If you’ve noticed sores or white ulcerations in your mouth, it’s possible you have a non-contagious disease known as Lichen Planus. Many patients do not even realize they have it because it may cause no noticeable symptoms. Many times, you may not even be aware you have the condition unless pointed out during a dental exam. Although usually benign, it’s still a good idea to have it examined and monitored.
The lesions of Lichen Planus are similar in appearance to lichen, the algae and fungi organism often found on rocks and trees. It’s believed to be an autoimmune disease, in which the body treats some of its own cells as foreign and reacts adversely to them. Certain medications and substances may also cause a lichenoid reaction. Besides the inner cheeks, gums or tongue, Lichen Planus may also appear on other skin or mucous surfaces on the wrists, legs or fingernails.
Inside the mouth it usually resembles a lacy pattern of white lines or ulceration. Gum tissues may become red and inflamed, with some soreness after brushing or eating. Sometimes it has ulcerations that come along with it. Although there’s no known cure for Lichen Planus, it rarely causes serious problems. It may even fade away on its own in time. Chances are if you have a case of Lichen Planus it isn’t causing you any problems. If it does cause you discomfort, you can take steps to ease your symptoms.
If the lesions do become uncomfortable (painful, itchy or overly-sensitive), we recommend brushing with a soft toothbrush, flossing with soft woven floss (to avoid irritating or traumatizing the tissues). Effective plaque control is important to keep the condition under control. It may also be smart to avoid acidic or spicy foods and beverages which have been known to cause flare-ups. Managing stress is also helpful, and a topical steroid may be prescribed for more severe outbreaks.
Perhaps the greatest concern with Lichen Planus, though, is it may resemble more serious conditions, particularly oral cancer. The only way to be certain that it is a benign condition is to perform a biopsy on some of the affected tissue. If you notice a problem, be sure to visit us for a complete examination. And regardless of whether you have the condition or not, regular oral cancer screenings, as well as limits on alcohol consumption and stopping use of tobacco, will also reduce your risk of oral cancer.
If you would like more information on Lichen Planus and similar oral conditions, please contact us or schedule an appointment for a consultation.