What is it?
Oral Lichen Planus is a chronic
inflammatory disease of the mouth.
It's a potentially malignant disease.
It starts at a point in the mouth and tends
to spread through the mouth over the years.
It affects women and men (in a ratio of 1.4
to 1), usually appearing after 40 years of age.
What are the signs and symptoms?
Stretch marks or white lesions
on the oral mucosa (cheeks, tongue, lips, gums).
Tongue loses taste buds in
Erosions, ulcerations or canker
White and red lesions with a
cold sore in the middle.
Crises of burning, pain and
erosions or ulcerations (thrush).
Difficulty in eating,
performing oral hygiene and speaking.
In 20% of cases there are also
skin lesions, which are very itchy.
Can it become malignant?
Some forms of oral lichen planus are
The malignancy rate is 1 to 2%.
Can it be treated?
The new guidelines for the treatment of
lichen planus are recent, from 2019.
The treatment aims to:
Prevent the crises
Deal with crises
Decrease pain and treat thrush
Treat any infections, for
Teaching the factors that can
induce Oral Lichen Plane crises and ways to avoid these agents
Oral hygiene must be performed
with specific products
You should avoid mouthwashes
that contain alcohol
Your diet has to be adapted to
the disease Lichen Planus Oral
The treatment has a schedule
which was updated in 2019 with new scientific evidence
Contact Endoscopy in Oral Lichen Planus
Contact Endoscopy is a non-invasive,
painless exam, through which it is possible to identify which cells and
microvessels in the mouth are suspicious, as Oral Lichen Planus is a
potentially malignant disease.
Contact Endoscopy shows us:
Whether a biopsy is needed or
whether it is safe to carry out surveillance alone.
Where to perform the biopsy.
If there is fungal
Since Oral Lichen Planus is a potentially
malignant disease, it requires long-term follow-up via Oral Medicine
consultation, and Contact Endoscopy is a fundamental exam to perform the
follow-up for those with this mouth disease.