Treatment FAQ

what is the treatment for lichen planus in the mouth

by Kayleigh Jenkins Published 2 years ago Updated 2 years ago
image

Medication

Successful treatment of isolated oral lichen planus on lower lip with traditional Chinese medicine and topical wet dressing: A case report The therapeutics used here were effective and safe for the treatment of OLP and could improve the quality of life in patients with lip erosion.

Self-care

These self-care tips may help, whether you are undergoing treatment or not:

  • Apply lubricant (petroleum jelly, A and D ointment, Aquaphor) to the affected area.
  • Gently wash the affected area daily and pat dry. Avoid harsh soaps and bathing too much.
  • Ease burning and pain with oatmeal solutions, sitz baths, ice packs or cool compresses.
  • Take an oral antihistamine at bedtime to help control the itching as you try to sleep.

Nutrition

  • For lichen planus on the skin, apply a paste of turmeric powder and water on the affected areas and rinse it off after 15 minutes.
  • For oral lichen planus, the above-mentioned study made a turmeric ointment using 10 parts of alcohol to 1 part powder.
  • Add turmeric powder to your dishes.

Is there a successful treatment of lichen planus?

Treatment

  • Symptomatic treatment. Treatments such as topical numbing agents can be used to provide temporary relief for areas that are particularly painful.
  • Corticosteroids. Corticosteroids may reduce inflammation related to oral lichen planus. ...
  • Immune response medicines. ...
  • Dealing with triggers. ...

Which medicines to avoid in lichen planus?

How to treat lichen planus naturally?

What are the treatment options for widespread lichen planus?

image

How I cured my lichen planus in mouth?

Lichen planus has no cure, but different treatments can help relieve your symptoms and speed healing. Possible treatments include: Antihistamine medicine to relieve itching. Steroids on your skin or in your mouth to fight inflammation (You may also take steroids in pill form for severe cases)

What is the best medication for oral lichen planus?

Topical corticosteroids are the mainstay of medical treatment of oral lichen planus (OLP), although rarely, corticosteroids may be administered intralesionally for a focal lesion or systemically for diffuse recalcitrant lesions.

What causes lichen planus to flare up in the mouth?

It's possible that, in some people, oral lichen planus may be triggered by certain medications, mouth injury, infection or allergy-causing agents such as dental materials. Stress may be involved in symptoms becoming worse or recurring.

How Long Does oral lichen planus take to heal?

The lesions of cutaneous lichen planus typically resolve within 1-2 years, whereas the reticular forms of oral lichen planus have a mean duration of 5 years and erosive lesions of oral lichen planus are long-lasting and persist for up to 15-20 years or longer.

What foods trigger oral lichen planus?

They'll likely hurt the most when you eat or drink foods that are spicy, salty, acidic (orange juice, tomatoes), or alcoholic. Crispy treats and drinks with caffeine can also cause problems. Your doctor can diagnose oral lichen planus by taking a small piece of skin from inside your mouth.

What does lichen planus in the mouth look like?

In the mouth, lichen planus appears as white, net-like patches, most often seen on the inner cheeks. This oral lichen planus does not usually cause symptoms, though severe outbreaks may develop painful sores and ulcers in the mouth.

Should I worry about oral lichen planus?

Usually oral lichen planus only needs to be treated when there are painful symptoms. Sometimes patients with white patches that are not painful complain of a slight roughness of the lining of the mouth. But this usually does not need any treatment.

What toothpaste is good for oral lichen planus?

Use SLS-free toothpaste such as Biotene, Pronamel, Orajel for dry mouth, Sensodyne, or Prevident. (Avoid mint flavors.)

How do you get oral lichen planus?

What causes oral lichen planus? The exact cause of oral lichen planus is unknown. Research suggests the condition is related to your genetic makeup and immune system. Some people develop oral lichen planus after taking certain medications, such as beta-blockers and nonsteroidal anti-inflammatory drugs (NSAIDs).

What medications can trigger lichen planus?

