Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011 May;15(2):127-32.
doi: 10.4103/0973-029X.84474.

Oral lichen planus: An update on pathogenesis and treatment

Affiliations

Oral lichen planus: An update on pathogenesis and treatment

N Lavanya et al. J Oral Maxillofac Pathol. 2011 May.

Abstract

Oral lichen planus (OLP) is a chronic inflammatory disease that affects the mucus membrane of the oral cavity. It is a T-cell mediated autoimmune disease in which the cytotoxic CD8+ T cells trigger apoptosis of the basal cells of the oral epithelium. Several antigen-specific and nonspecific inflammatory mechanisms have been put forward to explain the accumulation and homing of CD8+ T cells subepithelially and the subsequent keratinocyte apoptosis. A wide spectrum of treatment modalities is available, from topical corticosteroids to laser ablation of the lesion. In this review, we discuss the various concepts in the pathogenesis and current treatment modalities of OLP.

Keywords: Apoptosis; autoimmune; basal keratinocytes; corticosteroids; oral lichen planus.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Proposed sites of action based on property of drugs in oral lichen planus
Figure 2
Figure 2
Protocol/algorithm for treatment of oral lichen planus

References

    1. Sugerman PB, Savage NW, Walsh LJ, Zhao ZZ, Zhou XJ, Khan A, et al. The pathogenesis of oral lichen planus. Crit Rev Oral Biol Med. 2002;13:350–65. - PubMed
    1. Bouquot JE, Gorlin RJ. Leukoplakia, lichen planus, and other oral keratoses in 23,616 white Americans over the age of 35 years. Oral Surg Oral Med Oral Pathol. 1986;61:373–81. - PubMed
    1. Scully C, Beyli M, Ferreiro MC, Ficarra G, Gill Y, Griffiths M, et al. Update on oral lichen planus:etiopathogenesis and management. Crit Rev Oral Biol Med. 1998;9:86–122. - PubMed
    1. Ismail SB, Kumar SK, Zain RB. Oral lichen planus and Lichenoid reactions; Etiopathogenesis, diagnosis, management and malignant transformation. J Oral Sci. 2007;49:89–106. - PubMed
    1. Eversole LR. Immunopathogenesis of oral lichen planus and recurrent aphthous stomatitis. Semin Cutan Med Surg. 1997;16:284–94. - PubMed