Oral Lichen Planus

Lichen Planus on tongue

What to look for

The condition is rare and the exact cause is unknown.  Most commonly starts as a number of small pale pimples, gradually joining to form a fine, white, lacy network of slightly raised tissue and can  also take the form of shiny, red, slightly raised patches.  Lichen planus is most commonly found on the inside of cheeks and sides of the tongue.  Patients complain of sore mouth, may have dry metallic taste but some also remain unaware of the condition.

Treatment

Any colour or texture changes to the inside of the mouth that do not clear up within 3 weeks should be referred to a doctor.   This disease tends to persist and recur and the effects can best be minimized rather than cured. The initial attack may last for weeks to months, resolve itself and then recur for years. Keep the mouth healthy by regular brushing – if this is painful, use a very soft brush.  Anti inflammatory tablets or mouthwash can give some relief.

Risks

Age – Generally occurs on or after middle age in women and is less common in children

Medications  –  drugs treating systemic disease trigger a reaction, such as Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), some antimalarials, drugs for diabetes and for blood pressure.

Allergy – sensitivity to dental materials and chemicals in toothpaste

Viral – This condition has been linked with the human papilloma virus and human herpes

Trauma – from sharp teeth, cheek or tongue biting

These pictures and the related text are free to download for training purposes only.
But please consider a donation to support our work.