Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Dental Implants in Patients with Gingival Oral Lichen Planus

  • Shim, YoungJoo (Department of Oral Medicine, School of Dentistry, Wonkwang University Daejeon Dental Hospital)
  • Received : 2019.08.20
  • Accepted : 2019.09.11
  • Published : 2019.09.30
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Abstract

Purpose: With the popularity of implant therapy, clinicians need to know about treating the dental implant in patients with gingival involvement of oral lichen planus (OLP). The aim of this study is to evaluate the survival and success rates of dental implant and propose of clinical guidelines for implant treatment in OLP patient with gingival involvement. Methods: A literature search was performed in PubMed/Medline, and Cochrane database. Papers in English language published between 1990 and 2019 were evaluated. The focused questions were following; 1) Dose gingival OLP affect the survival and success rates of dental implants? 2) The management of OLP patients with gingival involvement receiving dental implant. Results: There was no study about the evaluation of dental implant only in gingival OLP patient. Five studies evaluating dental implants in OLP patients were included in this review. Implant survival rate was 100.0% in well-controlled OLP patients in all included studies. The use of topical/systemic corticosteroid in OLP patients was performed before and/or after implant placement in all included studies. Conclusions: The implant survival and success rates in well-controlled OLP patients did not different from that of non-OLP healthy subjects. The gingival OLP is associated with higher rate of peri-implant mucositis. Adequate management of gingival OLP lesions before and after implant insertion is required to reduce inflammation and associated bone loss.

