Oral Lichen Planus

Umm Al-Qura University Faculty of Dentistry Dr. Reham Al-Haratani

Demographic Data ,[object Object],[object Object],[object Object],Chief Complaint: Wants to treat her carious teeth.

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Clinical Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

So…regarding the buccal mucosa (lesion): -Location: Irregularly distributed, bilaterally. -Texture: Smooth.. Does not disappear upon rubbing nor stretching. -Color & Shape: Brown pigmentations + white striations (characteristic Wickham’s striae).

-Size: Brown pigm. All over. White striations extend from retromolar area up to the commissures. - Lingual gingiva of lower anterior teeth. -Painless - No discomfort upon eating nor swallowing.

[object Object],[object Object],[object Object],Differential diagnosis

[object Object],[object Object],FINAL DIAGNOSIS مرض الحزاز المنبسط الفموي

[object Object],[object Object],[object Object],[object Object],Investigations done:

Last follow-up was on Sunday 8 - 4 - 2007 Showing stability without any progression Follow Up

Treatment Plan… Further follow up every 6 months - 1 year

Background: Autoimmune chronic mucocutaneuos condition. Age: middle-aged persons Gender: female predilection Etiology: T-cell-mediated autoimmune disease. Clinically: Types Reticular ASYMPTOMATIC Erosive (ulcerations) Atrophic (erythema) Bullous (blisters) SYMPTOMATIC – Pre-malignant About Lichen Planus

OLP associated with patchy brown melanin deposits 28 % have coincident skin lesions..polygonal papules with white lines on surface

HISTOLOGY: 1. Hyperkeratosis. 2. Acanthosis. 3. Saw-tooth Rete Ridges (shortened). 4. Basal cell degeneration (liquefaction). 5. Band-like lymphocitic infiltration.

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Oral Lichen Planus and Hepatitis C and B viruses : is there a real association?

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Methods Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2. Biopsies obtained Confirmed the clinical diagnosis 3. Liver function tests Insignificantly associated 4. Statistical analysis, assess reliability of liver enz. to predict OLP Not predictive

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Main conclusion: ,[object Object],[object Object],[object Object]

References : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Oral Lichen Planus

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Oral Lichen Planus