Journal of Scientific Dentistry

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

CASE REPORT

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).


Abstract

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.


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