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Saturday, July 3, 2010

Keeping a Clean Mouth

I like to research Oral Lichen Planus in Pubmed. I found a recently published abstract done by researchers in Spain. The idea of the study was to determine if patients were given a program encouraging them to get better plaque control. That means brushing their teeth regularly and flossing.

I can understand why they created this study. The better your plaque control, the healthier condition the gingiva will be. The problem is that most people with oral lichen planus, especially those with involvement of the gingiva, find it challenging to even want to brush their teeth and floss.

I have to admit I am the same way. It's painful! It's inflicting pain on top of pain to brush teeth and floss! If your Oral Lichen Planus involves the gingiva, you probably already know. But, for the benefit of those who don't, gingiva is the flesh closest to the teeth, the gums.


They had 40 patients with gingival lichen planus and introduced them to a motivation-behavioral skills program. I'm guessing this means that they were educated in the necessity, encouraged to brush and floss over and over again until the patients really got involved with following through with taking better care of their mouths. It would be the same idea, I think, of teaching a child in the same behavior. This was done over a period of 4 and 8 weeks.

The result was that the patients had significant improvements in the quality of mouth health. Of course, it was recommended that more studies like this one be done to see if the program would have the same results.

At the Oral Medicine Clinic I go to at the University of San Francisco, I am always encouraged to do the same. Plus, I am to have my teeth cleaned by a Dental Hygienist every four months.

Reference:

J Periodontol
2010 Jun 23
Application of a Motivation-Behavioral Skills Protocol in Gingival Lichenplanus: A Short-Term Study.

López-Jornet P
Camacho-Alonso F.

Department of Oral Medicine
Murcia University Dental School
Murcia, Spain

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The picture is from the Endo Blog

2 comments:

Anonymous said...

The Juy 3rd picture is of my mouth! honestly, my mouth, that a dentist took over a year ago. i am still in pain, with ulcers and swelling and have been to multiple dentists and dermatologists for treatment and no one has been helpful. they seem to think this isnt painful, that bleeding, peeling gums are nothing to worry about, and that a mouth that swells to the point that you cant eat and can barely drink is only a temporary problem. very frusting. i do think it is hormonally related. everything came on for me when i was pregnant with my daughter, and 3 years later is still going strong. i too am exhausted from it, and apparently since that isnt the norm, they just ignore it. A MD even told me to just try not to think about it and maybe it would go away. i end with digestive and reproductive issues when my mouth flares up - this is also considered "abnormal" and ignored by the MDs. I have recently moved states, and am trying a new round of MDs and hope to have better success here.

Elizabeth Munroz said...

I hope you can find an oral medicine specialist, which is a dentist who specializes in diseases of the mouth. If you have a university medical school nearby you might find someone to help.



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