Effects of oral healthcare motivation in patients with gingival oral lichen planus: A randomized controlled trial

Abstract

Objectives The role of dental plaque in gingival lesions caused by oral lichen planus has not been fully defined. The aim of this clinical trial was to evaluate the effects of oral healthcare motivation on clinical variables in patients with gingival oral lichen planus. Material and Methods Oral lichen planus patients with symptomatic gingival lesions were randomized in control and intervention groups. The intervention group was instructed to effectively remove bacterial biofilm from dental surfaces, while controls did not receive any advice. The outcome variables were as follows: quality of life (OHIP‐14), pain, plaque index and clinical severity of the disease (Escudier index). Outcome variables were assessed at 0, 4 and 20 weeks and analysed using an ANOVA model for factorial design. Results Data from 60 patients were collected. Regression analysis showed a significant positive trend of OHIP‐14, plaque index and Escudier index in the intervention group compared to controls (p < 0.05). Pain did not prove significantly different (p = 0.408). Conclusions Plaque control improved both OHIP‐14 and gingival lesion clinical severity. Oral hygienists should be involved in the multidisciplinary management of patients affected by oral lichen planus with gingival lesions.

Efficacy and safety of a bioadhesive gel containing propolis extract, nanovitamin C and nanovitamin E on desquamative gingivitis: a double-blind, randomized, clinical trial

“…In the present study, although we included patients with OLP and MMP, our baseline scores regarding VAS and total OHIP-14 are higher in both groups than the scores indicated above. This is not the case in other studies for the DG treatment for VAS scores [45], nor for OHIP-14 total scores [14,15,45]. Furthermore, the VAS score in the present study was 1.91 at 1 month, which is an acceptable symptomatic state, and 3 in the control group, which already exceeds the borderline acceptable state [48].…”

“…Some of these studies had no control group [ 8 ], or their control group was periodontally healthy [ 15 ]. There is another study that achieved improvement in quality of life and clinical severity of DG, but they used corticosteroids along with biofilm removal in some patients during the study [ 45 ].…”

“…There is no consensus on the outcomes to be studied in clinical studies on the treatment of DG due to mucocutaneous diseases [ 8 , 14 , 45 ]. In fact, there is also no standardized index to measure treatment improvement [ 38 , 47 ].…”

Interest of periodontal maintenance in improving autoimmune diseases: about an oral lichen planus case report

“…More recently, Gracia-Pola et al showed through a systematic review of the literature that rigorous oral hygiene education at home and regular periodontal maintenance check-ups significantly reduced the clinical signs and discomfort caused by OLP [9]. This conclusion was also reported by Giovanni et al in a recent randomised case control study [10]. In this clinical case, the patient's oral hygiene is greatly improved even if still perfectible and improvement in clinical signs of OLP are evident.…”

Advancements in the Relationship Between Oral Lichen Planus and Microbial Infections

“…The symptoms range from mild discomfort to severe pain, which can substantially impair eating and speaking. A research [10] assigned 60 OLP patients with gingival lesions into groups at random to examine the influence of oral health care on the quality of life and clinical symptoms of OLP patients. The author concluded that the presence of dental plaque can influence the incidence and progression of OLP, although the probable mechanism is unknown.…”