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Oral Lichen Planus: How do you cope with it?

Autoimmune Diseases | Last Active: Aug 24, 2025 | Replies (135)

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78 yr old female with oral Lichen Planus. Teeth have recently started to crack and decay and painful. Went to dentist for
Consultation. Sugestions were implants or full dentures. My concern is the extraction
Of all teeth as they are all bad. Also have had breast cancer with radiation and suspect radiation might have affected teeth. I need to get my teeth fixed soon. Any suggestions? The implant route is very long.

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Replies to "78 yr old female with oral Lichen Planus. Teeth have recently started to crack and decay..."

I’m 70 and also dealing with a similar situation due to gastrointestinal issues causing severe decay. I have had the right upper top removed awake with novocaine. I did feel lots of pressure but no pain. He left one tooth to connect an Essix bridge which is streaky used for esthetic looks only.

I need my entire top removed but I’m doing as needed in 4 extraction increments. Yes, my next section will be top left and that’s it for smiling. I’m doing it this way because I’m healing very slowly. I don’t feel I can do it at once and have an upper denture inserted immediately.

I have had two consults for inplants and both say with bone loss, I’m not a candidate for inplants. I was not considering my entire top due to cost. I was considering the new upper denture secured with 4 inplants, still quite costly.
I’m going old school dentures. At my age and health issues I will make this work. I don’t feel feel that I will be in hiding for a few weeks to heal once I have the front done. I hate it all, but who wouldn’t.

I discovered that the medicine I was taking caused the oral lichen planus.
I researched OLP for a cause. A list of medications that can cause it was found.
My hydroxychloroquine was on the list so I stopped taking it and my mouth is much better.

I want to share that I recently started using Crest 3D White Deep Stain Remover toothpaste and it healed a lichen planus outbreak I was having and had kept my gums and tongue clear for about a month now. All other toothpastes (including Sensodyne) have only irritated it. Don't know why this is happening but wanted to pass it on (joined this site to do so). My only other tip is to brush with an Oral B electric toothbrush and to go just a little bit under the gums when brushing the teeth.

I have OLP too. Recently it moved from the back of my mouth to the front, and it scares me, i do not to lose my teeth.

New to olp diagnosed in May this year. Struggling to find help and answers. One question is how are you certain of a trigger? For example if I were to drink lemon juice my mouth would be on fire, but if I eat an apple (also acidic) my mouth is not on fire. Do the triggers happen internally and externally? I just did a 14vday prednisone taper which calmed down the irritation and pain but all the gum tissue disruption is still there. So it sorta worked? Any input is great, thank you.

I was diagnosed with erosive OLP in May. I have drastically changed my diet and bevergaes. What happens when you get sick like a cold or flu does it cause a flare? How do you keep a strong immune system when its attacking you? Any coping mechanisms, tips , tricks or advise welcome. Also is anyone in a clinical trial?

There are many options of different combinations. I have been to 5 different Dr that actually treat this OLP. They all have different options. I am on Plaquinil for 5 months. The Rheumatologists use this all the time for various arthritis conditions and feel it is safe but have to be followed by a opthamologist which I am every 6 months. I have a compounded product for Clobetasol, Nystatin and lidocaine For flares and Tacromilus mouth gel for other times. Alcohol is a huge trigger and all kinds of foods. I went through Skin testing of chemicals with a Derm pathologist to take that as useful for the dental issues. Can’t use any product with acrylates which are bonding material and crowns. So can only do porcelains. And many more like polyglycol which is in everything as a preservative. It has been helpful for cosmetics etc. no hot or cold liquids. I have lots of numbness as well. My lips have now become one of my biggest issues. Says to use petroleum jelly only and that actually makes them worse. The insides of mouth are always swollen. Roof of mouth like sandpaper , tongues numb So triggers are so hard to figure out. I have good days and bad. Just try to keep busy.

Greetings all, can anyone tell me what happens if you catch a cold or the flu when you have OLP does it make it flare? Thank you.