Clinical Evaluation of Oral Lichen Planus
1996 Volume 2 Issue 2 Pages 95-101
Details
1996 Volume 2 Issue 2 Pages 95-101
The purpose of this clinical study on 62 cases of oral lichen planus (OLP) was performed to better understand its clinical features. The results were as follows:
1. Patients were 22 males and 40 females with a 1:1.8 sex ratio. The disease predominantly occurred in middle-aged and elderly patients, and 87.1% of the patients were from 40-69 years of age.
2. Contact pain was the most common chief complaint of the patients, followed by white lesions.
3. 71.0% of the patients visited our department within one year.
4. Systemic diseases were noted in 51.6% of the patients. 41.9% of the patients used medication for systemic disease.
5. The positive percentage of metal patch test was 76.5%.
6. 69.4% of the patients had multiple pattern lesions of OLP.
7. The distribution of OLP by site of occurrence was as follows: buccal mucosa (66.2%) and lower gingiva (16.5%). 70.2% of the lesions of buccal mucosa were distributed bilaterally.
8. Reticular lesions were most common, followed by plaque lesions.
9. The clinical effects were classified into excellent (11.8%), good (35.3%), fair (35.3%), and poor (17.6%). The effective rate was 47.1%. The effective rates of vitamin A, steroid ointments, and biscoclaurine alkaloids were all about 50%.
This study suggested that OLP may be caused by both local and systemic factors. Biscoclaurine alkaloids were useful for the treatment of OLP, considering that they had only slight side effects.
