What is oral lichen planus (OLP)?

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What is oral lichen planus (OLP)?​

Oral lichen planus is a inflammatory condition that affects the inside of the mouth. Signs and symptoms include patches of fine white lines and dots most commonly in the inside of the cheeks, gums, and/or tongue.

What is the prevalence of lichen planus in the US?​

Lichen planus affects about 1–2% of the adult population. It usually affects adults older than 45 years, with an average age at diagnosis of 50–60 years, although it may affect younger adults and children.
Which medications are associated with lichen planus?
Chemicals or medications associated with development of lichen planus include gold, antibiotics, arsenic, iodides, chloroquine, quinacrine, quinidine, antimony, phenothiazines, diuretics such as chlorothiazide, and many others. [1]

How do you get rid of lichen planus on your tongue?​

Corticosteroids may reduce inflammation related to oral lichen planus. One of these forms may be recommended: Topical. Mouthwash, ointment or gel is applied directly to the mucous membrane — the preferred method. Oral. Corticosteroids are taken as a pill for a limited amount of time.

What kind of doctor should I See for oral lichen planus?​

Some people with oral lichen planus also develop lichen planus on their skin. Depending on your symptoms, you may be referred to a specialist in skin diseases (dermatologist) or a specialist in gum and dental diseases (periodontist). Bring a copy of all previous consultations and tests you’ve had about this problem.
How common is lichen planus in the US?
About 1 in 5,000 people develop lichen planus. It occurs equally in men and women. Most cases occur in people over the age of 45. However, it can occur at any age.

How do you get rid of lichen planus?​

If the lichen planus is caused by the sun (some cases of lichen planus pigmentosus), a strong sunscreen (sun protection factor [SPF] 50 or higher) should be used daily. For symptomatic lichen planus, topical creams may be effective.

How often should Erosive lichen planus be followed?​

Regardless, patients with erosive lichen planus should be followed every three months for evaluation. Can oral lichen planus be prevented? There is no way to prevent oral lichen planus.

Lichen planus is a chronic, or long-term, disease affecting the skin and mucous membranes, the thin layers of tissue that line body cavities and secrete mucus. When lichen planus appears in the mouth, it is called oral lichen planus. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission.
What does lichen planus look like on the cheek?
For most people, oral lichen planus (reticular type) appears as white patches or web-like threads on the inside of the cheeks. These patches and threads are raised slightly. This type of lichen planus is usually not painful. In some cases, oral lichen planus (erosive type) appears as bright red gum tissue.

How to manage or live with lichen planus?​

How to manage or live with the condition 1 Avoid injuries to your skin. 2 Apply cool compresses instead of scratching. 3 Limit the stress in your life. 4 For oral lichen planus, stop smoking, avoid alcohol, maintain good oral hygiene, and avoid any foods that seem to irritate your mouth.

What are the symptoms of lichen planus on the cheeks?​

The white, lacy patches may not cause discomfort when they appear on the inside of the cheeks. However, symptoms accompanying red, swollen patches and open sores may include: Other types of lichen planus. If you have oral lichen planus, you may have lichen planus lesions affecting other parts of your body.