Erosive oral lichen planus

Palaniappan, Pragadeesh; Baalann, Krishna Prasanth

doi:10.11604/pamj.2021.40.73.26013

Cited by 7 publications

(3 citation statements)

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“…Nodules that barely rise above the level of healthy skin often accompany a pigmented form. Foci are localized in large folds, on the skin and mucous membranes of the genitals [9,10,11].…”

Section: Connection Of the Study Withmentioning

confidence: 99%

Clinical Characteristics of the Oral Mucosa of Patients with Red Lichen Planus, Depending on the Anatomical Location

Bozhyk¹

2022

Ukr. ž. med. bìol. sportu

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The purpose of the study was to state the clinical characteristics of the oral mucosa in patients with red lichen planus depending on the anatomical localization of the process. Materials and methods. Examinations and a complex of treatment measures were carried out on the basis of the department of Therapeutic Dentistry of the I. Horbachevsky Ternopil National Medical University and the licensed private dental clinic “DVM», Ternopil. 42 patients with red lichen planus were examined. The patients underwent a general clinical dental examination with the registration of indicators in the medical cards of the dental patient, form 043/y, and assessment of the state of oral hygiene according to J. C. Green, J. R. Wermillion, by objectifying the state of periodontal tissues based on index analysis in the modification of C. Parma. Results and discussion. The most typical places of lesions by this nosological unit are the cheeks along the line of teeth closure, the retromolar area. The papules are small silver-grey or white-grey in colour with a characteristic waxy sheen, which is most visible under side lighting conditions. Taking into account the regional features of the structure of the mucous membrane of the back of the tongue, the lesion elements are visualized in the form of plaques that merge into shapes and resemble rings and chains in appearance. When the process spreads to the gums, there is a tendency to an increase in the volume of the interdental gingival papillae and a change in the structure of the gums in the form of maceration and colour of the gums. Features of the clinical picture of the course of this disease on the red border of the lips in the form of a plaque reflect the regional anatomical and morphological features of the red border itself, namely the insignificant thickness of the epithelial plate and the submucosal base. The above-mentioned differences in the clinical picture of red lichen planus should be taken into account at the stage of applying the main clinical methods, as well as the topographic and morphological features of the structure of the mucous membrane at the stage of verification of the lesion elements by a dentist. Conclusion. It is advisable to take into account the visualized differences in the clinical picture of red lichen planus at the stage of application of the main clinical methods as well as the topographical and morphological features of the structure of the mucous membrane at the stage of verification of the lesion elements by a dentist. Thus, in this way, a wide variety of clinical manifestations, complex etiopathogenetic mechanisms of the development of red lichen planus, require a personalized, complex analysis based on an individual approach to each patient, taking into account the aetiology, clinic and regional features of the oral mucosa

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“…Nodules that barely rise above the level of healthy skin often accompany a pigmented form. Foci are localized in large folds, on the skin and mucous membranes of the genitals [9,10,11].…”

Section: Connection Of the Study Withmentioning

confidence: 99%

Clinical Characteristics of the Oral Mucosa of Patients with Red Lichen Planus, Depending on the Anatomical Location

Bozhyk¹

2022

Ukr. ž. med. bìol. sportu

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“…На слизовій оболонці діагностується типовий, ерозивно-виразковий, або ексудативно-гіперемічний елемент ураження. На шкірі можливі кільцеподібні або лінійні ураження з порушеною пігментацією [4][5][6][7].…”

Section: вступunclassified

Clinical characteristics of the dental status of patients with red lichen planus of the mucous membrane of the oral cavity

Bozhyk

2021

MTT

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The development of lichen planus (RLP) is associated with the action of various toxins, allergens, infectious agents, and disorders of the immune system. The aim of the work was to study the dental status of patients with RLP, its role in the development and course of the disease, and the impact on treatment outcomes. A clinical dental examination was carried out in 37 patients, including 31 women (83.78% of those examined) aged 33–65 years; 6 men 16.22%, aged 23 to 52 years. By the time of the initial visit, indicators of the intensity and prevalence of caries, the presence of non-carious lesions, dentoalveolar anomalies and deformities, hygienic and periodontal indicators were recorded. Dental deformities and anomalies of the soft tissues of the oral cavity were diagnosed in 59.46% of all examined patients of both sexes, wedge-shaped defects – in 24.32% of all examined patients of both sexes, pathological wear – in 18.92% of all examined patients. The intensity of caries was 7.89±0.46. The Green-Vermillion hygiene index was (2.13±0.05) points. The prevalence of inflammatory and dystrophic-inflammatory changes in periodontal tissues at the time of the initial examination at the dentist was (83.78±6.39) %, which allows us to state a high degree of compromise of periodontal tissues. The papillary-marginal-alveolar index (PMA) was (26.95±2.70) %, which corresponds to moderate gingivitis, and the Muhlemann-Saxer papillary bleeding index (PBI) was (1.40±0.14) points. The results obtained regarding the age and sex distribution of patients with RLP agree with the developments of foreign scientists of recent years, indicating a high activity of the manifestation of this disease in women of perimenopausal age, in particular, endocrine changes in women, especially in the production of sex steroids. The presence of aggravated dental status is a local risk factor and serves as a mechanism that activates etiological factors and intensifies already existing changes. The results obtained indicate the need to develop a complex of professional and individual oral hygiene in patients with RLP, as well as the relationship between their dental status and changes in the oral mucosa. Keywords: red lichen planus, dermatosis, precancer.

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“…Однако было отмечено возрастание частоты встречаемости эрозивно-язвенных поражений СОР, которые имеют различные этиологию и патогенез, тогда как клиническая картина их достаточно схожа, при этом патологические элементы расположены на воспалительном, отечно-гиперемированном фоне. Это обусловлено возрастанием влияния негативных факторов иммунодепрессивного генеза, а также достаточно широким использованием лекарственных препаратов с антибактериальным эффектом [19,20,21].…”

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Retrospective analysis of the prevalence of diseases of the oral mucosa in the Volgograd region

Shkarin

Poroyskiy

Makedonova

et al. 2023

Journal of Volgograd State Medical University

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The paper presents the results of a retrospective analysis of the prevalence of diseases of the oral mucosa. It is noted that the high prevalence of various ORS diseases is associated with a new coronavirus infection COVID-19 due to immunopathological changes in the patients body. It is known that patients with OOP diseases represent one of the most difficult groups of patients in dentistry. An increase in the frequency of occurrence of erosive-ulcerative lesions of the ROR was noted, which have different etiology and pathogenesis, while their clinical picture is quite similar. The study was carried out in the dental clinics of Volgograd clinical bases of the Department of Dentistry of the Institute of the NMFO FSBEI HE VolgGMU of the Ministry of Health of Russia. 2719 medical records of a dental patient (form 043y) were studied in the period 20192022. There was a significant dynamic growth, especially in 2022, of inflammatory-destructive pathologies of the COR, as well as the highest prevalence of COR pathologies in middle-aged people. A persistent increase in complicated cases with a generalized spread of pathological elements was revealed, which proves the relevance of searching for new methods for managing these patients.

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Erosive oral lichen planus

Cited by 7 publications

References 0 publications

Clinical Characteristics of the Oral Mucosa of Patients with Red Lichen Planus, Depending on the Anatomical Location

Clinical Characteristics of the Oral Mucosa of Patients with Red Lichen Planus, Depending on the Anatomical Location

Clinical characteristics of the dental status of patients with red lichen planus of the mucous membrane of the oral cavity

Retrospective analysis of the prevalence of diseases of the oral mucosa in the Volgograd region

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