lichen planus in mouth

Lichen Planus in Mouth: Causes, Symptoms, and Treatment

Lichen Planus in Mouth

Lichen planus is a common mouth condition that can cause lesions and sores inside your cheeks, gums, and tongue. While it may seem alarming, lichen planus is usually not a severe condition and can be treated with over-the-counter medications or prescription drugs.

This article will discuss the symptoms of lichen planus in mouth, how it’s diagnosed, and the treatments available. We’ll also provide some excellent tips for preventing the condition from worsening.

Table of Contents

Lichen Planus in the Mouth: What is Lichen Planus?

Lichen planus is a condition that can cause swelling and irritation in the skin, hair, nails and mucous membranes, and can commonly occur in the mouth. While lichen planus can occur anywhere on the body, it is most commonly found inside the cheeks or the tongue.

Lichen planus is not contagious disease.

Symptoms of Lichen Planus in Mouth

Those affected by lichen planus in the mouth may have white or purple lesions, often described as lace-like or raised. The lesions of lichen planus can be itchy or painful, and in some cases, they may bleed.

Lichen planus in the mouth can also cause changes in taste or difficulty swallowing. In severe cases, lichen planus in mouth can lead to oral ulcers.

Causes of Lichen Planus in Mouth

The exact cause of lichen planus in the mouth is still not known. However, doctors have observed that the condition is often associated with autoimmune disorders such as thyroid disease, vitiligo, and alopecia areata.

Additionally, lichen planus in the mouth has been linked to certain medications, including beta-blockers, non-steroidal anti-inflammatory drugs, and certain antibiotics. It’s also believed that stress may play a role in the development of the condition.

Studies have shown that people with lichen planus are more likely to report high levels of stress than those without the condition. Moreover, stress has been shown to worsen the symptoms of lichen planus in the mouth.

Therefore, it’s important for people with this condition to find ways to manage their stress levels. This may include relaxation techniques, meditation, exercise, and counseling.

Diagnosis of Lichen Planus in the Mouth

lichen planus in mouth

Diagnosis is usually based on a clinical exam, but biopsies may also be performed to rule out other conditions. Several different diagnostic tests can identify lichen planus in mouth and can include the following:

  • Oral Swabs use a cotton tip applicator, similar to a q-tip to take a sample for the lab.
  • Mouth Smear is a way to get a sample of the cells using a spatula for testing.
  • Brush Biopsies collect cells from a deeper layer of the tissue in the mouth. The brush used can cause minor discomfort and bleeding.

Lichen Planus in Mouth Treatment

While there is no definitive cure for lichen planus, there are many treatments can help manage the symptoms and prevent flare-ups. 

  1. Topical corticosteroids are often used to treat skin lesions, and oral corticosteroids may be used for more severe cases.
  2. Antihistamines can help to relieve itching, and topical immunomodulators may be used to help prevent new lesions from forming. In some cases, oral retinoids may be prescribed.
  3. For mucous membrane lesions, topical corticosteroids or topical immunomodulators may be used.
  4. In severe cases, systemic therapies such as methotrexate or cyclosporine may be necessary. 

With treatment, most people with lichen planus in the mouth can improve their symptoms and prevent new lesions from forming.

Home Remedies for Lichen Planus in the Mouth

Some home remedies can help to relieve symptoms, although we recommend speaking with your healthcare provider before attempting them.

  1. Drinking plenty of fluids, especially water, can help to keep the mouth moist and reduce discomfort.
  2. Sucking on ice chips or drinking cold beverages can also help to numb the mouth and reduce pain.
  3. Avoiding spicy, acidic, or crunchy foods can help to prevent further irritation.
  4. Gargling with salt water or using a mouthwash designed for sensitive mouths can also help to reduce symptoms.
  5. If mouth ulcers are particularly severe, your doctor may prescribe a topical or oral corticosteroid. However, these should only be used as directed by a healthcare professional. 

By following these tips, you can help to ease the discomfort of lichen planus in the mouth. Additionally, check out our article Your Guide to a Healthy Smile to for more tips on improving your overall oral health.

The better your oral health, the less likely you are to develop conditions of any kind. If you do end up with a condition, like lichen planus in the mouth, having great oral health will help in the healing process.

Possible Complications of Lichen Planus in the Mouth

When lichen planus occurs in the mouth, it often manifests as white or red lesions on the tongue, cheeks, or gums. In some cases, these lesions may cause pain or itching.

In severe cases, lichen planus can lead to eating, drinking, and speaking difficulties. If left untreated, lichen planus can also increase the risk of developing oral cancer. As a result, it’s essential to seek medical treatment if you develop any symptoms of this condition.

Recommendations for Lichen Planus in Mouth

Lichen planus is a common autoimmune disease affecting different body parts, including the mouth. If you are experiencing any symptoms of lichen planus, it’s essential to see your dentist or doctor for diagnosis and treatment.

There are many ways to treat lichen planus and your healthcare provider will be able to recommend the best option for you.

Frequently Asked Questions

How do you get rid of lichen planus in your mouth?

Lichen planus can be a chronic condition meaning there is no cure. Treating lichen planus includes minimizing flare-ups and treating the symptoms. For some, lichen planus appears infrequently and doesn’t interfere with their lifestyle. 

How long does lichen planus last in the mouth?

Symptoms of lichen planus can be different depending on the trigger of the flare-up. Lichen planus flare-ups can last up to a few months or take a few years to fully clear up.

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