Z. N., 33 years old, Caucasian female. Light calculus case value/ Type II Perio.

The patient has a past medical history of  a LEEP procedure in 2012 and laparoscopy in 2013 to remove suspicious cells. She presented with what looked like an erosive and reticular Lichen Planus on the buccal mucosa adjacent from tooth #19. A keratinized Wickham’s striae is visible through the lesion, as well as a red area indicating loss of the top layer of the mucosa. The erosive Lichen Planus can be quite sensitive and if ever uncomfortable, the patient was recommended to avoid hot, spicy and acidic foods. I also recommended a soft bristle toothbrush and a mild toothpaste. It is an autoimmune disorder that has no real etiology. However, it could have other underlying causes and can be a type of immune response. There is no cure for the lesion and in most cases, does not require any treatment. The patient was informed that if it is ever painful, topical corticosteroids may be prescribed by the doctor. This patient was given a referral form to see her General Dentist for a biopsy of the suspicious lesion.


Erosive and Reticular Lichen Planus