Razmara Farnoosh, Khayamzadeh Mina, Shabankare Ghazal
Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Oral and Maxillofacial Surgery Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Int J Implant Dent. 2020 May 27;6(1):21. doi: 10.1186/s40729-020-00216-8.
Lichen planus (LP) is a violent, paranormal inflammatory disease that can affect the skin or any lining of the mucous membrane. LPs are a branch of immune-mediated inflammatory disease (IMID) that collaborates with the function and structure of the immune system that are precipitated through various etiological infectious agents. Oral lichen planus (OLP) is one of the most common kinds of IMID. These traumas might limit the normal life of patients and, in some cases, can be treated spontaneously. In patients who are affected by OLP, the dental clinicians must be capable of the proper diagnosis of the disorder. Dental implants are progressively applied for the treatment of partial or complete edentulism. Implant rehabilitation in OLP patients is one of the main challenges for patients and dental clinicians. There is not enough knowledge about this condition, and also medical documents are limited. In this study, by conducting a comprehensive review of literature, we tried to collect related data around the safety and success rate of implant rehabilitation in patients who suffer from OLP disorder. There proved to be no relation between implant survival rate and OLP diseases, but it is proven that some factors such as bone quality and fracture resistance, parafunctional habits, and resection of the marginal mandible could powerfully affect it. For evaluation of the advantages and disadvantages of applying implants in patients with OLP disorders, implementation of controlled studies is required.
扁平苔藓(LP)是一种严重的、异常的炎症性疾病,可累及皮肤或任何黏膜内衬。扁平苔藓是免疫介导性炎症性疾病(IMID)的一个分支,与通过各种病因性感染因子引发的免疫系统功能和结构相关。口腔扁平苔藓(OLP)是最常见的IMID类型之一。这些创伤可能会限制患者的正常生活,在某些情况下可自行缓解。对于患有OLP的患者,牙科临床医生必须能够正确诊断该疾病。牙种植体越来越多地应用于治疗部分或完全无牙症。OLP患者的种植修复是患者和牙科临床医生面临的主要挑战之一。对此病症的了解不足,医学文献也有限。在本研究中,通过对文献进行全面综述,我们试图收集有关OLP病症患者种植修复安全性和成功率的相关数据。结果表明种植体存活率与OLP疾病之间没有关联,但已证实一些因素,如骨质量和抗折性、副功能习惯以及下颌骨边缘切除,可能会对其产生重大影响。为了评估在OLP病症患者中应用种植体的优缺点,需要开展对照研究。