Triggers for lichen planus may include:Certain medications. Antimicrobials. Antihistamines (H2-blockers) Antihypertensives/antiarrhythmics such as ACE inhibitors and beta-blockers. Antimalarial drugs. ... Metal dental fillings (oral lichen planus)Stress.Infection, such as hepatitis C virus infection.

Does Covid 19 cause lichen planus?

2a), with the presence of scarce eosinophils in the dermis (Fig. 2b). In view of the clinical picture, the timing of the skin eruption with respect to the vaccine and the histopathologic findings, a drug‐induced lichen planus triggered by the COVID‐19 vaccine has been diagnosed.

What is the best treatment for lichen planus?

The first choice for treatment of lichen planus is usually a prescription corticosteroid cream or ointment. If that doesn't help and your condition is severe or widespread, your doctor might suggest a corticosteroid pill or injection.

How to treat lichen planus?

Light therapy. Light therapy (phototherapy) may help clear up lichen planus affecting the skin. The most common phototherapy for lichen planus uses ultraviolet B (UVB) light, which penetrates only the upper layer of skin (epidermis). Light therapy usually requires two to three treatments a week for several weeks.

What test is used to determine if a tissue has lichen planus?

The tissue is analyzed to determine whether it has the cell patterns characteristic of lichen planus. Hepatitis C test. You may have your blood drawn to test for hepatitis C, which is a possible trigger for lichen planus. Allergy tests.

What to do if you think you have oral lichen planus?

If you think you’ve developed oral lichen planus, you should see your doctor. At your appointment, your doctor will ask about your medical history. Tell them how long you’ve been experiencing your symptoms and provide a full list of medications you’re taking.

What is a lichen planus?

Lichen planus is an itchy skin rash that is caused by an immune response. It can occur anywhere on your skin. In cases of oral lichen planus, the mucous membranes inside your mouth are the only area affected. Oral lichen planus presents symptoms different from other cases of lichen planus. Instead of a rash, people may experience swollen tissues, ...

What does a white lesions on the palate look like?

palate. Lesions can appear as either white, lacy, raised patches of tissue that resemble spiderwebs or tender, swollen patches that are bright red. They can also appear as — or develop into — open sores (ulceration). When the lesions are white and lacy, they typically don’t present much pain or discomfort.

What is the best treatment for a swollen ear?

Treatment will focus on resolving symptoms and minimizing lesions as much as possible. Treatment options include: topical corticosteroids, which can come in the form of gel, ointment, or mouthwash applied directly to the affected area. injection corticosteroids, which are applied directly to the lesion.

Where do lichens appear?

Lesions from oral lichen planus appear inside of your mouth. They can be present on these areas: inside of your cheeks (the most common location for these lesions) gums. tongue. inner tissues of your lips. palate.

Can eating and drinking cause lichen planus?

Avoiding eating or drinking may lead to weight loss or nutritional deficiency. Oral lichen planus can increase the risk of secondary yeast or fungal infections. Open sores also have a higher risk of bacterial infections. Erosive and ulcerated lesions from oral lichen planus may cause scarring on the affected areas.

Is oral lichen planus an autoimmune disease?

Some theories point to oral lichen planus as being an autoimmune disorder of its own, while others think it could be a symptom of another autoimmune disorder. The following factors can cause you to develop the condition. They can also be triggers in people who already have the condition: having an autoimmune disorder.

How to prevent lichen planus?

There is no way to prevent oral lichen planus. You can lower your risk for oral lichen planus and other oral conditions by eating a variety of fruits and vegetables, not drinking large amounts of alcohol and quitting smoking.

What causes lichen planus?

What causes oral lichen planus? The exact cause of oral lichen planus is unknown. Research suggests the condition is related to your genetic makeup and immune system. Some people develop oral lichen planus after taking certain medications, such as beta-blockers and nonsteroidal anti-inflammatory drugs (NSAIDs).

What is the term for a white patch on the cheek?

Lichen planus is a long-term condition that affects the skin and mucus membranes. When it affects the mouth it is called oral lichen planus, and appears as white patches or web-like threads inside the cheeks.

Does Lichen Planus go away?

