Dalirsani Zohreh, Seyyedi Seyyed Amir
Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Oral and Maxillofacial Medicine, Urmia Dental School, Urmia University of Medical Sciences, Urmia, Iran.
Indian J Dermatol. 2021 Nov-Dec;66(6):698-703. doi: 10.4103/ijd.ijd_1170_20.
Oral lichen planus (OLP) is a chronic autoimmune disease, which annoys the patients for several years. It presents with various clinical forms. Although plaque-like form of OLP is usually asymptomatic, it could transform to a malignant lesion. Therefore, treatment considerations are essential to reduce the development of oral cancer. Laser therapy is a newer modality for treatment of plaque-like lesions.
This study aimed to perform laser therapy for plaque-like lesions of OLP.
We described some plaque-like OLP lesions evaporated with CO2 laser. The power of 4-7 watt as continuous wave (CW) and defocused mode was employed for evaporation. The complications and recurrence were evaluated in the follow-up sessions.
In some patients, mild keratotic lesions were observed in the follow-up sessions. Most patients were satisfied with treatment process and reported mild burning after treatment. No complication was observed in the patients.
CO2 laser could be employed for OLP lesions; however, some degrees of recurrence may occur.
口腔扁平苔藓（OLP）是一种慢性自身免疫性疾病，困扰患者数年。它有多种临床形式。虽然OLP的斑块状形式通常无症状，但可能会转变为恶性病变。因此，治疗考量对于减少口腔癌的发生至关重要。激光治疗是治疗斑块状病变的一种较新方法。
本研究旨在对OLP的斑块状病变进行激光治疗。
我们描述了一些用二氧化碳激光汽化的OLP斑块状病变。采用4 - 7瓦连续波（CW）和散焦模式的功率进行汽化。在随访期间评估并发症和复发情况。
在一些患者的随访中观察到轻度角化病变。大多数患者对治疗过程满意，并报告治疗后有轻微烧灼感。患者未观察到并发症。
二氧化碳激光可用于治疗OLP病变；然而，可能会出现一定程度的复发。
