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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Oral Lichen Planus

I was diagnosed with oral lichen planus it s in between all my teeth on my gums and on my checks I have been to three doctors only received creams oral rinses had short 14 day on low steroids nothing helped I have Lupus and sjogrens also teeth implants. Now my ear lobes are itchy and have sores on them What can you tell jev?
Mon, 27 Jul 2015
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Dentist 's  Response
Hi Dear,

Welcome to HCM.

Understanding your concern. As per your query you have symptoms of oral lichen planus which is not an infectious disease and is related to genetic factors . The disorder occurs when the immune system mounts an attack against cells of the oral mucous membranes for unknown reasons. If you have no pain or discomfort and if only white lesions are present, you may not need any treatment.

I would suggest you to apply the steroid cream on the lesion twice daily for at least 15-20 days. You can use egg proteins particularly white portion, rice protein, casein proteins. Topical medication is the best choice since it doesn't cause much adverse effects.

Tacrilimus is also known to be effective in oral lichen planus .

Other treatment modalities includes intralesional injection of steroids, mouth rinses containing steroids or systemic steroids.

Hope your concern has been resolved.
Get Well Soon.
Best Wishes,
Dr. Harry Maheshwari

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Suggest Treatment For Oral Lichen Planus

Hi Dear, Welcome to HCM. Understanding your concern. As per your query you have symptoms of oral lichen planus which is not an infectious disease and is related to genetic factors . The disorder occurs when the immune system mounts an attack against cells of the oral mucous membranes for unknown reasons. If you have no pain or discomfort and if only white lesions are present, you may not need any treatment. I would suggest you to apply the steroid cream on the lesion twice daily for at least 15-20 days. You can use egg proteins particularly white portion, rice protein, casein proteins. Topical medication is the best choice since it doesn t cause much adverse effects. Tacrilimus is also known to be effective in oral lichen planus . Other treatment modalities includes intralesional injection of steroids, mouth rinses containing steroids or systemic steroids. Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari