A Review of Oral Lichen Planus for the Dental Professional

Oral lichen planus (OLP) is an inflammatory, autoimmune disorder related to an aberrant T-cell mediated response. It is a chronic, recurrent condition of unknown etiology that typically affects middle-aged, Caucasian women. It can be asymptomatic or range from mild to severe in its presentation. At its worst, patients have difficulty eating, speaking and maintaining the level of oral hygiene necessary to keep the condition quiescent. Quality of life and mental outlook may be adversely affected, especially for those with extra-oral involvement or who worry about lesions becoming cancerous. This article provides a brief overview of basic histopathology, common clinical subtypes, and OLP's potential for malignant transformation. Precipitating factors of OLP are reviewed along with clinical management strategies. Also discussed are the significant side effects of commonly used modalities and medications in OLP management, particularly corticosteroids in their various forms. Lycopene, curcumin, aloe vera, and green tea, natural treatments noted for their anti-inflammatory, anti-oxidant, and anticarcinogenic properties, have demonstrated efficacy in mitigating OLP symptoms while bypassing serious side effects. ClōSYS oral health care products, presented here via anecdotal experiences, offer a safe, effective way of minimizing OLP lesions while maximizing oral health. Helping patients overcome the pain, discomfort and impediment to well being posed by this challenging condition is paramount to the treatment of OLP.