symptoms of oral lichen planus gingival lesions. A short-term study. J Oral Pathol Med 2013;42:728-732. https://doi.org/10.1111/jop.12093
  13. Guiglia R, Di Liberto C, Pizzo G, et al. A combined treatment regimen for desquamative gingivitis in patients with oral lichen planus. J Oral Pathol Med 2007;36:110-116. https://doi.org/10.1111/j.1600-0714.2007.00478.x
  14. Lopez-Jornet P, Camacho-Alonso F. Application of a motivationbehavioral skills protocol in gingival lichen planus: a short-term study. J Periodontol 2010;81:1449-1454. https://doi.org/10.1902/jop.2010.100245
  15. Zucchelli G, Mounssif I. Periodontal plastic surgery. Periodontol 2000 2015;68:333-368. https://doi.org/10.1111/prd.12059
  16. Tamizi M, Moayedi M. Treatment of gingival lichen planus with a free gingival graft: a case report. Quintessence Int 1992;23:249-251.
  17. 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. https://doi.org/10.5681/joddd.2010.009
  18. Axell T, Henriksen BM. Treatment of gingival lichen with free palatal grafts. J Oral Pathol Med 2007;36:105-109. https://doi.org/10.1111/j.1600-0714.2007.00482.x
  19. Wang J, van der Waal I. Disease scoring systems for oral lichen planus; a critical appraisal. Med Oral Patol Oral Cir Bucal 2015;20:e199-e204. https://doi.org/10.4317/medoral.20524