Oral lichen planus (LP) is a chronic inflammatory skin mucosal disease, oral lesions are characterized by pearlescent white damage or with congested erosions, skin and oral cavity can occur at the same time, or can occur separately. The cause of the disease is unknown, mainly related to immune dysfunction, psycho-neurological factors, genetic factors, infection factors, etc. The prevalence rate is as high as 0.51%, with middle-aged women as the prevalent population. Very few cases have the tendency to become malignant and are classified as precancerous by WHO, with a cancer rate of 1%-3%. The disease can be stabilized with active clinical treatment. The disease is generally followed up once in 3-6 months after stabilization.
A. Flat moss should be treated from the following aspects.
1, remove local irritants.
2, drug treatment.
3.Psychological treatment.
4.Physical therapy.
5.Systematic disease treatment.
6.Surgical treatment.
Second, the principle of medication
1.Limited damage and no symptoms, generally do not need to use drugs.
2.Limited damage but symptomatic, mainly local medication.
3.For more serious damage, combined local and systemic drugs are used.
4.Pay attention to the control of secondary infections, especially fungal infections.
5.Follow up regularly during the medication period to prevent cancer.
Three, flat moss precautions
1, lichen planus is related to systemic diseases, and it is a chronic disease that requires long-term medication, therefore, before treatment, systemic examinations such as blood routine, kidney function, liver function, etc. should be done, and systemic diseases should be actively treated.
2, flat moss although there are 1%-3% malignant rate, WHO will be it as a pre-cancerous state, to eliminate unnecessary cancer fear emotions. Most patients can be controlled and their symptoms relieved or even cured after regular treatment.
3.Patients with lichen planus should establish an optimistic and good attitude towards treatment, live a regular life, avoid strain, avoid all kinds of depression, anxiety, sadness and other bad emotions, which aggravate the disease.
4, to treat the oral lesions related to lichen planus according to the doctor’s requirements: such as extraction of residual roots and crowns, removal of bad restorations, modification of uncomfortable dentures, treatment of dental caries, regular dental cleaning, etc.
5.Histopathological examination should be conducted according to the condition, and regular observation should be made.
6, flat moss diet should be contraindicated: acid, spicy, hot, hard, pickled products, hemp, astringent and other foods as well as tobacco and alcohol.