Mild oral lichen planus may not need any treatment. Instead, your doctor monitors your condition. Doctors recommend specific treatments if symptoms worsen. Milder forms of the disease usually go away on their own over time, especially if medications triggering the condition are discontinued.

Is lichen planus painful?

This type of lichen planus is usually not painful. In some cases, oral lichen planus (erosive type) appears as bright red gum tissue. In severe cases, ulcers develop on the gums of mucosal tissues inside the mouth, or on the tongue. Eating and drinking spicy, hot or acidic foods or beverages can be painful for people with oral lichen planus.

Can you get oral lichen planus?

Anyone can develop oral lichen planus. Women are twice as likely as men to develop the condition. Most cases of oral lichen planus occur in adults age 50 and older.

Can you eat spicy food with lichen planus?

Eating and drinking spicy, hot or acidic foods or beverages can be painful for people with oral lichen planus. Skin lesions are common among people with oral lichen planus. Almost half of people with oral lichen planus also have skin lichen planus, which causes itching.

What triggers oral lichen planus?

These include: Certain medicines, such as painkillers, high blood pressure treatments, diabetes drugs, and malaria medications. A reaction to metal in your mouth, such as dental fillings.

What causes lichen planus?

Oral Lichen Planus Causes. Doctors aren't sure what causes oral lichen planus, but several things could play a part: It may run in your family. It could be linked to your immune system. Most of the time, your immune cells keep you safe by attacking bacteria and viruses. With oral lichen planus, some doctors believe, ...

How do you know if you have a lichen planus?

Oral Lichen Planus Symptoms. Symptoms can come on slowly or start all at once. You may start out with: White patches on your tongue, cheeks, and gums. They can be tiny dots or lines that make a lace-like pattern. These sores may burn and be painful.

What is it called when you feel a roughness in your mouth?

This is called a biopsy. They’ll run tests on it in the lab to see what the problem is. You may also need blood tests to rule out other conditions. Oral Lichen Planus Treatment. If you feel only a slight roughness in your mouth, you may not need treatment.

How to get rid of a swollen mouth?

Talk to your doctor about changing medications that may be to blame. Brush twice a day, and floss daily. See your dentist twice a year for a cleaning and checkup. Use a mild toothpaste and a soft toothbrush. You also need to keep track of your symptoms and tell your doctor about any changes in your mouth.

Does lichen planus go away?

It doesn't go away, but you can keep it under control.

Can you take Lichen Planus pills by mouth?

You take these by mouth. Your doctor may prescribe them if you’re dealing with oral lichen planus in other parts of your body such as your scalp, genitals, or esophagus. Watch what you eat and drink. Certain foods and drinks -- especially spicy or citrus ones -- can make your symptoms worse.

How to diagnose lichen planus?

Then they will perform a visual and physical examination to make an initial diagnosis. If the diagnosis isn't certain , they may perform a biopsy, where a small piece of tissue is removed and studied under a microscope. Other possible diagnostic aids include a swab of the cheeks cells for microscopic examination and a blood test for hepatitis C, which is associated with the condition.

What are the symptoms of lichen planus?

Oral Lichen Planus Symptoms. White, lacy patches on the tongue and the insides of the cheeks are the typical symptoms of lichen planus affecting the mouth, according to the American Skin Association. The patches are a visual symptom only and aren't painful or itchy. In severe cases of the condition, however, ulcers and tender sores appear ...

What is the condition called when you have a sore in your mouth?

Oral lichen planus is a non-infectious, inflammatory condition that affects the membranes inside the mouth, and it's a variation of the skin condition, lichen planus. For some patients, the symptoms are mild, but for others, painful sores and red, inflamed tissues cause discomfort.

What is the best treatment for a swollen mouth?

Some treatments that may provide relief include: Corticosteroids in the form of mouthwashes, gels, ointments or powders, pills or injections. Immune response medications like pimecrolimus cream and tacrolimus ointment applied directly to the affected area, or a systemic medication taken internally. Light therapy.

Can lichen planus go away?

Treatment of Oral Lichen Planus. No cure exists for oral lichen planus, though the condition can go away by itself. If a case isn't severe and the patient only experiences the lacy white or gray patches, no treatment is usually needed. In severe cases, treatments relieve the discomfort and help heal sores.

