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Printable Handouts
Navigable Slide Index
- Introduction
- Prevalence of oral lichen planus
- Characteristics of oral lichen planus
- Diagnosis of oral lichen planus
- Types of oral lichen planus
- Plaque type lesions in smokers
- Types of oral lichen planus
- Biopsy shows atrophic epithelium
- Differential diagnosis: pemphigoid, allergy etc.
- Atrophic and ulcerative lesions: bad fillings
- Atrophic and ulcerative lesions: ulcerative type
- Atrophic and ulcerative lesions: bad oral hygiene
- Bullous lesion
- Lichen planus - clinical types
- How many of your patients have skin lesions?
- Duration of lesions
- Lichen planus patient follow up
- Reticular type lichen planus follow up
- Ulcerative type lichen planus follow up
- Follow-up of OLP lesions at first examination
- Oral lichen planus lesions at later examination
- Etiology?
- Atrophic type lesion etiology
- Immune florescence examination of lesions
- CD4+ and CD8+ cells in epithelium & CT
- Several triggers mentioned in literature
- Oral lichen planus & virus infection
- Treatment of OLP - hygiene
- Ulcerative oral lichen planus example
- Chronic inflammatory mucosal disease
- Important: gentle oral hygiene
- Treatment of OLP - antimycotics
- Antimycotics treatment example
- Treatment of OLP - topical steroids
- Topical steroids treatment example
- Prognosis for oral lichen planus
- Reticular lichen planus
- Atrophic lichen planus
- OLP - malignant development
- OLP - malignant development - age distribution
- OLP - malignant development - location
- OLP - malignant development - Danish population
- OLP - malignant development - conclusions
- Acknowledgments
Topics Covered
- Prevalence of oral lichen planus
- Characteristics of oral lichen planus
- Diagnosis of oral lichen planus
- Types of oral lichen planus
- Lichen planus: clinical types
- Lichen planus patient follow up
- Atrophic type lesion etiology
- Oral lichen planus & virus infection
- Treatment of OLP
- Prognosis for oral lichen planus
- Reticular lichen planus
- Atrophic lichen planus
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Talk Citation
Holmstrup, P. (2017, July 31). White lesions - oral lichen planus, a premalignant condition [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved October 14, 2024, from https://doi.org/10.69645/RLWB5173.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Palle Holmstrup has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
White lesions - oral lichen planus, a premalignant condition
Published on July 31, 2017
28 min
Transcript
Please wait while the transcript is being prepared...
0:00
My name is Palle Holmstrup.
I am professor and section head of a section in
the School of Dentistry in University of Copenhagen,
and I'm going to discuss with you oral Lichen Planus
which is now considered a premalignant condition.
0:19
The prevalence of oral Lichen Planus has
been subjected to studies in different areas of the world and
the results are between point one and four percent in
prevalence with a female to male ratio of two to one.
There's a preponderance in middle-aged and elderly people.
0:44
The characteristic feature of oral Lichen Planus
is papules and white striations anywhere in the oral mucosa.
Lichen Planus is a disease of skin and mucous
membranes and very often the disease affects mucus membranes.
In the early stage of the disease,
papules and mucous membrane show characteristics.
Here is another ripe organ mucosa with papules and white striations.
The white striations often denoted, Wickham striae,
form reticular patterns as seen in this patient.
Very characteristic.
1:30
So the diagnosis of oral Lichen Planus is usually based on the presence of papules,
white striations, which may be supported by biopsy.
However, there are several other manifestations of oral Lichen Planus.