Vatankhah Mehdi, Taghi Chitsazi Mohammad, Mehdipour Masoumeh, Taghavi Zenouz Ali, Estakhri Rasoul
Instructor, Department of Oral Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
J Dent Res Dent Clin Dent Prospects. 2010 Winter;4(1):33-6. doi: 10.5681/joddd.2010.009. Epub 2010 Mar 14.
Recalcitrant gingival erythematous lichen planus lesions comprise a considerable therapeutic problem. This case of chronic desquamative gingivitis in a 25-year-old woman with erosive oral lichen planus was treated with topical and systemic corti-costeroid administration, followed by placement of a free gingival graft on right upper quadrant. Although recurrence of the lesions was observed following both treatment modalities, free gingival graft despite being an aggressive therapy, proved more effective and with fewer side effects compared with topical or systemic steroid therapy, and seems to be a promising treatment modality with the benefit of more stable results, among others.
顽固性牙龈红斑型扁平苔藓病变构成了一个相当大的治疗难题。该病例为一名25岁患有糜烂性口腔扁平苔藓的女性慢性剥脱性龈炎，采用局部和全身皮质类固醇给药治疗，随后在上右象限进行游离龈瓣移植。尽管两种治疗方式后均观察到病变复发，但游离龈瓣移植尽管是一种积极的治疗方法，但与局部或全身类固醇治疗相比，证明更有效且副作用更少，并且似乎是一种有前景的治疗方式，尤其具有结果更稳定等优点。
