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Published in: Clinical Oral Investigations 1/2020

01-01-2020 | Lichen Planus | Original Article

Oral health–related quality of life in different clinical forms of oral lichen planus

Authors: Ioanina Parlatescu, Mihaela Tovaru, Carmen Larisa Nicolae, Ruxandra Sfeatcu, Andreea Cristiana Didilescu

Published in: Clinical Oral Investigations | Issue 1/2020

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Abstract

Objectives

The aim of the study was to determine the prevalence of clinical forms in a group of oral lichen planus (OLP) patients and to investigate whether the oral health–related quality of life (OHRQoL) of patients with common clinical OLP forms differs significantly from that of other clinical forms of OLP and healthy patients, respectively.

Methods

OHRQoL was assessed using the Romanian version of the short form of the Oral Health Impact Profile (OHIP-14). OLP patients rated the pain they were currently experiencing on a visual analog scale (VAS). Statistics was performed using parametric and non-parametric tests and multiple linear regression.

Results

Eighty OLP patients and 80 healthy controls were enrolled. The most prevalent OLP clinical form was keratotic form (n = 39, 48.75%, group 1), followed by atrophic (31.25%), erosive-ulcerative (17.5%), and bullous (2.5%) forms, which were included in group 2 (n = 41). The OHRQoL did not differ significantly between group 1 and the other two groups. A negative social impact was reported on psychological discomfort domain for both OLP groups, as compared with healthy controls. VAS scores were significantly associated with OHIP total scores in group 1 (rho = 0.41, n = 39, p = 0.009, Spearman’s correlation coefficient). Within the same group, significantly higher OHIP total scores were recorded in patients lacking academic education (p = 0.0086, Mann-Whitney U test).

Conclusions

Overall, the most common clinical OLP form did not impact significantly the OHRQoL of OLP patients.

