Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 2.1 (5-Year IF – 2.0)
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ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

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Advances in Clinical and Experimental Medicine

2016, vol. 25, nr 4, July-August, p. 763–766

doi: 10.17219/acem/59014

Publication type: original article

Language: English

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Relation Between Periodontal Status and Pre-Cancerous Condition (Oral Lichen Planus): A Pilot Study

Narendra Parkash Rai1,A,B,E,F, Prafful Kumar2,C,D,F, Shabil M. Mustafa3,A,B,E,F, Darshan D. Divakar4,C,D,E,F, Abdulaziz Al Kheraif4,C,D,E,F, Ravikumar Ramakrishnaiah4,C,D,E,F,G, Sajith Vellapally4,C,D,E,F, M.h.N. Dalati5,C,D,E,F, Narashimha Reddy Parine6,C,D,E,F, Sukumaran Anil7,C,D,E,F

1 Department of Oral Medicine and Radiology, Lincoln University College, Kuala Lumpur, Malaysia

2 Department of Orthodontics, KVG Dental College & Hospital, Sullia, Karnataka, India

3 Department of Oral Medicine & Radiology, Malabar Dental College and Research Centre, Manoor, Malappuram, Kerala, India

4 Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, Kingdom of Saudi Arabia

5 Consultant Orthodontist and Restorative Dentist, Springs Dental Care, New Road Side, Horsforth, Leeds, UK

6 Genome Research Chair, Department of Biochemistry, College of Science, King Saud University, Riyadh, Kingdom of Saudi Arabia

7 Department of Preventive Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, Kingdom of Saudi Arabia


Background. Oral lichen planus (OLP) is a common chronic mucocutaneous disease mostly seen in middle aged and elderly females. Oral lichen planus can occur in different oral sites such as gingiva, labial, buccal mucosa and on the tongue. And can have an indirect effect on initiating periodontitis.
Objectives. The purpose of the study was to evaluate the periodontal status of OLP patients and compare it with that of healthy controls. The presence of erosive lesions among gingival tissues makes oral hygiene procedures difficult to perform for obvious reasons. Plaque control and rigorous oral hygiene are primary requisites for the treatment of any oro-mucosal disease.
Material and Methods. Thirty patients with the erosive and reticular form of OLP as a study group and 30 healthy subjects as a control group were selected. The periodontal status of all subjects including gingival index (GI), Russell’s periodontal index (PI) and bleeding on probing (BOP) were evaluated in both groups. Finally, the data was analyzed by a paired t-test using SPSS software v. 22.
Results. The mean values of GI, PI and BOP were observed to be higher in the study group compared to the control group, and this was statistically significant (p < 0.05). The results shown are suggestive that periodontal status was poor in the study group as compared to the control group.
Conclusion. Further studies need to investigate periodontal status in oral lichen planus patients with larger sample size, and careful follow-up of these will assure an increase in the quality of life of these patients. The patient should be informed regarding the risk of periodontal problems in OLP and should be advised to have regular dental checkups to avoid a worsening of the conditio.

Key words

gingivitis, oral lichen planus, periodontitis, pre-cancerous condition

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