2021, Number 4
<< Back Next >>
Rev Cubana Estomatol 2021; 58 (4)
De-epithelialization technique as an esthetic treatment for gingival lichen planus
Hissao IM, de Azevedo KLF, Porto SP, Carneiro LGM, Miranda DT
Language: English
References: 14
Page:
PDF size: 375.18 Kb.
ABSTRACT
Introduction:
Oral lichen planus is a chronic inflammatory disease affecting the mucosa.
Objective:
To report a clinical case of oral lichen planus in gingiva whose removal was carried out by the de-epithelialization technique of the affected areas.
Case report:
A 56-year-old female patient presented white plaques upon clinical examination that could not be removed by scraping. The treatment plan involved a biopsy and lesion removal by de-epithelialization, procedure not described in the literature up to date. This technique consisted of the removal of the plaques with the epithelial tissue from the gingiva using a 15c blade, leaving the connective tissue exposed. Clinical follow-up was performed at 3 and 10 days, and at 2, 3 and 15 months.
Conclusions:
De-epithelialization was a resolutive esthetic intervention for the case presented.
REFERENCES
Lodi G, Scully C, Carrozzo M, Griffiths M, Sugerman PB, Thongprasom K. Current controversies in oral lichen planus: Report of an international consensus meeting. Part 2. Clinical management and malignant transformation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(2):164-78.
Ismail SB, Kumar SKS, Zain RB. Oral lichen planus and lichenoid reactions: etiopathogenesis, diagnosis, management and malignant transformation. J Oral Sci. 2007;49(2):89-106.
Krupaa RJ, Sankari SL, Masthan KMK, Rajesh E. Oral lichen planus: An overview. J Pharm Bioallied Sci. 2015;7(Suppl 1):S158-61.
Larsen KR, Johansen JD, Reibel J, Zachariae C, Rosing K, Pedersen AML. Oral symptoms and salivary findings in oral lichen planus, oral lichenoid lesions and stomatitis. BMC Oral Health. 2017;17(1):103.
Nosratzehi T. Oral lichen planus: an overview of potential risk factors, biomarkers and treatments. Asian Pac J Cancer Prev. 2018;19(5):1161-7.
Aguirre-Urizar JM, Alberdi-Navarro J, Lafuente-Ibáñez de Mendoza I, Marichalar-Mendia X, Martínez-Revilla B, Parra-Pérez C, Juan-Galíndez A-D, et al. Clinicopathological and prognostic characterization of oral lichenoid disease and its main subtypes: A series of 384 cases. Med Oral Patol Oral Cir Bucal. 2020;25(4):554-e562. PMID: 32388519
Kaomongkolgit R, Daroonpan P, Tantanapornkul W, Palasuk J. Clinical profile of 102 patients with oral lichen planus in Thailand. J Clin Exp Dent. 2019;11(7):e625‐e629.
Sharma A, Aggarwal C, Mathur VP, Sardana D. Severe gingival enlargement with coexisting erosive lichen planus in severe chronic periodontitis patient. Case Rep Dent. 2015;2015:538538. DOI: 10.1155/2015/538538
Wiriyakijja P, Porter S, Fedele S, Hodgson T, McMillan R, Shephard M, et al. Meaningful improvement thresholds in measures of pain and quality of life in oral lichen planus. Oral Dis. 2020;26(7):1464-73. DOI: 10.1111/odi.13379
Thongprasom K, Dhanuthai K. Steriods in the treatment of lichen planus: a review. J Oral Sci. 2008;50(4):377-85.
Moritani NH, Hara ES, Kubota S. New functions of classical compounds against orofacial inflammatory lesions. Medicines (Basel). 2018;5(4):118.
Chethana K, Pradeep K. Scalpel depigmentation and surgical crown lengthening to improve anterior gingival esthetics. Ann Med Health Sci Res. 2016;6(6):385-8.
Thongprasom K. Oral lichen planus: Challenge and management. Oral Dis. 2018;24(1-2):172-3.
Contin LA, Costa DM, Bet DL, Moura LB, Michalany AO, Di Chiacchio N. Líquen plano pigmentoso: tratamento cirúrgico com dermoabrasão. [Lichen planus pigmentosus: surgical treatment with dermabrasion] Surg Cosmet. Dermatol. 2014;6(4):384-6.