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Oral health–related quality of life in different clinical forms of oral lichen planus

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Abstract

Objectives

The aim of the study was to determine the prevalence of clinical forms in a group of oral lichen planus (OLP) patients and to investigate whether the oral health–related quality of life (OHRQoL) of patients with common clinical OLP forms differs significantly from that of other clinical forms of OLP and healthy patients, respectively.

Methods

OHRQoL was assessed using the Romanian version of the short form of the Oral Health Impact Profile (OHIP-14). OLP patients rated the pain they were currently experiencing on a visual analog scale (VAS). Statistics was performed using parametric and non-parametric tests and multiple linear regression.

Results

Eighty OLP patients and 80 healthy controls were enrolled. The most prevalent OLP clinical form was keratotic form (n = 39, 48.75%, group 1), followed by atrophic (31.25%), erosive-ulcerative (17.5%), and bullous (2.5%) forms, which were included in group 2 (n = 41). The OHRQoL did not differ significantly between group 1 and the other two groups. A negative social impact was reported on psychological discomfort domain for both OLP groups, as compared with healthy controls. VAS scores were significantly associated with OHIP total scores in group 1 (rho = 0.41, n = 39, p = 0.009, Spearman’s correlation coefficient). Within the same group, significantly higher OHIP total scores were recorded in patients lacking academic education (p = 0.0086, Mann-Whitney U test).

Conclusions

Overall, the most common clinical OLP form did not impact significantly the OHRQoL of OLP patients.

Clinical relevance

Psychological therapy and meeting the educational needs might improve the OHRQoL of patients with common clinical forms of OLP.

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References

  1. Wang J, Van der Waal I (2015) Disease scoring systems for oral lichen planus; a critical appraisal. Med Oral Patol Oral Cir Bucal 20(2):e199

    Article  Google Scholar 

  2. Tovaru S, Parlatescu I, Gheorghe C, Tovaru M, Costache M, Sardella A (2013) Oral lichen planus: a retrospective study of 633 patients from Bucharest, Romania. Med Oral Patol Oral Cir Bucal 18(2):e201

    Article  Google Scholar 

  3. Cheng Y-SL, Gould A, Kurago Z, Fantasia J, Muller S (2016) Diagnosis of oral lichen planus: a position paper of the American Academy of Oral and Maxillofacial Pathology. Oral Surg Oral Med Oral Pathol Oral Radiol 122(3):332–354

    Article  Google Scholar 

  4. Karbach J, Al-Nawas B, Moergel M, Daubländer M (2014) Oral health-related quality of life of patients with oral lichen planus, oral leukoplakia, or oral squamous cell carcinoma. J Oral Maxillofac Surg 72(8):1517–1522

    Article  Google Scholar 

  5. Liu L-J, Xiao W, He Q-B, Jiang W-W (2012) Generic and oral quality of life is affected by oral mucosal diseases. BMC Oral Health 12(1):2

    Article  Google Scholar 

  6. Hegarty A, McGrath C, Hodgson T, Porter S (2002) Patient-centred outcome measures in oral medicine: are they valid and reliable? Int J Oral Maxillofac Surg 31(6):670–674

    Article  Google Scholar 

  7. Group W (1995) The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 41(10):1403–1409

    Article  Google Scholar 

  8. López-Jornet P, Camacho-Alonso F (2010) Quality of life in patients with oral lichen planus. J Eval Clin Pract 16(1):111–113

    Article  Google Scholar 

  9. Ni Riordain R, Hodgson T, Porter S, Fedele S (2016) Validity and reliability of the Chronic Oral Mucosal Diseases Questionnaire in a UK population. J Oral Pathol Med 45(8):613–616

    Article  Google Scholar 

  10. Van der Meij E, Van der Waal I (2003) Lack of clinicopathologic correlation in the diagnosis of oral lichen planus based on the presently available diagnostic criteria and suggestions for modifications. J Oral Pathol Med 32(9):507–512

    Article  Google Scholar 

  11. Slusanschi O, Moraru R, Garneata U, Mircescu G, Cuculescu M, Preoteasa E (2013) Validation of a Romanian version of the short form of the oral health impact profile (OHIP-14) for use in an urban adult population. Oral Health Prev Dent 11(3):235–242

  12. Hettiarachchi PVKS, Hettiarachchi RM, Jayasinghe RD, Sitheeque M (2017) Comparison of topical tacrolimus and clobetasol in the management of symptomatic oral lichen planus: a double-blinded, randomized clinical trial in Sri Lanka. J Investig Clin Dent 8(4):e12237

    Article  Google Scholar 

  13. Carbone M, Arduino PG, Carrozzo M, Gandolfo S, Argiolas M, Bertolusso G, Conrotto D, Pentenero M, Broccoletti R (2009) Course of oral lichen planus: a retrospective study of 808 northern Italian patients. Oral Dis 15(3):235–243

    Article  Google Scholar 

  14. Pippi R, Romeo U, Santoro M, Del Vecchio A, Scully C, Petti S (2016) Psychological disorders and oral lichen planus: matched case–control study and literature review. Oral Dis 22(3):226–234

    Article  Google Scholar 

  15. Peker K, Köse TE, Güray B, Uysal Ö, Erdem TL (2017) Reliability and validity of the Turkish version of the rapid estimate of adult literacy in dentistry (TREALD-30). Acta Odontol Scand 75(3):198–207

