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Dental Implants in Patients with Gingival Oral Lichen Planus
J Oral Med Pain 2019;44:77-82
Published online September 30, 2019;  https://doi.org/10.14476/jomp.2019.44.3.77
© 2019 Korean Academy of Orofacial Pain and Oral Medicine

YoungJoo Shim1,2

1Department of Oral Medicine, School of Dentistry, Wonkwang University Daejeon Dental Hospital, Daejeon, Korea
2Wonkwang Dental Research Institute, Wonkwang University, Iksan, Korea
Correspondence to: YoungJoo Shim
Department of Oral Medicine, School of Dentistry, Wonkwang University Daejeon Dental Hospital, 77 Dunsan-ro, Seo-gu, Daejeon 35233, Korea
Tel: +82-42-366-1128 Fax: +82-42-366-1115 E-mail: gc21@wku.ac.kr https://orcid.org/0000-0001-7514-5974

This paper was supported by Wonkwang University in 2018.
Received August 20, 2019; Revised September 10, 2019; Accepted September 11, 2019.
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords : Dental implants; Gingiva; Oral lichen planus


September 2019, 44 (3)
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