USE OF TOPICAL CORTICOSTEROID IN TREATMENT OF ORAL LICHEN PLANUS AND ORAL LICHENOID LESIONS. CLINICAL OUTCOME

  • Nasrullah Khan Assistant Professor Oral Medicine, Avicenna Dental College Lahore, 58/1, East Block, Sector c, Askari 11, Lahore
  • Bilal Arshad Avicenna Dental College, Lahore
  • Behzad Salahudin Avicenna Dental College, Lahore
  • Hamza Hashim Avicenna Dental College, Lahore
  • Shahreen Zahid Avicenna Dental College, Lahore
  • Haroon Asghar Ginai Assistant Professor, Azra Naveed Medical & Dental College, Lahore
Keywords: Corticosteroid, Clobetasole Propionate, Triamcinolone Acetonide, Oral Lichen Planus, Oral Lichenoid Lesions

Abstract

The objective was to check clinical outcomes in patients with oral lichen planus and oral lichenoid lesions (OLP & OLL) treated with topical corticosteroids . A cross sectional study was embraced in Lahore at Avicenna Dental College in Oral and Maxillofacial Surgery from July 2017 to June 2019. Among aggregate of 77 patients , sixteen OLP and sixty-one OLL patients were provided with 0.05% Clobetasole Propionate(CP) in aqueous solution and 0.1% triamcinolone acetonide (TA) in orabase (OB), assessing reactions to treatment and follow-up consistence. The results showed that the lesions were atrophic (52/77; 67.5%), extensive (46/77; 59.1%), creating eating difficulties (45/77; 58.4%) and unconstrained pain (25/77; 32.5%); patients were provided with CP-AS and TA-OB . The mean ± sd % of subsequent visits done was 43 ± 32 percent.. Symptoms reduction seen in 44% patients. Consistence in recalled visits appeared unasatisfactory in 66.7 percent of patients. Among 38 patients with consistent symptoms, 64.7% prove all out reduction at treatment finishing; among 24 with recurrent symptoms, 73.1 percent of patients had episodes 2-3 times per year and 51.5 percent controlled episodes with <6 applications of TC. Undesired impacts were seen in only few patients. Our treatment demonstrated exceptionally successful and safe.

Published
2019-10-09
How to Cite
Khan, N., Arshad, B., Salahudin, B., Hashim, H., Zahid, S., & Ginai, H. A. (2019). USE OF TOPICAL CORTICOSTEROID IN TREATMENT OF ORAL LICHEN PLANUS AND ORAL LICHENOID LESIONS. CLINICAL OUTCOME. Pakistan Oral & Dental Journal, 39(3), 251-254. Retrieved from http://www.podj.com.pk/index.php/podj/article/view/427
Section
Oral Medicine