Periodontal Treatment Improves Clinical Manifestations of Gingival Lichen Planus: A Case Report with 11-Years of Follow-up

Marta Jasminie da Silva Brigida¹, Talita Maximo Carreira Ribeiro², Endrigo Sperto Rodrigues dos Santos³, Estevam Rubens Utumi⁴ and Irineu Gregnanin Pedron⁵*

Published: July 07, 2022

DOI: 10.55162/MCDS.02.033

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Abstract  

Lichen planus is a mucocutaneous lesion, relatively frequent in oral cavity. Clinically, lichen planus can present in typical or atypical forms. The typical forms are generally milder and asymptomatic, whereas the atypical ones cause painful symptoms, which in turn make dental procedures and oral hygiene more difficult, favouring the development of periodontal diseases. The purpose of this article is to present a case of lichen planus that affected the buccal keratinized gingiva bilaterally on mandibular premolars and molars, simultaneously with periodontal disease. Periodontal treatment was performed, by sessions of scaling and root planing and oral hygiene instruction. Remission of the gingival lesions was observed, as well as control of the periodontal disease. The patient has been followed up for 11 years.

Keywords: Lichen planus; Periodontal Treatment; Gingiva; Oral Diagnosis; Oral Pathology; Periodontics