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References

  1. Lo Russo L, Fedele S, Guiglia R, et al. Diagnostic pathways and clinical significance of desquamative gingivitis. J Periodontol 2008;79:4-24. https://doi.org/10.1902/jop.2008.070231
  2. Sugerman PB, Barber MT. Patient selection for endosseous dental implants: oral and systemic considerations. Int J Oral Maxillofac Implants 2002;17:191-201.
  3. Fu L, Liu Y, Zhou J, Zhou Y. Implant-retained overdenture for a patient with severe lichen planus: a case report with 3 years' follow-up and a systematic review. J Oral Maxillofac Surg 2019;77:59-69. https://doi.org/10.1016/j.joms.2018.07.031
  4. Reichart PA. Oral lichen planus and dental implants. Report of 3 cases. Int J Oral Maxillofac Surg 2006;35:237-240. https://doi.org/10.1016/j.ijom.2005.08.011
  5. Esposito SJ, Camisa C, Morgan M. Implant retained overdentures for two patients with severe lichen planus: a clinical report. J Prosthet Dent 2003;89:6-10. https://doi.org/10.1067/mpr.2003.14
  6. Lopez-Jornet P, Camacho-Alonso F, Sanchez-Siles M. Dental implants in patients with oral lichen planus: a cross-sectional study. Clin Implant Dent Relat Res 2014;16:107-115. https://doi.org/10.1111/j.1708-8208.2012.00455.x
  7. Aboushelib MN, Elsafi MH. Clinical management protocol for dental implants inserted in patients with active lichen planus. J Prosthodont 2017;26:29-33. https://doi.org/10.1111/jopr.12379
  8. Czerninski R, Eliezer M, Wilensky A, Soskolne A. Oral lichen planus and dental implants--a retrospective study. Clin Implant Dent Relat Res 2013;15:234-242. https://doi.org/10.1111/j.1708-8208.2011.00347.x
  9. Hernandez G, Lopez-Pintor RM, Arriba L, Torres J, de Vicente JC. Implant treatment in patients with oral lichen planus: a prospective-controlled study. Clin Oral Implants Res 2012;23:726-732. https://doi.org/10.1111/j.1600-0501.2011.02192.x
  10. Khamis AK, Aboushelib MN, Helal MH. Clinical management protocol for dental implants inserted in patients with active lichen planus. Part II 4-year follow-up. J Prosthodont 2019;28:519-525. https://doi.org/10.1111/jopr.12993
  11. Sugerman PB, Savage NW, Walsh LJ, et al. The pathogenesis of oral lichen planus. Crit Rev Oral Biol Med 2002;13:350-365. https://doi.org/10.1177/154411130201300405
  12. Sciubba JJ. Autoimmune oral mucosal diseases: clinical, etiologic, diagnostic, and treatment considerations. Dent Clin North Am 2011;55:89-103. https://doi.org/10.1016/j.cden.2010.08.008
  13. Scully C, Carrozzo M. Oral mucosal disease: Lichen planus. Br J Oral Maxillofac Surg 2008;46:15-21. https://doi.org/10.1016/j.bjoms.2007.07.199
  14. Camacho-Alonso F, Lopez-Jornet P, Bermejo-Fenoll A. Gingival involvement of oral lichen planus. J Periodontol 2007;78:640-644. https://doi.org/10.1902/jop.2007.060303
  15. Mignogna MD, Lo Russo L, Fedele S. Gingival involvement of oral lichen planus in a series of 700 patients. J Clin Periodontol 2005;32:1029-1033. https://doi.org/10.1111/j.1600-051X.2004.00761.x
  16. Azizi A, Rezaee M. Comparison of periodontal status in gingival oral lichen planus patients and healthy subjects. Dermatol Res Pract 2012. doi: 10.1155/2012/561232. [Epub ahead of print]
  17. Ramon-Fluixa C, Bagan-Sebastian J, Milian-Masanet M, Scully C. Periodontal status in patients with oral lichen planus: a study of 90 cases. Oral Dis 1999;5:303-306. https://doi.org/10.1111/j.1601-0825.1999.tb00094.x
  18. Lo Russo L, Guiglia R, Pizzo G, et al. Effect of desquamative gingivitis on periodontal status: a pilot study. Oral Dis 2010;16:102-107. https://doi.org/10.1111/j.1601-0825.2009.01617.x
  19. Lo Russo L, Gallo C, Pellegrino G, et al. Periodontal clinical and microbiological data in desquamative gingivitis patients. Clin Oral Investig 2014;18:917-925. https://doi.org/10.1007/s00784-013-1038-8
  20. Adler L, Buhlin K, Jansson L. Survival and complications: A 9- to 15-year retrospective follow-up of dental implant therapy. J Oral Rehabil 2019. doi: 10.1111/joor.12866. [Epub ahead of print]
  21. Esposito M, Hirsch JM, Lekholm U, Thomsen P. Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Eur J Oral Sci 1998;106: 721-764. https://doi.org/10.1046/j.0909-8836..t01-6-.x
  22. Roos-Jansaker AM, Lindahl C, Renvert H, Renvert S. Nine- to fourteen-year follow-up of implant treatment. Part II: presence of peri-implant lesions. J Clin Periodontol 2006;33:290-295. https://doi.org/10.1111/j.1600-051X.2006.00906.x
  23. Lang NP, Loe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol 1972;43:623-627. https://doi.org/10.1902/jop.1972.43.10.623
  24. Miyasato M, Crigger M, Egelberg J. Gingival condition in areas of minimal and appreciable width of keratinized gingiva. J Clin Periodontol 1977;4:200-209. https://doi.org/10.1111/j.1600-051X.1977.tb02273.x
  25. Lin GH, Chan HL, Wang HL. The significance of keratinized mucosa on implant health: a systematic review. J Periodontol 2013;84:1755-1767. https://doi.org/10.1902/jop.2013.120688
  26. Lindhe J, Echeverria J. Consensus report of session II. In: Lang NP, Karring T, eds. Proceedings on the 1st European workshop on periodontology. Berlin: Quintessence; 1994. pp. 210-214.
  27. Grischke J, Karch A, Wenzlaff A, Foitzik MM, Stiesch M, Eberhard J. Keratinized mucosa width is associated with severity of peri-implant mucositis. A cross-sectional study. Clin Oral Implants Res 2019;30:457-465. https://doi.org/10.1111/clr.412_13509
  28. Salgado DS, Jeremias F, Capela MV, Onofre MA, Massucato EM, Orrico SR. Plaque control improves the painful symptoms of oral lichen planus gingival lesions. A short-term study. J Oral Pathol Med 2013;42:728-732. https://doi.org/10.1111/jop.12093
  29. Guiglia R, Di Liberto C, Pizzo G, et al. A combined treatment regimen for desquamative gingivitis in patients with oral lichen planus. J Oral Pathol Med 2007;36:110-116. https://doi.org/10.1111/j.1600-0714.2007.00478.x
  30. Lopez-Jornet P, Camacho-Alonso F. Application of a motivationbehavioral skills protocol in gingival lichen planus: a short-term study. J Periodontol 2010;81:1449-1454. https://doi.org/10.1902/jop.2010.100245