Journal of Scientific Dentistry

Register      Login

VOLUME 13 , ISSUE 2 ( July-December, 2023 ) > List of Articles


Oral Lichen Planus with Mild Epithelial Dysplasia: A Case Report and Literature Review

Suganya Rajaram, Santha Devy Arumugam, Vezhavendhan Nagaraj, Vidya Lakshmi, Sivaramakrishnan Muthanandam, Umamaheshwari Giri, R Aarthi

Keywords : Burning sensation, Case report, Epithelial dysplasia, Oral lichen planus

Citation Information : Rajaram S, Arumugam SD, Nagaraj V, Lakshmi V, Muthanandam S, Giri U, Aarthi R. Oral Lichen Planus with Mild Epithelial Dysplasia: A Case Report and Literature Review. 2023; 13 (2):45-47.

DOI: 10.5005/jp-journals-10083-1038

License: CC BY-NC 4.0

Published Online: 23-11-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Oral lichen planus (OLP) is a chronic or recurrent inflammatory autoimmune disease with T-lymphocyte infiltration that destroys the basal stratum, which causes white striae, erosions, ulcers, and breaks in epithelial continuity. There is a sex predilection with a female/male ratio of approximately 2:1, and the age of onset is generally between the fourth and sixth decades of life. About 5% of OLP patients will develop cutaneous lesions. Stress, drugs, dental fillings, genetic factors, immunity, and hypersensitivity reactions can contribute to its pathogenesis. This paper presents the case of a 34-year-old male reported to OPD with complaints of burning sensation, pain, and irritation in gums and cheek for the past 6 months. The ubiquitous and polymorphic clinical presentation of the lesion mandates a proper history taking and microscopic examination of the lesioned tissue. As a result, after the clinical and pathological assessment, the diagnosis of oral lichen planus with mild dysplasia was established, and a therapy plan was conducted. On observation, a favorable regression of lesion was noticed after the administration of corticosteroids and immunomodulatory agents.

  1. Shen ZY, Liu W, Zhu LK, Feng JQ, Tang GY, Zhou ZT. A retrospective clinicopathological study on oral lichen planus and malignant transformation: Analysis of 518 cases. Med Oral Patol Oral Cir Bucal 2012;17(6):e943–e947. DOI: 10.4317/medoral.17778.
  2. Aoun G, Sharrouf W, Hello C, Saad M. Reticular oral lichen planus of the buccal mucosa: A classical presentation. Asian J Med Health 2022;20(10). DOI: 10.9734/ajmah/2022/v20i1030512.
  3. Giuliani M, Troiano G, Cordaro M, Corsalini M, Gioco G, Lo Muzio L, et al. Rate of malignant transformation of oral lichen planus: A systematic review. Oral Dis 2019;25(3):693–709. DOI: 10.1111/odi. 12885.
  4. Cox T, Woodhead J, Nelson BL. Reticular oral lichen planus. Head Neck Pathol 2020;14(1):192–194. DOI: 10.1007/s12105-018-0983-6.
  5. Katakwar S, Bhagawati BT, Pohankar P, Panzade S, Waghmare P, Ghate A. Oral reticular lichen planus: Diagnosis and management. J Interdisciplinary Dent Sci 2019;8(2):21–27.
  6. González-Moles MÁ, Warnakulasuriya S, González-Ruiz I, González-Ruiz L, Ayen A, Lenouvel D, et al. Worldwide prevalence of oral lichen planus: A systematic review and meta-analysis. Oral Dis 2021;27(4):813–828. DOI: 10.1111/odi.13323.
  7. Crincoli V, Di Bisceglie MB, Scivetti M, Lucchese A, Tecco S, Festa F. Oral lichen planus: Update on etiopathogenesis, diagnosis and treatment. Immunopharmacol Immunotoxicol 2011;33(1):11–20. DOI: 10.3109/08923973.2010.498014.
  8. Pauly G, Kashyap R, Kini R, Rao P, Bhandarkar G. Reticular oral lichen planus: The intra-oral web – A case report. Gülhane Tıp Derg 2017;59:28–31. DOI: 10.5455/gulhane. 240846.
  9. Marable DR, Brennan MT. Immunological and mucocutaneous disease. The ADA Practical Guide to Patients with Medical Conditions 2015. pp. 259–272.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.