Objective: This study aimed to determine the clinical profile of the gingival lesions of oral lichen planus (OLP) in a group of Thai patients. Methods: The dental records of 67 patients were reviewed. Results: In this study, 51 (76.1%) women and 16 (23.9%) men with a female-to-male ratio of 3.2:1 were included. The average age of patients with OLP was 56.0 ± 12.5 years (ranged = 20–81 years). Furthermore, 52 (77.6%) patients had a history of systemic diseases, and hypertension was predominant. All the patients presented with symptomatic OLP. Multiple OLP lesions were observed in 56 (83.6%) individuals, and single gingival OLP was found in 11 (16.4%) individuals. Among these lesions, 38.8% of reticular and atrophic forms of gingival OLP were primarily detected. Mixed and single clinical forms of gingival OLP were found in 37 (55.2%) and 30 (44.8%) patients, respectively. None of the patients had a family history of OLP, extraoral involvement, or malignant transformation. In addition, 64 (95.5%) patients with gingival OLP were treated with topical steroid, and only 1 (1.5%) patient was treated with a combination of topical and systemic steroids. Conclusion: This study provided information beneficial to OLP diagnosis by general dental practitioners and specialists during a routine oral examination.
1. Radochová V, Dřízhal I, Slezák R. A Retrospective study of 171 patients with oral lichen planus in the East Bohemia-Czech Republic-single center experience. J Clin Exp Dent. 2014;6(5):e556-61.
2. Cassol-Spanemberg J, Rodríguez-de Rivera- Campillo ME, Otero-Rey EM, Estrugo-Devesa A, Jané-Salas E, López-López J. Oral lichen planus and its relationship with systemic diseases. A review of evidence. J Clin Exp Dent. 2018;10(9):e938-44.
3. Mozaffari HR, Sharifi R, Sadeghi M. Prevalence of oral lichen planus in diabetes mellitus: a metaanalysis study. Acta Inform Med. 2016;24(6):390-3.
4. Hasan S, Ahmed S, Kiran R, Panigrahi R, Thachil JM, Saeed S. Oral lichen planus and associated comorbidities: An approach to holistic health. J Family Med Prim Care. 2019; 8(11): 3504-17.
5. Mutafchieva MZ, Draganova-Filipova MN, Zagorchev PI, Tomov GT. Oral lichen planus- Known and unknown: a review. Folia Med (Plovdiv). 2018;60(4):528-35.
6. Mignogna MD, Lo Russo L, Fedele S. Gingival involvement of oral lichen planus in a series of 700 patients. J Clin Periodontol. 2005;32(10):1029-33.
7. Salgado DS, Jeremias F, Capela MV, Onofre MA, Massucato EM, Orrico SR. Plaque control improves the painful symptoms of oral lichen planus gingival lesions. A short-term study. J Oral Pathol Med. 2013;42(10):728-32.
8. Carrozzo M, Porter S, Mercadante V, Fedele S. Oral lichen planus: A disease or a spectrum of tissue reactions? Types, causes, diagnostic algorhythms, prognosis, management strategies. Periodontol 2000. 2019;80(1):105-25.
9. Caton JG , Armitage G , Berglundh T, Chapple ILC, Jepsen S, Kornman KS, et al. A new classification scheme for periodontal and peri-implant diseases and conditions- Introduction and key changes from the 1999 classification. J Periodontol. 2018;89 Suppl 1:S1-8.
10. Tadakamadla J, Kumar S, Lalloo R, Gandhi Babu D B , Johnson NW. Impact of oral potentially malignant disorders on quality of life. J Oral Pathol Med. 2018;47(1):60-5.
11. 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):e625-9.
12. de Lima SL, de Arruda JA, Abreu LG, Mesquita RA, Ribeiro-Rotta RF, Mendonça EF, et al. Clinicopathologic data of individuals with oral lichen planus: A Brazilian case series. J Clin Exp Dent. 2019;11(12):e1109-19.
13. Lauritano D, Arrica M, Lucchese A, Valente M, Pannone G, Lajolo C, et al. Oral lichen planus clinical characteristics in Italian patients: a retrospective analysis. Head Face Med. 2016;12:18.
14. Mankapure PK, Humbe JG, Mandale MS, Bhavthankar JD. Clinical profile of 108 cases of oral lichen planus. J Oral Sci. 2016;58(1):43-7.
15. Speight PM, Khurram SA, Kujan O. Oral potentially malignant disorders: risk of progression to malignancy. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125(6):612-27.
16. Eisen D. The clinical features, malignant potential, and systemic associations of oral lichen planus: A study of 723 patients. J Am Acad Dermatol. 2002;46(2):207-14.
17. Thongprasom K, Youngnak-Piboonratanakit P, Pongsiriwet S, Laothumthut T, Kanjanabud P, Rutchakitprakarn L. A multicenter study of oral lichen planus in Thai patients. J Investig Clin Dent. 2010;1(1):29-36.
18. Cassol-Spanemberg J, Blanco-Car rión A, Rodríguez-de Rivera-Campillo ME, Estrugo- Devesa A, Jané-Salas E, López-López J. Cutaneous, genital and oral lichen planus: A descriptive study of 274 patients. Med Oral Patol Oral Cir Bucal. 2019;24(1):e1-7.
19. Tovaru S, Parlatescu I, Gheorghe C, Tovaru M, Costache M, Sardella A. Oral lichen planus: A retrospective study of 633 patients from Bucharest, Romania. Med Oral Patol Oral Cir Bucal. 2013;18(2):e201-6.
20. Lu SL, Qi XM, Dong G, Chen SL, Guo DW, Wang YL, et al. Clinical characteristics and analysis of familial oral lichen planus in eight Chinese families. Exp Ther Med. 2016;12(4): 2281-4.
Daroonpan, P., Kaomongkolgit, R., Tantanapornkul, W., & Palasuk, J. Demographic and Clinical Profile of Gingival Oral Lichen Planus in a Group of Thai Individuals. J Dent Indones. 2020;27(1): 33-37