Acta Medica Medianae
ORAL MANIFESTATIONS OF THE LICHEN PLANUS
Vesna Branković, Svetlana Orlov, Draginja Kojović and Ana Pejćić
Clinic for Dentistry, Nis
The Lichen planus is frequent dermatosis that only attack mucus with no skin manifestation. Its only location can be only upon oral mucus.
The aim of the paper is to examine the oral localization incidence m all its key variants.
From March, 1999, to December, 2002, 35 patients were examined, namely, 28 women and 7 men of 19 to 63 years of age. Of 6 variants of the Lichen planus oral manifestations 17 had an erosive-ulcerous form, 13 had a reticular one and 5 patients had an atrophic form.
The erosive-ulcerous form that was dominant in the last few years in its clinic variants was diagnosed upon the buccal mucus, gingiva, tongue, hard palate, lips and mouth cavity floor.
This form requires an adequate therapy regarding its chronic nature as well as frequent check-ups due to the possibility of the "lichen dysplasia". Similar treatment is required with the atrophic fond while the reticular variant requires occasional controls with no specific therapy except for the one referring to everyday maintenance of good oral hygiene, caries elimination and periodontal diseases along with the hygienic-diet regime.
Key words: Oral mucus, lichen planus, erosive-ulcerous variant, reticular, atrophic