Holmstrup P, Schiøtz A W, Westergaard J
Department of Periodontology, Royal Dental College, Copenhagen, Denmark.
Oral Surg Oral Med Oral Pathol. 1990 May;69(5):585-90. doi: 10.1016/0030-4220(90)90241-j.
Eleven patients, all women, aged 43 to 76 years, with atrophic or ulcerative lichen planus lesions of gingiva were included in this preliminary study. After initial examination, the patients received an intensive individual hygiene treatment. The patients continued using the most appropriate, atraumatic method resulting in the best possible oral hygiene over a 1 year period during which they were seen for follow-up examinations at 3-month intervals. The mean plaque scores decreased after the initial treatment followed by an increase. The mean scores for severity of subjective symptoms and for type and extension of lesions initially decreased with the plaque scores and remained lower throughout the study. It is concluded that in some cases both subjective and objective improvement of atrophic and ulcerative gingival lichen planus may be obtained by means of intensive oral hygiene procedures although such procedures do not remove the basic cause of lichen planus. However, further studies are needed to examine the role of dental plaque control in patients with oral lichen planus.
11名患者均为女性，年龄在43至76岁之间，患有牙龈萎缩性或溃疡性扁平苔藓病变，被纳入这项初步研究。初检后，患者接受了强化的个人卫生治疗。患者在1年期间持续采用最合适、无创伤且能实现最佳口腔卫生的方法，在此期间每隔3个月进行一次随访检查。初始治疗后平均菌斑评分下降，随后上升。主观症状严重程度以及病变类型和范围的平均评分最初随菌斑评分下降，并在整个研究过程中保持较低水平。得出的结论是，在某些情况下，通过强化口腔卫生措施，萎缩性和溃疡性牙龈扁平苔藓的主观和客观状况可能会得到改善，尽管这些措施并未消除扁平苔藓的根本病因。然而，需要进一步研究来考察牙菌斑控制在口腔扁平苔藓患者中的作用。
