Treatment of gingival lichen with free palatal grafts.

Abstract

BACKGROUND:

Recalcitrant gingival erythematous lichen planus/lichenoid lesions comprise a considerable therapeutic problem. The objective of this study was to evaluate the therapeutic effect of grafting keratinized oral palatal mucosa to the sites of gingival lichen.

METHODS:

In 12 patients 20 grafts were transplanted to buccal gingival lesions. Mean age of the patients was 59.8 +/- 7.1 years (range 46-71 years). The mean observation time was 32 +/- 32.7 months (range 5-97 months).

RESULTS:

On a 4-point clinical grade scale (0-3), 12 (60%) transplants showed complete healing grade 3, six (30%) grade 2 and two (10%) grade 1.

CONCLUSIONS:

Using oral mucosal grafts from the palatal mucosa for the treatment of recalcitrant erythematous gingival lichen planus/lichenoid lesions seems to be a promising treatment modality.

• Authors: Tony Axéll, Birgitte Moesgaard Henriksen
• Journal: Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology (J Oral Pathol Med) Vol. 36 Issue 2 Pg. 105-9 (Feb 2007) ISSN: 0904-2512 [Print] Denmark
• PMID: 17238973 (Publication Type: Journal Article)

Topics

• Aged
• Female
• Gingival Diseases (surgery)
• Humans
• Lichen Planus, Oral (surgery)
• Male
• Middle Aged
• Oral Surgical Procedures (methods)
• Palate, Hard (transplantation)