Lichen planus in the mouth: how to treat

Dentists sometimes diagnose their patients lichen planus in the oral cavity, the patient in this condition complains of painful red nodules that occur in the mouth. Improper diet, poor hygiene, injuries of the oral cavity and various somatic diseases can lead to the defect of the mucous membrane of the oral cavity. Lichen planus in the mouth occurs in 2% of the population, more often it develops in women and the elderly. It happens that red versicolor affects not only the mouth but the genitals, the skin, so the disease can be confused with psoriasis, but these 2 disease have different causes, symptoms and treatment.

Causes of red lichen

For some reason, formed lichen planus of the mucous membrane of the mouth, exactly has not yet been set, there are several theories regarding his appearance:

  • heredity;
  • diseases of the digestive system;
  • injuries of the oral cavity own teeth or dentures;
  • low immunity;
  • constant stress;
  • infectious processes in the upper respiratory tract;
  • hormonal disturbances;
  • allergies;
  • poisoning.

Because the causes of the disease are many, and it is not clear that it can still provoke herpes in your mouth, everyone needs to watch out for any changes in the mouth and promptly seek medical help.


The main symptom is a rash that may appear suddenly in large numbers, and can develop gradually for a long time. Even if the illness recedes, pieces of lichen planus in the mouth persist for a long time, and the possible recurrence for many years.

Rash after a while it becomes similar to the nodules of red or purple, they cause itching of various intensity. Form nodules often irregular, size is about 2 mm, however, over time, the nodules can get bigger, to unite among themselves to form large foci. When there is a period of peeling on the surface of the lesions can be observed tiny flakes. In the oral cavity nodules of red lichen can be whitish and noticeable on the background of the mucosa. If ringworm affects the area of the lips, produces a grayish stripe with uneven ragged edges.

In most cases, the nodules are arranged symmetrically. If a scab appeared on the skin, the more the lesion is localized in the bends of the limbs, underarms, inner thigh. The face, the hairy area of the head, feet and hands are affected very rarely, but the nail plate is often involved in the process.

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Diagnosis of the disease

Define lichen planus of the oral cavity is easy: the channels, ulcers strips, erosion is well visible visually. Many of the formations covered in a patina, the other has a bright red hue. The entities themselves, in most cases, no discomfort is caused, but the erosions and grooves itch and cause pain.

Red lichen:

Plaque. Education is rough and dense. Occur most often on the tongue and on the surfaces of the cheeks from the inside. For a long time, the disease has no symptoms, diagnosis is often accidental when viewed by the dentist.
Erosions and ulcers. This is the classic form of the disease. In the oral cavity is marked inflammation, in which the patient experiences discomfort during a meal. If the nodules are injured, they become ulcers and erosion, the top covered with bloom formation of fibrous origin. When you try to remove the coating the affected area starts to bleed. Erosive-ulcerative form treatment lends itself to hard, most often occur during recurrence, if the disease is prolonged, there is a risk of zlokacestvennoe plaques.
Exudative-hipermidia form. In this case, the symptoms are similar to plaque form, there is swelling and redness of. The patient complains of pain when talking, eating, especially if the food is spicy. Plaque on the tongue can reach 1 cm, and the lip rim covered with vesicles and scales.
Atrophic form. Formed large bubbles of tight structure, the inside can be bloody or carotenodermia, after a while the bubbles disappear, and in their place are formed erosion.
Gipertroficescoy form. Language and the inner side of the cheeks are covered by raised plaques.
Bubble. The bubbles size is 5 mm to cover the whole of the mouth, eventually they burst, and educated in their place of the sores rather quickly heal. This form is characterized by frequent relapses.

The treatment of the disease

After diagnosis and determine the form, denying the need to determine the cause, which could cause disease. Treatment of lichen planus in the oral cavity should start from eliminating the cause. Principles of treatment can be divided into:

  1. The treatment of the disease that caused the appearance of lichen.
  2. Therapy hormonal drugs which combine with other agents,
  3. Vitamin therapy, in which improve the metabolic processes. Great importance is vitamin a, as it promotes rapid division of cells of the mucous membrane, but also significantly lowers inflammation. Necessary vitamin E, when applied can significantly reduce the dosage of hormonal methods.
  4. Antihistamine therapy to reduce itching and burning.
  5. Actovegin is assigned to the oxygen supply of the mucous membrane,
  6. Local treatment with ointments and lotions.
  7. Physiotherapy treatment is usually used when large amounts of plaque.
  8. Popular treatment.
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The red lichen in oral cavity it is necessary to stick to a diet: to enter into the diet more vitamins, avoid hot, spicy and salty foods, not to injure and not to irritate the ulcers and erosion. Under the locked spirits, and spices. Treatment is often prolonged, if the disease has already passed into the chronic form, it further prolongs and complicates treatment.

Traditional methods of treatment

Red shingles in the mouth can be treated with folk ways, but only after the advice of a doctor. You can make lotions and compresses of sea buckthorn oil, oil of St. John’s wort and rose hips. In addition to local therapy, these oils are recommended to take inside during the week. 1 tbsp should drink in the morning on an empty stomach.

The mouth also is recommended rinse decoction of motherwort, chamomile, sage and calendula. Prepare broth: 1 tbsp. l. dry raw material or collection of herbs, pour 200 g of boiling water and boil on low heat for 2 minutes, then let stand a quarter of an hour, strain and rinse your mouth several times a day.

Helps beet juice, you can rinse your mouth and take small portions inside. To prepare calendula ointment, you’ll need 50 g of petroleum jelly and 10 g powder of the plant. The jelly should melt, mix with the powder, cool and adopt locally.

There are means of 6 herbs which should be taken orally. You need to take equal parts of dandelion root, wormwood, calamus root, cloves, yarrow, horsetail, all mix well. 2 tbsp. l. collection pour boiling water (Cup) and infuse for about an hour. Strain and drink 1/4 tsp 2 times a day for 2-3 hours before eating. The course of treatment — 1-3 months.

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From itching good to use the following collection: Melissa, origanum, St. John’s wort and motherwort mix and 1 tbsp collection brew Cup of boiling water. Leave to infuse for an hour, then strain and take 1 tbsp several times a day.


Gadgets you can make infusions succession, oak bark, chamomile, St. John’s wort. You can use each herb separately or prepare a herbal. Infusion for lotions prepared from the rate of 3 tbsp. dry raw material to 0.5 liters of boiling water, to insist hour. Lotions are made 2-3 times a day for 15 minutes.

Summing up

Although the disease from a sick person to a healthy one in any way is not passed, it should be remembered that the oral cavity is the most frequent dislocation of the red lichen, therefore it is necessary to be very attentive to any changes in it. Especially need to be vigilant to those people who are at risk, have the disease and susceptible to factors that can cause disease. The positive aspect is the lack of difficulty in diagnosis, as well as the fact that the red lichen in most of its forms responds well to treatment.