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Oral Lichen Planus and Lichenoid Lesions
Ladan Mokhlesi1,2, Emma Hayes1,2
1Ladan Mokhlesi BDS, MSc, PgCert Specialty Dentist, Department of Oral Medicine, King's College Hospital, London, UK.
Primary Dental Journal
|August 25, 2025
Summary
Oral lichen planus (OLP) is a chronic inflammatory condition seen in dental care. Differentiating OLP from oral lichenoid lesions is crucial for appropriate patient management and specialist referral.
Area of Science:
- Oral medicine
- Dermatology
- Immunology
Background:
- Oral lichen planus (OLP) is a chronic immune-mediated inflammatory condition.
- It presents with characteristic clinical and histological features.
- Symptoms range from asymptomatic to painful inflammation.
Purpose of the Study:
- To outline the management and treatment of OLP in primary dental care.
- To highlight the differentiation between OLP and oral lichenoid lesions (OLLs).
- To identify patients requiring specialist referral.
Main Methods:
- Review of clinical and histological presentations of OLP and OLLs.
- Discussion of diagnostic criteria.
- Analysis of primary care management strategies.
Main Results:
- OLP and OLLs share similar clinical and histopathological appearances.
- OLLs are linked to extrinsic factors or systemic conditions.
- Effective primary care management requires accurate recognition and referral.
Conclusions:
- Distinguishing OLP from OLLs is essential for appropriate dental management.
- Primary care dentists play a key role in identifying and managing these conditions.
- Timely referral to specialists ensures optimal patient outcomes.
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