June 2021

Volume 38, Issue 2

The effect of plaque control in the treatment of Oral Lichen Planus with gingival manifestations: a Systematic Review

Authors: Fatemah Albaghli Yuqiao Zhou Chih-Chung Hsu Luigi Nibali
doi: 10.1922/CDH_00202Albaghli07

Abstract

Background: Oral lichen planus (OLP) is a chronic autoimmune disease that frequently affects the oral mucosa. Patients with OLP tend to present with plaque accumulation which may further exacerbate the lichenoid lesion, thus plaque control may improve the quality of life of patients. The aim of this review was to test the effect of plaque control on OLP with gingival manifestations. Methods: Systematic review following the PRISMA checklist. A search was conducted through Medline, Embase and the Cochrane Library Database up to March 2020 and complemented by a manual search in some relevant journals. Randomised Controlled Trials (RCTs) reporting plaque interventions and their effects in populations with gingival manifestations of OLP, with a follow-up period of at least 3 months were included. Risk of Bias was assessed using the Cochrane Collaboration Tool in Randomised Trials. Results: The initial search generated 89 sources, resulting in final inclusion of three RCTs following full-text reading. The control groups were asked to continue their regular oral hygiene routine, while test groups received additional tailored oral hygiene advice as the intervention. Two of the included papers had sufficiently similar design to be included in meta-analysis. The oral hygiene intervention was associated with improvements in clinical disease status (Escudier index) and patient-reported outcomes (OHIP-14) from baseline compared with the control group. Differences in visual analogue scores for pain between groups were not statistically different between test and control groups. Two studies were judged to have low risk of bias, while one (not included in meta-analysis) had high risk of bias. Conclusion: Improvements in disease and patient-reported outcomes can occur as a result of oral hygiene instruction in patients with gingival manifestations of OLP. Keywords: Oral lichen planus, gingival involvement, plaque control.

Download

Other articles in this issue

Article Pages Access
Dental Public Health in Action: Investing to prevent: Description of an innovative approach to commissioning a supervised toothbrushing programme across multiple local authorities in England 66-70 Download
Psycho-social impact of malocclusion in adolescents in Kosovo 71-75 Download
Promoting oral health among 6-year old children: The impact of social environment and feeding behavior. 76-82 Download
Associations between oral health and general health: a surveywide association study of the NHANES 83-88 Download
Barriers and enablers to skill-mix in the oral health workforce: A systematic review 89-99 Download
Parents’ experiences of participating in health-promoting activities at a family centre for preschool children in Sweden 100-104 Download
Oral health knowledge and practices in the Kaski District of Nepal 105-111 Download
The effect of plaque control in the treatment of Oral Lichen Planus with gingival manifestations: a Systematic Review 112-118 Download
Dental anxiety, child-oral health related quality of life and self esteem in children and adolescents: a systematic review and meta-analysis 119-126 Download
Obituary Gill Bradnock 1944 – 2020 127-127 Download
Obituary Michael Lennon 1943 – 2021 128-128 Download
Racism and oral health inequities; an introduction [Special issue of Community Dental Health, to be disseminated at the ‘Racism and oral health inequities’ International Association for Dental Research symposium, July 2021, Boston, USA] 131-131 Download
Making science and doing justice: The need to reframe research on racial inequities in oral health [Special issue of Community Dental Health, to be disseminated at the ‘Racism and oral health inequities’ International Association for Dental Resea 132-137 Download
Effects of Racism on Oral Health in the United States [Special issue of Community Dental Health, to be disseminated at the ‘Racism and oral health inequities’ International Association for Dental Research symposium, July 2021, Boston, USA] 138-141 Download
A Critical Analysis of Underrepresentation of Racialised Minorities in the UK Dental Workforce [Special issue of Community Dental Health, to be disseminated at the ‘Racism and oral health inequities’ International Association for Dental Research 142-149 Download
Racism and oral health inequities among Indigenous Australians [Special issue of Community Dental Health, to be disseminated at the ‘Racism and oral health inequities’ International Association for Dental Research symposium, July 2021, Boston, US 150-155 Download

Subscribe

Online (Single user only)
£150
Institution Online (IP address validation)
£250

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.