Lichen planus in the mouth is an unpleasant disease. Its symptoms appear, as a rule, clearly and noticeably worsen the patient’s quality of life, therefore, when they see them, people try to find the right treatment as soon as possible and get rid of them.
What is lichen planus?
This is a serious, chronic disease. She has a dermatological origin. It can appear on any part of the skin, but most of all, lichen planus in the oral cavity on the delicate mucous membrane loves to settle. The rash that appears with an illness looks very unpleasant, but the worst thing is how badly it itches. Itching knocks out of the usual rhythm of life and deprives sleep. At the same time, it is almost impossible to cope with it – just imagine how difficult it is to scratch lichen planus in your mouth.
Lichen planus – forms
This disease has many different forms. Depending on which lichen planus has settled in the oral cavity, the main symptoms and manifestations of the diagnosis change. Official medicine distinguishes seven main varieties of the disease. The forms of lichen planus of the oral cavity are described as follows:
- Typical. It begins with the appearance of small gray matte papules on the mucous membranes, which eventually turn into sores.
- Ring-shaped. Rashes with this form of the disease are collected in a ring – this is how its name was born.
- Warty. Such lichen planus in a person’s mouth looks like papules pressed in the middle, which itch especially strongly.
- Erythematous. With this diagnosis, the papules are soft, and their surface is painted in bright pink or crimson.
- Pemphigoid. It is very similar to warty, but unlike the latter, it causes the appearance of not papules, but vesicles with liquid. They burst as the disease progresses, and ulcers remain in their place.
- Atrophic. This lichen planus in the mouth is accompanied by additional white-pearl spots.
- Ulcerative. With this form of LP, ulcers form on the mucosa, around which papules “gather”.
Lichen planus – is it contagious?
The name of this disease is intimidating. Everyone is used to the fact that lichen is necessarily contagious, but in reality, not all types of ailments pose a threat. What about KPL? Whether lichen planus is contagious is difficult to say for sure. In general, this is not an infection, and it is not transmitted from a sick person to a healthy one, as a ringworm form of the disease, but there are nuances. So, for example, with long-term close contact, people with weak immunity or who are prone to illness run the risk of learning all the “charms” of a rash and itching on the mucous membrane in the mouth.
Why is lichen planus dangerous?
Not all people are well acquainted with the peculiarities of this problem, therefore they consider it especially dangerous. In reality, lichen planus on the oral mucosa is not so terrible. Due to the disease, the affected areas of the skin may darken slightly, but this is a temporary effect. Sometimes scars or adhesions remain at the site of the rash after LP. Can the disease cause cancer? There is no need to worry, this disease does not develop into oncology, if you treat it.
Lichen planus in the mouth – causes
Why might you need an ointment for lichen planus in your mouth? There are various reasons for this diagnosis.
The following factors are considered the most dangerous:
- wearing low-quality prostheses (those that constantly rub against the mucous membrane and leave wounds on it);
- some problems with the digestive organs;
- damage to the delicate mucosa by chipped uneven edges of the teeth or any foreign objects;
- the use of products that irritate vulnerable tissue;
- abuse of spicy food.
Lichen planus causes and some others may have. It can be caused by stress or hypnosis treatment, for example. Diseases of the endocrine system can also contribute to the germination of the rash. Sometimes LP becomes a consequence of an allergic reaction that begins upon contact with certain medications or substances containing chemicals.
Lichen planus in humans – symptoms
Each form has its own characteristics, but more often lichen planus on the tongue and oral mucosa manifests itself as white spots, sometimes with a red border. The latter, as a rule, do not hurt much, however, sometimes they can turn into sores and blisters, which cause much more discomfort. This is especially evident when eating hot or spicy. The most unpleasant symptom of the disease – itching – is very strong and intrusive.
Lichen planus – diagnosis
A thorough examination helps to determine lichen planus of the oral mucosa. To clarify the diagnosis – spots on the tongue, cheeks and lips from the inside can also appear with other problems – experts do a biopsy. The procedure is carried out under local anesthesia. During it, a small sample is taken from the cavity – a piece of affected tissue. A small wound remains at the site of the “cut”, which heals no longer than a week – 10 days.
Lichen planus in the mouth – treatment
It is important to understand that it is difficult to completely get rid of this disease. As a rule, treatment of lichen planus in the mouth only eliminates uncomfortable symptoms. Spots, which do not interfere with normal life in any way and do not worsen its quality, in most cases remain.
The most effective therapy for this problem may consist of:
- treatment with special pharmaceutical products;
- the use of folk methods;
All the activities described above are accompanied by local treatment of ulcers with plaques. Treatment should be carried out only under the supervision of a specialist and with his approval. Otherwise, if you make some mistake, the condition will only worsen, and the number of rashes will increase markedly. Against the background of all this, the disease can develop into a more severe form that is more difficult to treat.
Lichen planus – clinical guidelines
The medical profession advises serious treatment only when CLP causes pain. With normal roughness, nothing needs to be done. When lichen planus is diagnosed, the most effective treatment involves the use of a corticosteroid ointment. It is applied in a thin layer over the plaques. Tableted corticosteroids are rarely used for ailment.
In therapy, the opinion of the dentist is important. The specialist may recommend that you avoid certain foods that can worsen symptoms or cause allergies.
Among other things, with KLP you need:
- Fill teeth with caries.
- Diagnose the organs of the digestive tract and, if necessary, treat them.
- If any are present, sharpen the sharp corners of the teeth, which can scratch the mucous membrane.
- If a person takes hormonal drugs, it is necessary to understand if he is allergic to them, and if so, reduce the dose.
Treatment of lichen planus in humans – drugs
With such a diagnosis, treatment for each patient is selected separately, but as a rule, the choice is made from one list of drugs.
How to cure lichen planus is best known for such remedies:
- Antihistamines. They are needed to remove itching and swelling, and representatives of this group of drugs also calm the nervous system well. The best of its kind are: Tsetrin, Zirtek, Suprastin, Loratadin, Telfast.
- For the treatment of ulcers, Solcoseryl and solutions with the addition of anesthesin, citric acid, menthol are suitable.
- With lichen planus, it is also important to strengthen the immune system. Various vitamins and drugs such as Interlock, Neovir, Reaferon do an excellent job with this task.
- In almost all cases, KLP is prescribed Retinol, Tigazon, Fenoro, Neotigazon, Etretinat.
- With regular relapses of the disease, you need to try to drink drugs that improve oxygen metabolism in the body: Actovegin, Cyto-Mak.
Treatment of lichen planus with folk remedies
Alternative medicine also knows some effective secrets about how to treat lichen planus in the mouth.
- Herbal compresses. The best is obtained from the infusion of willow bark, celandine and mullein flowers, mixed in the same amount.
- Lotions with tincture of calendula are simple but effective. A couple of spoons of dried flowers should be poured with boiling water, and after the drug has cooled down, decant it and can be applied to the affected areas.
- Rinsing with hot water helps. The procedure should continue for about three minutes.
- Another proven method is lotions with cranberry juice. If cranberries are not at hand, you can replace it with sea buckthorn or apple cider vinegar.
Treatment of lichen planus with a laser
This is a modern method that is very effective. During the procedure, lichen planus on the oral mucosa is exposed to a red laser (its wavelength is 660 nm). As a result, edema with inflammation goes away, plaques become less noticeable, sores heal. Most importantly, everything happens much faster than in the case of traditional therapeutic methods.