Case Report: Treatment of Oral Lichen Planus With a Focus on Psychological Methods

Song, Xiuli; Wu, Xueqi; Wang, Chunye; Sun, S.‐L.; Zhang, Xiangyang

doi:10.3389/fpsyt.2021.731093

Cited by 9 publications

(4 citation statements)

References 18 publications

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“…Therefore, OLP patients with psychological stress require a combination of OLP therapy and psychotherapy. OLP can be improved by regulating mood through medication and psychological counseling [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

A Case Series of Psychological Stress Evaluation as a Risk Factor for Oral Lichen Planus

Sufiawati

Megawati

Farisyi³

et al. 2022

Case Reports in Dentistry

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Introduction. Oral lichen planus (OLP) is a chronic inflammatory disease of the oral mucosa with unknown etiology. Suggested predisposing factors for the development of OLP include genetic factors, viral infections, psychological stress, trauma, drug intake, and some systemic diseases. This serial case aimed to evaluate the psychological stress in triggering various types of OLP and its management. Case Report. Six patients, four females and two males with an age range from 23 to 57 years, came to an oral medicine clinic with chief complaints of chronic pain and burning sensations in the oral cavity. All cases showed typical clinical features of OLP on the oral mucosa, including reticular, plaque-like, erosive, and ulcerative lesions. An incisional biopsy was performed in some cases and the histopathology features confirmed the diagnosis of OLP with no signs of dysplasia/malignancy. According to the Depression, Anxiety, Stress Scale (DASS)-21, the patients had different levels of depression ranging from mild to severe; 3 patients were considered to have moderate anxiety and others had severe anxiety; and 5 patients experienced mild stress and 1 patient had moderate stress. The patients were given corticosteroids, supportive therapy, and psychological counseling. All patients experienced significant improvement of the lesions after treatment. Conclusion. Psychological stressors play an essential role as a risk factor in the development of OLP. Therefore, management of OLP encompasses not only an appropriate treatment of the lesions but also psychological intervention.

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Section: Discussionmentioning

confidence: 99%

A Case Series of Psychological Stress Evaluation as a Risk Factor for Oral Lichen Planus

Sufiawati

Megawati

Farisyi³

et al. 2022

Case Reports in Dentistry

View full text Add to dashboard Cite

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“…Modern culture and medicine have made psychological factors more critical in many conditions including OLP ( Hampf et al., 1987 ). There is growing evidence that mood disturbances is an important factor in the onset and amplification of OLP, especially in patients suffering from depression, anxiety, and acute stress ( Song et al., 2021 ). Paranoia, anxiety, and depression were more pronounced in the reticular and erosive OLP group compared to the control group ( Ivanovski et al., 2005 ).…”

Section: Non-pharmacological Treatmentmentioning

confidence: 99%

What can we learn from treatments of oral lichen planus?

Wu,

Bai,

Jing

et al. 2024

Front. Cell. Infect. Microbiol.

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Oral lichen planus (OLP), a T-lymphocyte-mediated disease of the oral mucosa, has a complex pathogenesis that involves a number of factors. The disease is characterized by recurrent episodes and requires continuous follow up, and there is no curative treatment available. Erosive lichen planus, among others, has a risk of malignant transformation and requires standardized treatment to control its progression. Different clinical subtypes of oral lichen planus require appropriate treatment. Pharmacological treatments are the most widely available and have the greatest variety of options and a number of novel pharmacological treatments are presented as highlights, including JAK enzyme inhibitors. The second is photodynamic therapy, which is the leading physiological treatment. In addition, periodontal treatment and psychological treatment should not be neglected. In this review, we briefly discuss the most recent developments in therapies for oral lichen planus after summarizing the most widely used clinical treatments, aiming to provide different proposals for future clinical treatment.

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“… 35 , 62 , 74 , 89 Promising interventions looked at in recent years have included yoga for periodontal health, 90 hypnotherapeutic treatment program in herpes labialis, 91 and psychological counseling in OLP. 92 In addition, mindfulness-based interventions such as meditation have been recommended to promote overall oral health. 88 , 93…”

Section: Clinical Outlookmentioning

confidence: 99%