![]() Instructor: Dr. Heddie Sedano PIC Homepage LICHEN PLANUS: TREATMENT OF LICHEN PLANUS
The intraoral lesions of the reticular and plaque varieties of LP, as a rule are not treated. Treatment,
as presented below, is generally indicated for the erosive variety of LP.
Cyclosporine (topical) and retinoids, both systemic (etretinate) and topical (tretinoin) have been used but
there is no definite protocol which has been effective with either medication. Results have been controversial
and not very promising.
Some authors have had positive results in treating LP of the lip with chloroquine phosphate applied to the lesion.
Gingival lesions have been treated with corticosteroid ointment applied topically to mucosal lesions using cloth
strips a novel method of delivery of the medication (see reference # 1)
Several recent publications (see references # 3, 9, 15) advocate the treatment of LP with ultraviolet (UV)
light radiation at wave lengths of 320-400 nm for 5-10 minutes per single exposure once a week. Patients are
protected with eye goggles some methods use photosensitizer other methods do not. Critics of these techniques
warn of the possible carcinogenic effects of UV light radiation. More data is needed in order to properly
evaluate these novel approaches to LP treatment.
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