A Retrospective Study:103 Cases Of Oral Lichen Planus

Objective:To investigate the clinical characteristics of oral lichen planus in a group of 103 patients, recording age, gender, disease location, clinical classification in data. To analysis the risk factors including eating acidic foods, insomnia, mood swings, smoking, drinking. Remove incentives to prevent recurrent disease. Methods:A group of 103 patients with a diagnosis of OLP was retrospectively reviewed in First Hospital of Shanxi Medical University, Second Hospital of Shanxi Medical University, Shanxi Provincial People’s Hospital and Hospital of stomatology, Shanxi Medical University. Patients filtered by inclusion criteria. In the study, the diagnostic criteria of OLP based on the third national oral health epidemiological survey plan which was formulated by The National Committee for Oral Health. The clinical manifestations and pathological findings can diagnose OLP. The data of selected patients were recorded the following information: name, gender, age, acidic food habits, smoking, drinking, mood swings, insomnia, localization, chief complaint, clinical type, with skin lesions. Using retrospective study to analysis the clinical data. Results:Of the 103 patients, 33 were females and 70 were males. The male to female ratio was 1:2.1.The patient age range was 13-85 years with a mean age of 53.7 years. OLP patient peak age was 50-59 years. 85 cases like eating acidic foods.43 of 103(41.7%) OLP patients appeared the symptoms of insomnia. 49 cases of the OLP patients with anxiety and depression disorders accounting for 47.6%. 85 of 103 OLP patients did not smoke. 78 of 103 OLP patients did not drink. Females took and consumed alcohol in significantly smaller proportion than men. The most frequent chief complaint in patients was no symptoms(43 cases). followed by Oral soreness(41 patients),mucosal roughness(6 patients), xerostomia(21 patients), taste alteration(1 patients) and gingival bleeding(10 patients). Nearly half of the patients(43; 41.7% of the patients) reported no symptoms. Reticular type of OLP was most common(50; 48.5%) followed by erosive(37;35.9%), plaque-like(9;8.7%)atrophic(5;4.9%) and papular type(1;1.0%).The most affected oral site was buccal mucosa, followed by tongue, gingiva, vestibular and lip. 103 patients in five cases have oral mucosa and skin lesions, accounting for 4.9%. Conclusion:OLP is chronic mucosal disease mainly affecting middle-aged women. OLP was no significant correlation with smoking and drinking.OLP mostly affects buccal mucosa but all oral regions can be affected. Reticular type of OLP was most common type. Nearly half of the cases are symptom-free. A small number of OLP patients have skin lesions. In this study, it can show the OLP clinical characteristics. Doctor should pay attention to OLP related risk factors, to remove incentives and prevent disease recurrent.