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Management of Oral Lichen Planus

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American Journal of Clinical Dermatology Aims and scope Submit manuscript

Abstract

Lichen planus is a relatively common disorder of the stratified squamous epithelia. Most dental and medical practitioners see patients with lichen planus, but not all are recognized as having the disease. Patients with lichen planus may have concomitant involvement of the disease in multiple sites. Oral lichen planus lesions usually have a distinctive clinical morphology and characteristic distribution, but oral lichen planus may also present a confusing array of patterns and forms, and other disorders may clinically mimic oral lichen planus.

The etiopathogenesis of lichen planus appears to be complex, with interactions between genetic, environmental, and lifestyle factors. Much has now been clarified about the etiopathogenic mechanisms involved and interesting new associations, such as with liver disease, have emerged.

The management of lichen planus is still not totally satisfactory in all cases and there is as yet no definitive treatment that results in long term remission, but there have been advances in the control of the condition. Amongst the many treatments available, high potency topical corticosteroids remain the most reliably effective, though topical cyclosporine, topical tacrolimus, or systemic corticosteroids may be indicated in patients whose condition is unresponsive to topical corticosteroids.

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Authors and Affiliations

  1. International Centres for Excellence in Dentistry, and Eastman Dental Institute for Oral Healthcare Sciences, University College London, University of London, 256 Gray’s Inn Road, London, WC1X 8LD, England

    Crispian Scully

  2. Dermatology Research Associates, Cincinnati, Ohio, USA

    Drore Eisen

  3. Department of Oral Medicine, School of Dentistry, University of Turin, Turin, Italy

    Marco Carrozzo

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  1. Crispian Scully
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  2. Drore Eisen
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Correspondence to Crispian Scully.

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Scully, C., Eisen, D. & Carrozzo, M. Management of Oral Lichen Planus. Am J Clin Dermatol 1, 287–306 (2000). https://doi.org/10.2165/00128071-200001050-00004

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