    Article  Google Scholar 

  16. Burgette J, Lee J, Baker A, Vann W Jr (2016) Is dental utilization associated with oral health literacy? J Dent Res 95(2):160–166

    Article  Google Scholar 

  17. Kaplan I, Ventura-Sharabi Y, Gal G, Calderon S, Anavi Y (2012) The dynamics of oral lichen planus: a retrospective clinicopathological study. Head Neck Pathol 6(2):178–183

    Article  Google Scholar 

  18. Wiriyakijja P, Fedele S, Porter SR, Mercadante V, Ni Riordain R (2018) Patient-reported outcome measures in oral lichen planus: a comprehensive review of the literature with focus on psychometric properties and interpretability. J Oral Pathol Med 47(3):228–239

    Article  Google Scholar 

  19. Zuo W, Li X, Chen Y, Peng H (2012) Oral health-related quality of life in patients with oral lichen planus. West Chin J Stomatol 30(1):40–44

    Google Scholar 

  20. Schmalz G, Meisel A, Kollmar O, Kauffels A, Slotta JE, Kottmann T, Haak R, Ziebolz D (2017) Oral health-related quality of life depending on dental and periodontal health in different patients before and after liver transplantation. Clin Oral Investig 22(5):2039–2045

    Article  Google Scholar 

  21. María-del-Carmen Villanueva-Vilchis P, López-Ríos I-MG (2016) Impact of oral mucosa lesions on the quality of life related to oral health. An etiopathogenic study. Med Oral Patol Oral Cir Bucal 21(2):e178

    Article  Google Scholar 

  22. Llewellyn CD, Warnakulasuriya S (2003) The impact of stomatological disease on oral health-related quality of life. Eur J Oral Sci 111(4):297–304

    Article  Google Scholar 

  23. Levin L, Zini A, Levine J, Weiss M, Lev RA, Hai A, Chebath-Taub D, Almoznino G (2018) Dental anxiety and oral health-related quality of life in aggressive periodontitis patients. Clin Oral Investig 22(3):1411–1422

    Article  Google Scholar 

  24. Sansare K, Kapoor R, Karjodkar F (2018) Validity of chronic oral mucosal diseases questionnaire in oral submucous fibrosis. Clin Oral Investig 23(2):873–877

    Article  Google Scholar 

  25. Aksoy B, Hapa FA (2018) Do we really not need to treat patients with white reticular lesions of oral lichen planus?: a case-control pilot study. Turkderm 52(1):24–28

    Article  Google Scholar 

  26. Silva CAB, Grando LJ, Fabro SML, de Mello ALSF (2015) Oral health related to quality of life in patients with stomatological diseases. Stomatologija 17(2):48–53

    PubMed  Google Scholar 

  27. Valter K, Boras VV, Buljan D, Juras DV, Sušić M, Pandurić DG, Verzak Z (2013) The influence of psychological state on oral lichen planus. Acta Clin Croat 52(2):145

    PubMed  Google Scholar 

  28. Suter VG, Negoias S, Friedrich H, Landis BN, Caversaccio M-D, Bornstein MM (2017) Gustatory function and taste perception in patients with oral lichen planus and tongue involvement. Clin Oral Investig 21(3):957–964

    Article  Google Scholar 

  29. Lundqvist E, Wahlin Y-B, Bergdahl M, Bergdahl J (2006) Psychological health in patients with genital and oral erosive lichen planus. J Eur Acad Dermatol Venereol 20(6):661–666

    Article  Google Scholar 

  30. Adamo D, Cascone M, Celentano A, Ruoppo E, Leuci S, Aria M, Mignogna MD (2017) Psychological profiles in patients with symptomatic reticular forms of oral lichen planus: a prospective cohort study. J Oral Pathol Med 46(9):810–816

    Article  Google Scholar 

  31. Adamo D, Mignogna MD, Pecoraro G, Aria M, Fortuna G (2018) Management of reticular oral lichen planus patients with burning mouth syndrome-like oral symptoms: a pilot study. J Dermatol Treat:1–7

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Author notes

  1. Ioanina Parlatescu and Mihaela Tovaru contributed equally to this work.

Authors and Affiliations

  1. Department of Oral Medicine, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania

    Ioanina Parlatescu & Carmen Larisa Nicolae

  2. Department of Dermatology, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania

    Mihaela Tovaru

  3. Department of Oral Health and Community Dentistry, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Eforiei Street no. 4-6, district 5, 050037, Bucharest, Romania

    Ruxandra Sfeatcu

  4. Department of Embryology, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania

    Andreea Cristiana Didilescu

Authors
  1. Ioanina Parlatescu
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  2. Mihaela Tovaru
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  3. Carmen Larisa Nicolae
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  4. Ruxandra Sfeatcu
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  5. Andreea Cristiana Didilescu
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Corresponding author

Correspondence to Ruxandra Sfeatcu.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in this study.

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Parlatescu, I., Tovaru, M., Nicolae, C.L. et al. Oral health–related quality of life in different clinical forms of oral lichen planus. Clin Oral Invest 24, 301–308 (2020). https://doi.org/10.1007/s00784-019-02951-8

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  • DOI: https://doi.org/10.1007/s00784-019-02951-8

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