How is oral lichen planus treated?

Jul 07, 2024 Source: Cainiu Health
Disease description:

I have some problems with my mouth, specifically oral lichen planus. I would like to ask the doctor, how can oral lichen be treated effectively?

Doctor's answer (1)
Dr. Liu Chao

Oral lichen planus is a chronic inflammatory disease characterized primarily by white, net-like or striped lesions on the oral mucosa. The treatment aims to relieve symptoms, control disease progression, and prevent complications. The following are common treatment approaches:

1. Topical treatment: Oral gels or ointments containing corticosteroids, such as hydrocortisone, can be directly applied to the lesions to reduce inflammation and itching. Moisturizing protective agents may also be used to protect the oral mucosa.

2. Phototherapy: Low-energy laser therapy or ultraviolet therapy may help alleviate symptoms and promote healing.

3. Systemic treatment: For severe symptoms or cases unresponsive to topical treatment, doctors may recommend oral corticosteroids or other immunomodulatory medications, such as cyclosporine A or methotrexate.

4. Psychological support: The disease may be associated with mental stress; therefore, counseling and relaxation techniques may help manage stress and potentially improve the condition.

5. Regular monitoring: Because oral lichen planus carries a potential risk of malignant transformation, patients should undergo regular oral examinations to detect any abnormal changes early.

6. Lifestyle modifications: Avoiding spicy foods, quitting smoking, and maintaining good oral hygiene can help reduce symptoms and improve overall oral health.

If symptoms persist or new changes occur, prompt medical attention is advised.