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BACKGROUND: The relevance of the study of oral lichen planus (OLP) does not raise doubts given the unclear etiological nature of this dermatitis, potential for malignancy, and difficulty in performing therapeutic measures. AIM: To assess the psychoemotional state of patients with various forms of OLP using a computer program (ConScale). MATERIAL AND METHODS: We examined 287 patients with a verified diagnosis of OLP. The average age of the patients was 47.89.0 years; men, 121 (42.1%); women, 166 (57.9%). RESULTS: Psychological parameters were assessed using ConScale according to the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI). In comparison with the control group (n=32) of comparable age and sex according to BAI and BDI, significant differences were found in patients with erosive-ulcerative, exudative-hyperemic, and bullous forms of LP. A relationship was found between these clinical forms of OLP and psychological conditions such as anxiety and depression. CONCLUSION: The results indicate the need to include psychological testing of patients with OLP in the protocol for a comprehensive assessment of the patients condition and treatment with individually selected sedatives.
BACKGROUND: The relevance of the study of oral lichen planus (OLP) does not raise doubts given the unclear etiological nature of this dermatitis, potential for malignancy, and difficulty in performing therapeutic measures. AIM: To assess the psychoemotional state of patients with various forms of OLP using a computer program (ConScale). MATERIAL AND METHODS: We examined 287 patients with a verified diagnosis of OLP. The average age of the patients was 47.89.0 years; men, 121 (42.1%); women, 166 (57.9%). RESULTS: Psychological parameters were assessed using ConScale according to the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI). In comparison with the control group (n=32) of comparable age and sex according to BAI and BDI, significant differences were found in patients with erosive-ulcerative, exudative-hyperemic, and bullous forms of LP. A relationship was found between these clinical forms of OLP and psychological conditions such as anxiety and depression. CONCLUSION: The results indicate the need to include psychological testing of patients with OLP in the protocol for a comprehensive assessment of the patients condition and treatment with individually selected sedatives.
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.
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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