Erosive-ulcerative form of oral lichen

Erosive-ulcerative oral lichen planu (EUOLP) - a complicated, isolated form, characterized by a prolonged and often atypical course, carries a high risk of malignancy. The issue of local treatment for EUOLP, despite numerous studies, remains a challenging task for a dentist.

Objective: optimization of local treatment of erosive-ulcerative oral lichen planus.

Materials and methods: clinical and laboratory methods. A visual examination of patient K. was conducted, a survey was carried out, informed consent was obtained, cytological examination, complete blood count, and ELISA were performed.

Results of the study. During observation and treatment, according to our improved algorithm for local treatment of erosiveulcerative lesions of the oral mucosa, positive results were obtained. However, considering that the lesion was unilateral rather than symmetrical, it is suggested that the development of planus might have an allergic genesis, and this patient needs a thorough examination by an allergist.

Conclusion. The development and implementation of improved treatment algorithms for erosive-ulcerative lesions of the oral mucosa remain a relevant issue in practical dentistry. Detailed study of the pathogenetic mechanisms of development will help optimize treatment methods and achieve faster recovery for patients with erosive-ulcerative planus of the oral mucosa, contributing to the mitigation of inflammatory signs, erosion healing, extension of remission periods, and reduction of recurrences.

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