CO2 laser evaporation of oral lichen planus

Hem, P.S. van der; Egges, M.; Wal, Jacqueline E. van der; Roodenburg, Jan

doi:10.1016/j.ijom.2008.04.011

Cited by 45 publications

(34 citation statements)

References 30 publications

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“…In oral lichen planus cases where topical approaches have failed, systemic corticosteroids can be considered. Several studies[101516] have shown good results with this treatment, but side effects have also been reported. In our study the white lesions, especially oral lichen planus, were initially treated with the conventional therapy mentioned above.…”

Section: Discussionmentioning

confidence: 99%

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Is the 810-nm diode laser the best choice in oral soft tissue therapy?

et al. 2013

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Objective:To evaluate the safety and efficacy of an 810-nm diode laser for treatment of benign oral soft tissue lesions.Materials and Methods:Treatment with the 810-nm diode laser was applied to a group of eighteen patients with pathological frenulum and epulis fissuratum; five patients with oral lichen planus, oral leukoplakia, and mucous membrane pemphigoid; and four patients with pyogenic granuloma.Results:Although the conventional surgery wound heals in a fairly short time, in the present study, the simple oral soft tissue lesions healed within two weeks, the white and vesiculobullous lesions healed completely within six weeks, and the pyogenic granuloma lesions healed within four weeks. Any complication was treated by using the 810-nm diode laser.Conclusions:Patient acceptance and satisfaction, without compromising health and function, have been found to be of a high degree in this present study. Thus, we can say that the use of the 810-nm diode laser may indeed be the best choice in oral soft tissue surgery.

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Section: Discussionmentioning

confidence: 99%

“…),[46] pigmented lesions (gingival pigmentations),[1] white oral lesions (oral leukoplakia, oral lichen planus, etc. ),[910] and low-level laser therapy (LLLT) in vesiculobullous lesions (mucous membrane pemphigoid). [7]…”

Section: Introductionmentioning

confidence: 99%

Is the 810-nm diode laser the best choice in oral soft tissue therapy?

et al. 2013

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“…All 13 patients reported a reduction in clinical signs as well as in pain [107]. A comparative pilot study of LLLT versus topical corticosteroids in the treatment of erosive-atrophic OLP demonstrated that LLLT is as effective as topical corticosteroid therapy without any adverse effects and it may be considered as an alternative treatment for erosive-atrophic OLP in the future [108].…”

Section: Laser Therapymentioning

confidence: 97%

Topical Therapies for Oral Lichen Planus Management and their Efficacy: A Narrative Review

Bagán

Compilato²,

Paderni³

et al. 2012

CPD

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Oral Lichen Planus (OLP) is a chronic inflammatory condition implicating T cell-mediated cytotoxicity, and involving oral mucosal surfaces. Several therapeutic regimens have been evaluated to treat OLP and pain related, but often without high level of evidence. Topical formulations are the favourite for the majority of cases; bioadhesive formulations have been considered very useful and practical for local drug delivery in oral mucosa, due to the increased residence time on the oral mucosa of the dosage forms and better therapeutic efficacy.In this narrative review, authors try to illustrate the current topical managements for OLP from the accessible literature on this topic. Steroids are very helpful in discomfort and making better quality of life: they are considered the first-line treatment even if they could cause secondary candidosis, and sometimes bad taste, nausea, dry mouth, sore throat or swollen mouth.Other substances or devices by topical administration are adopted especially when the first line approach is refractory. This is the case when retinol with its synthetic and natural analogues (retinoids), hyaluronic acid, or Aloe Vera are chosen.Recent topical applications for OLP therapy include phototherapy and low/high energy pulsing light; the treatment with extracorporeal photochemotherapy is also reasonable and promising.Finally, calcineurin inhibitors (i.e. cyclosporine, tacrolimus and pimecrolimus), antioxidant and biologics (i.e alefacept, efalizumab, basiliximab, TNF-inhibitors -infliximab, rituximab) may be alternative approaches when OLP does not respond to the standard protocols.In this scenario, there are several studies on molecules different from glucocorticosteroids, but not sufficient or statistically adequate to justify their evidence-based use in OLP; large randomized placebo controlled trials are required to evaluate the safety and effectiveness of these non conventional therapies.In conclusion, since OLP is a chronic disease and requires long-term management, the dental/medical practitioner, who treats OLP patients, needs to know the natural history of OLP, how to monitor, and how to treat, taking in account all of the available modalities conventional and not, with pros and cons.

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“…A 980-nm Diode laser, [30] CO 2 laser evaporation, [31] biostimulation with a pulsed diode laser using 904-nm pulsed infrared rays [32] and low-dose excimer 308-nm laser with UV-B rays have been tried. [28] All types of laser destroy the superficial epithelium …”

Section: Photodynamic Therapymentioning

confidence: 99%

A Potential Malignant Disorder –Lichen Planus

Parkarwar¹

2017

WJPPS

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Oral lichen planus (OLP) is a determined inflammatory infection thataffects the mucus membrane of the oral cavity. It is a T-cell mediated autoimmune disease in which the cytotoxic CD8+ T cells bring out apoptosis of the basal cells of the oral epithelium. Numerous antigenspecific and nonspecific inflammatory mechanisms have been put to the fore to explain the buildup and homing of CD8+ T cells subepithelially and the consequent keratinocyte apoptosis. In this review we are discussing about pathogenesis and treatment modalities of OLP.

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CO2 laser evaporation of oral lichen planus

Cited by 45 publications

References 30 publications

Is the 810-nm diode laser the best choice in oral soft tissue therapy?

Is the 810-nm diode laser the best choice in oral soft tissue therapy?

Topical Therapies for Oral Lichen Planus Management and their Efficacy: A Narrative Review

A Potential Malignant Disorder –Lichen Planus

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