What is the mainstay of medical treatment for oral lichen planus (OLP)?

Updated: Mar 29, 2018
  • Author: Jaisri R Thoppay, DDS, MBA, MS; Chief Editor: Jeff Burgess, DDS, MSD  more...
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Answer

Topical corticosteroids are the mainstay of medical treatment of oral lichen planus (OLP), although rarely, corticosteroids may be administered intralesionally for a focal lesion or systemically for diffuse recalcitrant lesions. Some topical corticosteroid therapies may predispose the patient to oral pseudomembranous candidosis. However, this condition is rarely if ever symptomatic, and it generally does not complicate healing of the erosions related to oral lichen planus. Topical antimycotics (eg, nystatin, amphotericin) may be prescribed when an infection is present


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