TY - JOUR
T1 - Xerostomia and salivary gland hypofunction in patients with oral lichen planus before and after treatment with topical corticosteroids
AU - Al-Janaby, Hala
AU - El-Sakka, Haytham
AU - Masood, Manal
AU - Mendis, Walimuni Ashani W.
AU - Slack-Smith, Linda M.
AU - Parsons, Richard
AU - Frydrych, Agnieszka M.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Background: Oral lichen planus and mouth dryness are common pathoses, yet not entirely understood. These two conditions may be associated, with a few studies investigating the relationship between mouth dryness and oral lichen planus providing conflicting results. None of the studies have explored the specific impact of disease treatment on mouth dryness. Objective: The purpose of this observational before and after comparison study was to examine the effect of treatment of oral lichen planus with topical corticosteroids on mouth dryness. Methods: Nineteen subjects with oral lichen planus were evaluated for the severity of xerostomia using a xerostomia inventory and a visual analogue scale. Stimulated and unstimulated whole salivary flow rates, unstimulated salivary pH and buffering capacity were also measured. All subjects were evaluated before and after treatment with topical corticosteroids. Results: All subjects reported xerostomia before treatment with topical corticosteroids, with 79% reporting a significant improvement (P = 0.03) after treatment. Topical corticosteroid treatment was not associated with statistically significant differences in stimulated or unstimulated salivary flow rates, unstimulated salivary pH or buffering capacity. Conclusion: The results of this study suggest that treatment of oral lichen planus with topical corticosteroids may decrease the severity of dry mouth symptoms.
AB - Background: Oral lichen planus and mouth dryness are common pathoses, yet not entirely understood. These two conditions may be associated, with a few studies investigating the relationship between mouth dryness and oral lichen planus providing conflicting results. None of the studies have explored the specific impact of disease treatment on mouth dryness. Objective: The purpose of this observational before and after comparison study was to examine the effect of treatment of oral lichen planus with topical corticosteroids on mouth dryness. Methods: Nineteen subjects with oral lichen planus were evaluated for the severity of xerostomia using a xerostomia inventory and a visual analogue scale. Stimulated and unstimulated whole salivary flow rates, unstimulated salivary pH and buffering capacity were also measured. All subjects were evaluated before and after treatment with topical corticosteroids. Results: All subjects reported xerostomia before treatment with topical corticosteroids, with 79% reporting a significant improvement (P = 0.03) after treatment. Topical corticosteroid treatment was not associated with statistically significant differences in stimulated or unstimulated salivary flow rates, unstimulated salivary pH or buffering capacity. Conclusion: The results of this study suggest that treatment of oral lichen planus with topical corticosteroids may decrease the severity of dry mouth symptoms.
KW - Dry mouth
KW - Oral lichen planus
KW - Salivary gland hypofunction
KW - Topical corticosteroids
KW - Xerostomia
UR - http://www.scopus.com/inward/record.url?scp=85018584681&partnerID=8YFLogxK
U2 - 10.2174/1874210601711010155
DO - 10.2174/1874210601711010155
M3 - Article
C2 - 28567139
AN - SCOPUS:85018584681
SN - 1874-2106
VL - 11
SP - 155
EP - 163
JO - The Open Dentistry Journal
JF - The Open Dentistry Journal
ER -