NORTH TEXAS PERIODONTICS & IMPLANTOLOGY, PLLC

Diagnostic technology and new surgical techniques have broadened dental horizons, but it is still the caring attitude and concern for our patients that is most important. While there have been significant advancements in periodontal therapy, there is no cure for gum disease. Even after successful, corrective therapy and surgical intervention, your gum disease can recur. For the majority of patients with periodontal disease (~90%), regular periodontal maintenance cleanings have proven to be effective in preventing recurrence of gum disease. This phase is an essential part of treatment. Often, this can be the most important part of your therapy.



OUR MISSION STATEMENT: Our hygiene mission at North Texas Periodontics & Implantology is to propel our patients toward optimum oral & systemic health utilizing the best techniques, technology, and education available to us.



Monday, November 12, 2012

Frequently Asked Questions about Oral Lichen Planus

Q: How do I know if I have oral lichen planus?

A: The diagnosis must be obtained from a qualified heath care professional. Usually a biopsy is advisable to rule out other diseases.


Q: Is oral lichen planus common?

A: Oral lichen planus affects approximately 2% of the population. Although it may occur in all populations, women over 50 years are most commonly affected.



Q: I have oral lichen planus and my mouth hurts each time I brush my teeth. How do I avoid this?

A: Often with oral lichen planus, it is necessary to use mild toothpaste with minimal flavorings and a soft toothbrush



Q: Is oral lichen planus contagious?

A: No. Your partner or family members will not be infected by your lichen planus and you did not catch it from anyone. The disorder occurs when the immune system mounts an attack against cells of the oral tissue. The reasons for this abnormal immune response are still unknown.



Q: Does oral lichen planus go away with treatment?

A: Oral lichen planus is a chronic disease that can be controlled but not eliminated. A goal of therapy is to convert bothersome erosive lichen planus to the asymptomatic lacy (reticular) form. This requires some maintenance to keep the disease under control. Since oral lichen planus is incurable, flare-ups requiring additional therapy can occur.



Q: Can oral lichen planus lead to cancer?

A: This association remains controversial because there are cases of this occurring. Therefore, it is essential to obtain an accurate diagnosis, typically via biopsy. All patients with oral lichen planus should have periodic evaluations to assess the efficacy of therapy and to monitor for suspicious changes.



Erosive Oral Lichen Planus




Other Sources of Information on Oral Lichen Planus







Tuesday, April 3, 2012

Lichen Planus

Lichen Planus


Oral lichen planus is an inflammatory condition that affects mucosal tissue inside your mouth.

Lacy (reticular) form of Oral Lichen Planus


Appearance


  • Lacy, web-like white threads of raised tissue
  • Red, swollen, tender patches

Located
  • Inside of the cheeks, most commonly
  • Gums
  • Tongue
  • Lips
  • Throat

Cause


The cause of lichen planus is not completely understood, but genetics and immunity may be involved.  Some resources believe it an autoimmune disorder, but more research is needed. However, certain diseases, medical conditions or other factors may act as triggers of the inflammatory disorder in some people.

Complicating Factors


  • Allergy-Causing agents such as foods, dental materials, or other substances
  • Nonsteroidal anti-inflammatory drugs, such as ibuprofen and naproxen
  • Certain medications for heart disease, high blood pressure or arthritis
  • Tobacco products
  • Alcohol
  • Rough dental work
  • Poorly fitting dentures
  • Poor oral habits, such as biting the lip or cheeks
  • Build up of dental plaque and tartar
  • Stress

Treatment


Oral lichen planus is a chronic condition that can be difficult to manage. Treatment varies from patient to patient. Most frequently topical ointments, some steroidal, are prescribed to manage symptoms.