The Erosive Oral Lichen Planus Treatment with Nd:YAG Laser Combined with Total Glucosides of Paeony

Main Article Content

Lien Qi
Xing Wang*
Qian Deng

Abstract

Background: To investigate the clinical effect of Nd:YAG laser combined with total glucosides of paeony (TGP) for the treatment of erosive oral lichen planus (OLP).


Study Design: Sixty patients diagnosed with erosive OLP with clinical symptoms were divided into an observation group (n=28) and a control group (n=32) using a random number table. All erosive OLP patients received TGP while only the patients in observation group subjected to Nd:YAG laser. The clinical effects were evaluated comparatively three months before and after the treatment.


Results: Three months after the treatment, the visual analogue scales (VAS) score and sign score for observation group improved significantly to (1.36±0.89) points and (2.32±1.56) points respectively. The average VAS score and sign score for the control group were (2.75±1.67) and (3.66±1.33) points. In both groups, the results of treatments were tended to be significantly better than before (P<0.05). The average VAS score and sign score were superior to those in the control group (P<0.05). The effectiveness for the observation group was significantly higher than the control group (82.1% vs. 53.1%).


Conclusion: Nd:YAG laser combined with TGP can improve the efficiency of the treatment for erosive OLP. The scheme is safe and effective and worth expanding in clinical practice.

Downloads

Download data is not yet available.

Article Details

Qi, L., Wang, X., & Deng, Q. (2017). The Erosive Oral Lichen Planus Treatment with Nd:YAG Laser Combined with Total Glucosides of Paeony. Global Journal of Medical and Clinical Case Reports, 4(2), 025–027. https://doi.org/10.17352/2455-5282.000039
Case Reports

Copyright (c) 2017 Qi L, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Parashar P (2011) Oral lichen planus. Otolaryngologic Clinics of North America 44: 89-107. Link: https://goo.gl/d1l8tw

Xue JL, Fan MW, Wang SZ, Chen XM, Li Y, et al. (2005) A clinical study of 674 patients with oral lichen planus in China. J Oral Pathol Med 34: 467-472. Link: https://goo.gl/hlgPrK

Payeras MR, Cherubini K, Figueiredo MA, Salum FG (2013) Oral lichen planus: Focus on etiopathogenesis. Arch Oral Biol 58: 1057-1069. Link: https://goo.gl/rg9Rta

Lodi G, Scully C, Carrozzo M, Griffiths M, Sugerman PB, et al. (2005) Current controversies in oral lichen planus: report of an international consensus meeting Part 1.Viral infections and etiopathogenesis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100: 40-51. Link: https://goo.gl/rTLEx3

Society of Oral Medicine, Chinese Stomatological Association (2005) Standard for evaluation of effect for oral lichen planus(erosive, atrophic)(trial implementation). Chinese Journal of Stomatology 42: 92-93. https://goo.gl/XW3XbU

Zhang JH, Zhou ZT (2007) Oral lichen planus: a retrospective study of 724 Chinese patients. Chinese Journal of Stomatology 42: 699-671. Link: https://goo.gl/hAjGO1

Carbone M, Arduino PG, Carrozzo M, Caiazzo G, Broccoletti R, et al. (2009) Topical clobetasol in the treatment of atrophic-erosive oral lichen planus:a randomized controlled trial to compare two preparations with different concentrations. J Oral Pathol Med 8: 227-233. Link: https://goo.gl/gGHAJy

Dillenburg CS, Martins MA Martins MD, Munerato MC, Marques MM, Carrard VC, et al. (2014) Efficacy of laser phototherapy in comparison to topical clobetasol for the treatment of oral lichen planus: a randomized controlled trial. J Biomed Opt 19: 068002. Link: https://goo.gl/6DMt0e

Cafaro A, Arduino PG, Massolini G, Romagnoli E, Broccoletti R (2014) Clinical evaluation of the efficiency of low-level laser therapy for oral lichen planus: a prospective case series. Lasers Med Sci 29: 185-190. Link: https://goo.gl/8C2jGh

Agha-Hosseini F, Moslemi E, Mirzaii-Dizgah I (2012) Comparative evaluation of low-levellaserand CO2 laserin treatment of patients withoral lichen planus. Int J Oral Maxillofac Surg 41:1265-1269. Link: https://goo.gl/GY2UEo

Yan D, Jinfan P, Long O (2012) Clinical outcomes of all-trans retinoic acid compound and capsule of total glucosides of paeony for the treatment of reticular oral lichen planus:a half-year follow-up study. Chinese Journal of Stomatology 47: 118-122. Link: https://goo.gl/uc5gwP