ORTHODONTIC MANAGEMENT CHALLENGES IN PATIENTS WITH ORAL LICHEN PLANUS (OLP) OR MUCOUS MEMBRANE PEMPHIGOID (MMP)
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Keywords
Oral lichen planus, Mucous membrane pemphigoid, Orthodontic complications, Autoimmune oral lesions, Treatment interruption, Clear aligners, Mucosal management
Abstract
The study aimed to identify and compare the issues of orthodontic management of the patients with Oral Lichen Planus (OLP) and Mucous Membrane Pemphigoid (MMP) regarding the possibility of treatment, complications and tolerability by the patient.
Methods: The study sample was based on 69 patients with orthodontic treatment which was performed at Frontier Medical and Dental College, Abbottabad, and completed between the months of January to December 2023. OLP (39) and MMP (30) were included. The collected raw data of the clinical information was based on the basis of an examination and the history of operations done to patients, and in particular on the type of lesions, the appliance selected and breaks in treatment or variances of them. A comparative analysis was conducted on the basis of chi-square and p-value of less than 0.05 in consideration to statistical significance.
Results: MMP patients experienced more erosive and bullous lesions, which led to discomfort and mucosal trauma during orthodontic therapy. Although fixed appliances were overwhelmingly applied, more MMP patients needed aligners or rather modification of the therapies. There was a statistically significant prevalence of a difference in the rate of treatment interruption (p = 0.037) that were higher in the MMP group. Topical corticosteroids and oral rinses were popular among both groups in order to get rid of flare-ups.
Conclusion: Orthodontic care in patients with OLP and MMP requires a cautious, personalized approach. MMP patients, in particular, are more prone to treatment disruptions and may benefit from alternative appliance systems and frequent follow-up. Collaboration between orthodontists and oral medicine specialists is essential to ensure safe and effective care.
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Munawar Manzoor Ali
Associate Professor, Department of Orthodontics, Azra Naheed Dental College, Superior University, Lahore, Pakistan.
Gulsana Hashmi
Assistant Professor, Department of Orthodontics, Azra Naheed Dental College, Superior University, Lahore, Pakistan.
Taimur Khan
Associate Professor, Department of Orthodontics, Frontier Medical and Dental College, Abbottabad, Pakistan.
Zubair Ahmed
Associate Professor, Department of Orthodontics, CIMS Dental College, Multan, Pakistan
Junaid Dayar
Assistant Professor, Department of Orthodontics, Institute of Dentistry, CMH Lahore Medical College, Lahore, Pakistan.
Asma Rafi Chaudhry
Associate Professor, Department of Orthodontics, Institute of Dentistry, CMH Lahore Medical College, Lahore, Pakistan.