USE OF BIOACTIVE DENTAL MATERIALS IN TREATMENT OF ORAL LICHEN PLANUS
Main Article Content
Keywords
Oral lichen planus, bioactive dental materials, platelet-rich fibrin, aloe vera, corticosteroids, mucosal healing.
Abstract
: Oral lichen planus (OLP) is a noninfectious inflammatory disease of the oral mucosa of unknown aetiology. Drugs conventionally used in corticosteroid treatment provide temporary relief, but they mostly lead to recurrence and severity. The benefits of bioactive dental materials include their regenerative and immunomodulatory properties, resulting in improved outcomes.
Objective: This study aimed to determine the clinical effectiveness of bioactive dental materials in treating oral lichen planus compared to conventional steroid-based therapy.
Material and Methods: This is a randomised clinical study conducted at Department of Oral Medicine, Ayub Medical Institute Abbottabad, Pakistan in the duration from November, 2024 to April, 2025. Sixty cases of proven OLP were categorised into two groups: Group A was a group where PRF and aloe vera gel were injected, and Group B was the clobetasol propionate. The six-week assessment was based on Thongprasom scores, VAS, and OHIP-14 to measure outcomes.
Result: Group A experienced significantly more improvement in lesion resolution, pain reduction and quality-of-life improvement as compared to Group B (p < 0.001), with no adverse effects reported.
Conclusion: Bioactive dental materials proved to have the best therapeutic values and are capable substitutes for the standard treatment of OLP.
References
2- Didona D, Caposiena Caro RD, Sequeira Santos AM, Solimani F, Hertl M. Therapeutic strategies for oral lichen planus: State of the art and new insights. Frontiers in medicine. 2022 Oct 4;9:997190.
3- Yudaev PA, Chistyakov EM. Progress in dental materials: Application of natural ingredients. Russ. Chem. Rev. 2024 Jan 1;93(5108):10-59761.
4- Azizi B, Katebi K, Azizi H, Sarmadi MH. Comparison of autologous platelet concentrates and topical steroids on oral lichen planus: a systematic review and meta-analysis. BMC Oral Health. 2024 Jun 8;24(1):674.
5- Sriram S, Hasan S, Alqarni A, Alam T, Kaleem SM, Aziz S, Durrani HK, Ajmal M, Dawasaz AA, Saeed S. Efficacy of platelet-rich plasma therapy in oral lichen planus: a systematic review. Medicina. 2023 Apr 11;59(4):746.
6- Saglam E, Ozsagir ZB, Unver T, Alinca SB, Toprak A, Tunali M. Efficacy of injectable platelet-rich fibrin in the erosive oral lichen planus: a split-mouth, randomized, controlled clinical trial. Journal of Applied Oral Science. 2021 Oct 4;29:e20210180.
7- Aravind T, Janardhanan M, Suresh R, Savithri V, Mohan M. Histopathologic evaluation of oral lichen planus and oral lichenoid reaction: a comparative analysis based on basement membrane thickness and the distribution of mast cells. Journal of Oral and Maxillofacial Pathology. 2021 Sep 1;25(3):549-50.
8- Rogulj AA, Z. Alajbeg I, Brailo V, Škrinjar I, Žužul I, Vučićević-Boras V, Alajbeg I. Topical NAVS naphthalan for the treatment of oral lichen planus and recurrent aphthous stomatitis: A double blind, randomized, parallel group study. Plos one. 2021 Apr 8;16(4):e0249862.
9- Vaidya AU, Khorate MM, Chinam N, Figueiredo N. Efficacy of aloe vera and clobetasol propionate in the management of oral lichen planus: A randomized parallel clinical trial. Frontiers in dentistry. 2023 Mar 15;20:4.
10- Ojha M, Rao DP, Balaji S. Application of Low-Level Laser Therapy on Oral Lichen Planus-A. J Dent. 2023;10(2):15-9.
11- Khan A, Rakaraddi M, Paraye S, Sarwade D, Thool S, Thakare A. Treatment Strategies of Oral Lichen Planus. Journal of Interdisciplinary Dental Sciences. 2023 Jul;12(2):16-22.
12- Shokri Z, Seyedmajidi M, Pouramir M, Bijani A, Ahmadian R, Motallebnejad M. Evaluation of interleukin-6 levels in saliva of patients with oral lichen planus. Caspian Journal of Dental Research. 2022 Aug 17;11(2):98-105.
13- Shalby R, El Telbany D, Hassan S. Efficacy and safety of platelet lysate mucoadhesive gel in the treatment of patients suffering from an erosive form of oral lichen planus: a randomized placebo-controlled clinical trial. Egyptian Dental Journal. 2022 Oct 1;68(4):3261-72.
14- Huang W, Huang X, Yang L, Han W, Zhu Z, Wang Y, Chen R. Network Pharmacology and Molecular Docking Analysis Exploring the Mechanism of Tripterygium wilfordii in the Treatment of Oral Lichen Planus. Medicina. 2023 Aug 10;59(8):1448.
15- Dalir Abdolahinia E, Hajisadeghi S, Moayedi Banan Z, Dadgar E, Delaramifar A, Izadian S, Sharifi S, Maleki Dizaj S. Potential applications of medicinal herbs and phytochemicals in oral and dental health: Status quo and future perspectives. Oral Diseases. 2023 Oct;29(7):2468-82.
16- Saengprasittichok N, Sucharitakul J, Matangkasombut O, Prapinjumrune C. Effect of fluocinolone acetonide (0.1%) treatment in oral lichen planus patients on salivary lactoferrin levels and Candida colonization: a prospective study. BMC Oral health. 2022 Mar 4;22(1):58.
17- Dinesan AS, Ravindran R. Evaluation of Salivary 8-Isoprostane in Oral Lichen Planus: Case Control Study. Journal of Orofacial Sciences. 2020 Jul 1;12(2):113-8.
18- Anwar MA, Sayed GA, Hal DM, Hafeez MS, Shatat AA, Salman A, Eisa NM, Ramadan A, El-Shiekh RA, Hatem S, Aly SH. Herbal remedies for oral and dental health: a comprehensive review of their multifaceted mechanisms including antimicrobial, anti-inflammatory, and antioxidant pathways. Inflammopharmacology . 2025 Mar;33(3):1085-160.
19- Sharma S, Kamarthi N, Goel S, Malik S, Gupta S, Sharma A. Comparative evaluation of autologous platelet rich plasma and triamcinolone acetonide injection in the management of erosive lichen planus and oral submucous fibrosis: a clinical study. Int J Basic Clin Pharmacol. 2023 May;12(3):439-5.