Is lichen planus bad for you?

Though a lichen planus infection in the mouth isn't harmful, sufferers are at an increased risk of other, more serious, conditions. They may experience depression, stress, anxiety, pain, weight loss, malnutrition, scarring or secondary infections. Sufferers are also at a higher-than-average risk of developing oral cancer.

What causes lichen planus?

Lichen Planus is triggered by a number of different factors, including stress, certain medications and some viral infections. When lichen planus develops as the result of exposure to ultraviolet light or other known triggers, it’s called phototoxic lichenoid dermatitis.

How long does it take for lichen planus to go away?

Lichen planus is a disease. It often goes away in a couple of years, but it might take a decade or longer for mucosal lichen planus. Spontaneous recovery is unpredictable and lichen planus may come back at any time. There is no cure for lichen planus, and the scars are permanent, including balding of the scalp.

What is the disease of the tongue called?

Oral Lichen Planus. Oral lichen planus is a mouth disease. It often involves the inside of the cheeks and the sides of the tongue. The most common patterns are painless white streaks in a lacy or fern-like pattern or diffuse redness and peeling of the gums (desquamative gingivitis).

What is the condition that causes a red rash on the inside of the mouth and throat?

Lichen planus is a skin condition that causes a rash to develop on the inside of the mouth and throat. It can also cause an itchy, red rash to develop on other parts of your body. Lichen Planus is not contagious and does not harm internal organs in any way; however, it can be very painful and difficult to manage without treatment.

How many people have lichen planus?

Lichen planus is a skin condition that affects one in every hundred people worldwide. Most are adults over the age of 40 years, but oral lichen planus more often occurs in women than men and about 10% have nail lichens which occur most frequently among those with diabetes mellitus or chronic renal failure.

What is a lichenoid?

Lichen planus is a lichenoid, non-infectious inflammatory skin disorder. It typically presents as an itchy or burning eruption with purple discolouration in the form of discrete papules coalescing into plaques. Lichen planus is a skin disease characterized by scaly and itchy lesions. It causes significant pain, burning, or tingling sensations.

Where do lichen planus bumps appear?

It will have bumps that are flat-topped, shiny, and purple to grey in colour. The bumps tend to occur at the wrists and elbows and ankles. When lichen planus affects the mucous membranes of the lips or cheeks, these white filmy eruptions clear up slowly when you stop taking the medication that caused it.

image

Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Aakash Gupta
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment helps to manage the symptoms but cannot be cured.
Medication

Corticosteroid creams: Reduces inflammation and redness. Cream is applied directly on the itchy spots.

Clobetasol propionate


Immunosuppressants: Drugs that reduce immune response may be prescribed.

Cyclosporine

Self-care

Always talk to your provider before starting anything.

  • Avoid spicy foods and acidic causing foods, such as citrus fruit juice, because they can irritate oral lichen planus.
  • Avoid sharp food, such as crusty bread.
  • Avoid drinking alcohol, particularly spirits.
  • Avoid using mouthwashes that contain alcohol.
  • Keep the mouth as clean as possible.
  • Clean the teeth using a mild toothpaste that does not include sodium lauryl sulfate (a foaming agent).

Nutrition

Foods to eat:

  • No foods are known to cause the condition. Good healthy diet and regular exercise is recommended.
  • Folic acid rich foods like green vegetables may prevent dry skin.
  • Diet rich in fruits and vegetables
  • Eat soft and bland food
  • Consume adequate water to maintain good hydration.

Foods to avoid:

  • Avoid excess of salty and spicy foods
  • Avoid sour and acidic foods, vinegar, tamarind, refined flours.
  • Avoid crispy foods

Specialist to consult

Dermatologist
Specializes in the study of the skin and its disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Alternative Medicine

  • Your doctor makes a diagnosis of oral lichen planus based on: 1. Discussion of your medical and dental history and the medications you're taking 2. Review of symptoms, including lesions in your mouth and any other places on your body 3. Examination of your mouth, and other areas as appr…
See more on mayoclinic.org

Preparing For Your Appointment

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9