McCartan BE, Healy CM. The reported prevalence of oral lichen planus: a review and critique. J Oral Pathol Med. 2008; 37:447-453
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Oral lichen planus is frequently encountered in primary and secondary dental care. The soft tissues of the mouth should always be examined carefully at check-ups and any abnormality be palpated to detect change in consistency (induration) along with any changes in colour or general appearance. Such changes should prompt a referral for specialist review.
CPD/Clinical Relevance: The general dental practitioner (GDP) can play a simple yet effective role in the management of lichen planus by removing obvious traumatic stimuli, improving oral hygiene and advising on simple topical treatment.
Article
Oral lichen planus (OLP) is one of the most frequently encountered mucous membrane conditions within the oral cavity. The overall age-standardized prevalence of the condition has been reported at 1.27% (0.96% in males and 1.57% in females).1 The condition usually manifests itself between the 3rd and 6th decade of life and affects women more than men.2 Nevertheless, OLP has been known to become apparent in the earlier age groups and has been reported in adolescents,3 and childhood OLP can present in patients as young as 5 years of age.4 Lichen planus is not restricted to the oral cavity, with dermatological manifestations being reported as high as 44%.5 Extra-oral distribution follows (in order of decreasing frequency) skin (shin and flexor surface of wrist), genital, nail and scalp.6 OLP is described as a chronic inflammatory condition of unknown origin.7
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