2022
DOI: 10.3389/fmed.2022.997190
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Therapeutic strategies for oral lichen planus: State of the art and new insights

Abstract: Oral lichen planus (OLP) is a chronic inflammatory disease of the oral mucosa. Several clinical subtypes of OLP have been reported, including the reticular and erosive one. On the one hand, reticular OLP is usually asymptomatic and is characterized by white streaks surrounded by well-defined erythematous borders. On the other hand, erosive OLP shows ulcerations and erosions surrounded by erythematous mucosa. While reticular OLP is relatively easy to control, erosive OLP is extremely painful and refractory to t… Show more

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Cited by 47 publications
(42 citation statements)
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“…Oral lichen planus (OLP) is a chronic inflammatory, mucocutaneous, autoimmune disease which is quite common in the female oral mucosa. Erosive OLP is characterized by ulceration and erosion in oral mucosa and causes severe pain in patients [ 2 ]. The recommended topical therapies for erosive OLP are topical corticosteroids, tacrolimus and photodynamic therapy.…”
Section: Introductionmentioning
confidence: 99%
“…Oral lichen planus (OLP) is a chronic inflammatory, mucocutaneous, autoimmune disease which is quite common in the female oral mucosa. Erosive OLP is characterized by ulceration and erosion in oral mucosa and causes severe pain in patients [ 2 ]. The recommended topical therapies for erosive OLP are topical corticosteroids, tacrolimus and photodynamic therapy.…”
Section: Introductionmentioning
confidence: 99%
“…The 2nd-ranked drug was Vitinoin, the generic name of which is tretinoin, which has been included in clinical trials and has demonstrated potential improvements in the clinical treatments pertaining to LP [38,39]. Dexamethasone is a steroid-based drug ranked 16th and has demonstrated good clinical outcomes associated with OLP [40][41][42][43]. In Supplementary Table 1_C, we provide enrichment analysis results pertaining to drug terms within DSigDB.…”
Section: Tablementioning
confidence: 99%
“…The pharmacological therapeutic modalities used in the treatment of OLP include corticosteroids (topical, intralesional, and systemic steroids), Immunosuppressants (tacrolimus, azathioprine, cyclosporin, and mycophenolate mofetil,), immunomodulators (levamisole and thalidomide), and retinoids. Various non-pharmacological regimens, such as Light amplification by stimulated emission of radiation (LASER) therapy, photodynamic therapy, and Psoralen plus ultraviolet-A radiation (PUVA) therapy are also used in OLP treatment [ 19 , 22 ]. A range of alternative therapies, such as topical aloe vera, oral curcuminoids, lycopene, hyaluronic acid, Bacillus Calmette-Guerin Polysaccharide nucleic acid (BCG-PSN), purslane extract, and ignatia have also exhibited promising results in the management of OLP [ 23 ].…”
Section: Introductionmentioning
confidence: 99%