Journal of Jilin University(Medicine Edition) ›› 2021, Vol. 47 ›› Issue (4): 1033-1037.doi: 10.13481/j.1671-587X.20210430

• Clinical medicine • Previous Articles     Next Articles

Five-year follow-up of oral lichen planus combined with implantation and reparation: A case report and literature review

Yang ZHONG1,Degeng XIA1,Qingyu ZHANG2,Zhulan ZHAO2,Yu HUANG1,Ning MA1(),Li ZHANG2()   

  1. 1.Department of Periodontics,Stomatology Hospital,Jilin University,Changchun 130021,China
    2.Department of Emergency,Stomatology Hospital,Jilin University,Changchun 130021,China
  • Received:2021-01-14 Online:2021-07-28 Published:2021-07-22
  • Contact: Ning MA,Li ZHANG E-mail:man@jlu.edu.cn;zhang_li99@jlu.edu.cn

Abstract: Objective

To discuss the combined treatment of implant repair of one patient with oral lichen planus(OLP), and to explain the importance of multidisciplinary combined treatment on the restoration of oral function of the patient.

Methods

The clinical data of 5 years of follow-up of one patient with OLP underwent implant repair combined treatment were collected. The related literatures were reviewed to analyze the significance of the application of multidisciplinary combined treatment for the oral function restoration and reconstruction in the patients with OLP.

Results

The clinical manifestion of the patient was that the bilateral moral teeth had become looseness and the patient had a history OLP for 2 years old. Poor oral hygiene, soft gingival texture, dark red, the probing depth (PD) 5-6 mm, attachment loss (AL) 8-9 mm, bleeding on probing (BOP) (+), bilateral posterior teeth loosened Ⅲ°, alveolar bone resorption to 2/3 root were found in the patient; white lesions were seen on the buccal mucosa and the gingival margin of the patient, the mucosa at the lesion was dark red, and erosion and ulcer was seen on the gingival papilla. Regular anti-infective combination therapy (basic periodontal therapy combined with triamcinolone acetonide injection therapy) was performed. When the inflammation remained stable, the Ⅲ° mobile teeth were extracted in turn. Three months after surgery, the implant restoration was performed in the area of tooth loss of the patient. After combined treatment, the condition of OLP of the patient was controlled, the pain and rough discomfort were significantly reduced, the periodontal inflammation was effectively improved. The implant and the surrounding bone tissue were well combined and the chewing function of bilateral posterior teeth was restored.

Conclusion

Multidisciplinary combined treatment can effectively alleviate the clinical symptoms of the patient with OLP and the implant repair of the patient with OLP is realized after the condition is controlled.

Key words: oral lichen planus, implant repair, regular follow-up, probing depth, bleeding on probing

CLC Number: 

  • R781.45