Erpenstein H
J Clin Periodontol. 1985 Feb;12(2):104-12. doi: 10.1111/j.1600-051x.1985.tb01369.x.
The problems of periodontal and prosthetic treatment are demonstrated with a typical case of oral erosive lichen planus with gingival involvement. The results attained suggest that oral lichen can be improved by optimum plaque control and periodontal treatment. Prosthetic treatment should be based on bridgework and not on removable partial dentures owing to the isomorphous irritant effect that characterizes lichen planus. Once the plaque situation is firmly under control, even teeth with advanced destruction of the supporting tissues may be used as abutments. In the event of all molars being absent, cantilever bridges should be fitted. In this case it is not essential to replace all the molars provided that the masticatory function is subjectively adequate.
通过一个伴有牙龈受累的口腔糜烂性扁平苔藓典型病例展示了牙周治疗和修复治疗的问题。所取得的结果表明，通过最佳的菌斑控制和牙周治疗，口腔扁平苔藓的症状可以得到改善。由于扁平苔藓具有同形刺激性效应，修复治疗应基于固定桥而非可摘局部义齿。一旦菌斑情况得到有效控制，即使是支持组织严重破坏的牙齿也可用作基牙。如果所有磨牙均缺失，应安装悬臂桥。在这种情况下，只要主观咀嚼功能足够，不必替换所有磨牙。
