Oral Lichen Planus: Treatment, Management, and Recovery Tips

Oral Lichen Planus

Hello, I have been diagnosed with oral lichen planus by a hospital physician about two months ago.
Currently, I am not undergoing treatment and have been prescribed an oral ointment to apply, with follow-up visits scheduled once a month for observation.
I have three questions:
1.
I have heard that some people have experienced relief from their symptoms by drinking commercially available aloe vera juice.
Is this true?
2.
Will the extent of oral lichen planus increase, or will it only maintain its current range?
3.
If the lichen planus does not continue to worsen, can sufficient sleep, a relaxed mood, and a light diet help in gradual recovery? Are there any other recommendations? Thank you.

Steven, 40~49 year old female. Ask Date: 2019/10/23

Dr. Zeng Guanghui reply Dentistry

Hello, oral lichen planus is an autoimmune disease that manifests as symptoms on the oral mucosa.
It is primarily associated with irregular lifestyle habits and significant emotional stress, which can lead to abnormalities in the immune system.
Therefore, maintaining a regular lifestyle, ensuring adequate sleep, and keeping a relaxed mood can help alleviate the symptoms.
Thank you.

Reply Date: 2019/10/23

More Info

Oral Lichen Planus (OLP) is a chronic inflammatory condition that affects the mucous membranes inside the mouth. It is characterized by white patches, red swollen tissues, or open sores, and can cause discomfort or pain. The exact cause of OLP is not fully understood, but it is believed to be related to an autoimmune response where the body's immune system mistakenly attacks the cells of the oral mucosa.

Treatment and Management
1. Topical Treatments: As you mentioned, your doctor has prescribed an oral ointment. Topical corticosteroids are commonly used to reduce inflammation and alleviate symptoms. These may help in managing pain and discomfort associated with OLP.

2. Regular Monitoring: Monthly follow-ups are essential in managing OLP, as they allow your healthcare provider to monitor the condition and adjust treatment as necessary.
3. Lifestyle Modifications: While there is no definitive cure for OLP, certain lifestyle changes can help manage symptoms. Maintaining good oral hygiene, avoiding irritants (such as spicy foods, tobacco, and alcohol), and managing stress can contribute to better outcomes.

Addressing Your Questions
1. Aloe Vera Juice: There are anecdotal reports suggesting that aloe vera may have soothing properties for various inflammatory conditions, including OLP. However, scientific evidence supporting the efficacy of aloe vera juice specifically for OLP is limited. While it may provide some relief for some individuals, it should not replace prescribed treatments. Always consult your healthcare provider before trying new remedies.

2. Expansion of OLP: OLP can be unpredictable. For some individuals, the lesions may remain stable, while for others, they may expand or change over time. Factors such as stress, hormonal changes, and certain medications can influence the condition. Regular check-ups with your healthcare provider will help in monitoring any changes.

3. Recovery and Lifestyle: If your OLP does not worsen, maintaining a healthy lifestyle can indeed support recovery. Adequate sleep, stress management, and a balanced diet can positively impact your immune system and overall health. However, it is important to note that OLP is a chronic condition, and while symptoms may improve, they can also flare up.

Additional Recommendations
- Stress Management: Since stress can exacerbate OLP, consider incorporating relaxation techniques such as yoga, meditation, or deep-breathing exercises into your routine.

- Dietary Adjustments: Eating a diet rich in fruits, vegetables, and whole grains while avoiding known irritants can help manage symptoms. Some patients find that certain foods trigger their symptoms, so keeping a food diary may help identify these triggers.

- Oral Care Products: Use mild, non-irritating oral care products. Avoid mouthwashes that contain alcohol or strong flavors, as these can aggravate the condition.

- Consultation with Specialists: If symptoms persist or worsen, consider consulting with a specialist, such as a dermatologist or an oral medicine expert, who may provide additional treatment options, including systemic medications if necessary.

In summary, while OLP can be a challenging condition to manage, a combination of prescribed treatments, lifestyle modifications, and regular monitoring can help you live more comfortably with it. Always keep an open line of communication with your healthcare provider regarding any changes in your symptoms or concerns you may have.

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