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Diagnosing Oral Lichen Planus (OLP)
Autoimmune Diseases | Last Active: 4 hours ago | Replies (19)Comment receiving replies
Most experienced dentists and oral surgeons deal with lichen planus in the mouth on a regular basis. If a patient has an atypical appearance or symptoms it can be more difficult to offer a certain diagnosis.
Dermatology specialists also treat and follow oral LP routinely along with their cutaneous LP. An observed typical lichen planus is a clinical diagnosis
not usually biopsied,just treated an observed.
A second opinion from a dermatologist may help in your situation.
They can work with your dental specialist if a biopsy is required.
Oral lichen planus can relapse and recur. If it is a long term problem it needs to be followed with regular exams as there is a small chance it can evolve into
cancer over the years. Be alert to changes in your skin, scalp and nails and it can show up in any mucous membranes
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@seniormed
Thanks for your response. Maybe because I'm in the midwest, doctors I've encountred, know the name lichen planus but seem to know little or no answers to treatment. Most suggest seeing a dermatologist. I've yet to do that. Mine, is at the least painful it's been since my dentist told me I had it almost, or maybe, 3 years ago. I've lost track actually. I've had mouth washes subscribed, paste in a tube, many suggestions that I've long since forgotten about. Nothing even acted like it was helpful. I go ever 4 months to get my teeth cleaned and my fear is that there is the possiblity of it turning into cancer. Lately, I've had more gum issues with it, than the flare up on the inside of my cheeks and under my tongue. Making brushing my teeth a serious chore!