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Clinical Management Protocol for Dental Implants Inserted in Patients with Active Lichen Planus
Moustafa Nabil Aboushelib1, Mohammed Hamdy Elsafi2
1Dental Biomaterials Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Summary
Dental implant success in patients with active lichen planus is achievable with a new protocol. This treatment combines oral corticosteroids and soft tissue laser therapy to manage the condition before implant placement, leading to long-term implant function.
Area of Science:
- Oral surgery and implantology
- Immunodermatology
- Biomaterials science
Background:
- Active lichen planus (LP) presents a significant challenge for dental implant success due to inflammatory processes.
- Previous implant attempts in LP patients have shown high failure rates.
- Understanding the immunological and histological changes in LP is crucial for developing effective management strategies.
Purpose of the Study:
- To propose and evaluate a novel treatment protocol for managing dental implant candidates with active oral lichen planus.
- To assess the efficacy of combined corticosteroid and laser therapy in improving the oral environment for implant osseointegration.
Main Methods:
- Twenty-three patients with active LP received dental implants.
- A treatment protocol involving oral corticosteroids and low-energy soft tissue laser irradiation was implemented.
- Implant survival rates, marginal bone levels, and immunological markers (CD4/CD8 counts) were monitored.
Main Results:
- Initial implant failure (42 out of 55) was observed.
- Post-treatment, CD8 cell counts decreased, and inflammatory infiltration resolved.
- All 42 subsequently placed implants demonstrated successful osseointegration and remained functional for 3 years.
Conclusions:
- A treatment protocol combining oral corticosteroids and soft tissue laser irradiation is effective for managing active lichen planus in implant candidates.
- This approach significantly improves the success rate of dental implants in patients with this condition.
- Pre-implant management of active LP is essential for achieving long-term dental implant stability.
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