Clinical relevance

Psychological therapy and meeting the educational needs might improve the OHRQoL of patients with common clinical forms of OLP.
Literature
1.
go back to reference Wang J, Van der Waal I (2015) Disease scoring systems for oral lichen planus; a critical appraisal. Med Oral Patol Oral Cir Bucal 20(2):e199CrossRef Wang J, Van der Waal I (2015) Disease scoring systems for oral lichen planus; a critical appraisal. Med Oral Patol Oral Cir Bucal 20(2):e199CrossRef
2.
go back to reference Tovaru S, Parlatescu I, Gheorghe C, Tovaru M, Costache M, Sardella A (2013) Oral lichen planus: a retrospective study of 633 patients from Bucharest, Romania. Med Oral Patol Oral Cir Bucal 18(2):e201CrossRef Tovaru S, Parlatescu I, Gheorghe C, Tovaru M, Costache M, Sardella A (2013) Oral lichen planus: a retrospective study of 633 patients from Bucharest, Romania. Med Oral Patol Oral Cir Bucal 18(2):e201CrossRef
3.
go back to reference Cheng Y-SL, Gould A, Kurago Z, Fantasia J, Muller S (2016) Diagnosis of oral lichen planus: a position paper of the American Academy of Oral and Maxillofacial Pathology. Oral Surg Oral Med Oral Pathol Oral Radiol 122(3):332–354CrossRef Cheng Y-SL, Gould A, Kurago Z, Fantasia J, Muller S (2016) Diagnosis of oral lichen planus: a position paper of the American Academy of Oral and Maxillofacial Pathology. Oral Surg Oral Med Oral Pathol Oral Radiol 122(3):332–354CrossRef
4.
go back to reference Karbach J, Al-Nawas B, Moergel M, Daubländer M (2014) Oral health-related quality of life of patients with oral lichen planus, oral leukoplakia, or oral squamous cell carcinoma. J Oral Maxillofac Surg 72(8):1517–1522CrossRef Karbach J, Al-Nawas B, Moergel M, Daubländer M (2014) Oral health-related quality of life of patients with oral lichen planus, oral leukoplakia, or oral squamous cell carcinoma. J Oral Maxillofac Surg 72(8):1517–1522CrossRef
5.
go back to reference Liu L-J, Xiao W, He Q-B, Jiang W-W (2012) Generic and oral quality of life is affected by oral mucosal diseases. BMC Oral Health 12(1):2CrossRef Liu L-J, Xiao W, He Q-B, Jiang W-W (2012) Generic and oral quality of life is affected by oral mucosal diseases. BMC Oral Health 12(1):2CrossRef
6.
go back to reference Hegarty A, McGrath C, Hodgson T, Porter S (2002) Patient-centred outcome measures in oral medicine: are they valid and reliable? Int J Oral Maxillofac Surg 31(6):670–674CrossRef Hegarty A, McGrath C, Hodgson T, Porter S (2002) Patient-centred outcome measures in oral medicine: are they valid and reliable? Int J Oral Maxillofac Surg 31(6):670–674CrossRef
7.
go back to reference Group W (1995) The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 41(10):1403–1409CrossRef Group W (1995) The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 41(10):1403–1409CrossRef
8.
go back to reference López-Jornet P, Camacho-Alonso F (2010) Quality of life in patients with oral lichen planus. J Eval Clin Pract 16(1):111–113CrossRef López-Jornet P, Camacho-Alonso F (2010) Quality of life in patients with oral lichen planus. J Eval Clin Pract 16(1):111–113CrossRef
9.
go back to reference Ni Riordain R, Hodgson T, Porter S, Fedele S (2016) Validity and reliability of the Chronic Oral Mucosal Diseases Questionnaire in a UK population. J Oral Pathol Med 45(8):613–616CrossRef Ni Riordain R, Hodgson T, Porter S, Fedele S (2016) Validity and reliability of the Chronic Oral Mucosal Diseases Questionnaire in a UK population. J Oral Pathol Med 45(8):613–616CrossRef
10.
go back to reference Van der Meij E, Van der Waal I (2003) Lack of clinicopathologic correlation in the diagnosis of oral lichen planus based on the presently available diagnostic criteria and suggestions for modifications. J Oral Pathol Med 32(9):507–512CrossRef Van der Meij E, Van der Waal I (2003) Lack of clinicopathologic correlation in the diagnosis of oral lichen planus based on the presently available diagnostic criteria and suggestions for modifications. J Oral Pathol Med 32(9):507–512CrossRef
11.
go back to reference Slusanschi O, Moraru R, Garneata U, Mircescu G, Cuculescu M, Preoteasa E (2013) Validation of a Romanian version of the short form of the oral health impact profile (OHIP-14) for use in an urban adult population. Oral Health Prev Dent 11(3):235–242 Slusanschi O, Moraru R, Garneata U, Mircescu G, Cuculescu M, Preoteasa E (2013) Validation of a Romanian version of the short form of the oral health impact profile (OHIP-14) for use in an urban adult population. Oral Health Prev Dent 11(3):235–242
12.
go back to reference Hettiarachchi PVKS, Hettiarachchi RM, Jayasinghe RD, Sitheeque M (2017) Comparison of topical tacrolimus and clobetasol in the management of symptomatic oral lichen planus: a double-blinded, randomized clinical trial in Sri Lanka. J Investig Clin Dent 8(4):e12237CrossRef Hettiarachchi PVKS, Hettiarachchi RM, Jayasinghe RD, Sitheeque M (2017) Comparison of topical tacrolimus and clobetasol in the management of symptomatic oral lichen planus: a double-blinded, randomized clinical trial in Sri Lanka. J Investig Clin Dent 8(4):e12237CrossRef
13.
go back to reference Carbone M, Arduino PG, Carrozzo M, Gandolfo S, Argiolas M, Bertolusso G, Conrotto D, Pentenero M, Broccoletti R (2009) Course of oral lichen planus: a retrospective study of 808 northern Italian patients. Oral Dis 15(3):235–243CrossRef Carbone M, Arduino PG, Carrozzo M, Gandolfo S, Argiolas M, Bertolusso G, Conrotto D, Pentenero M, Broccoletti R (2009) Course of oral lichen planus: a retrospective study of 808 northern Italian patients. Oral Dis 15(3):235–243CrossRef
14.
go back to reference Pippi R, Romeo U, Santoro M, Del Vecchio A, Scully C, Petti S (2016) Psychological disorders and oral lichen planus: matched case–control study and literature review. Oral Dis 22(3):226–234CrossRef Pippi R, Romeo U, Santoro M, Del Vecchio A, Scully C, Petti S (2016) Psychological disorders and oral lichen planus: matched case–control study and literature review. Oral Dis 22(3):226–234CrossRef
15.
go back to reference Peker K, Köse TE, Güray B, Uysal Ö, Erdem TL (2017) Reliability and validity of the Turkish version of the rapid estimate of adult literacy in dentistry (TREALD-30). Acta Odontol Scand 75(3):198–207CrossRef Peker K, Köse TE, Güray B, Uysal Ö, Erdem TL (2017) Reliability and validity of the Turkish version of the rapid estimate of adult literacy in dentistry (TREALD-30). Acta Odontol Scand 75(3):198–207CrossRef
16.
go back to reference Burgette J, Lee J, Baker A, Vann W Jr (2016) Is dental utilization associated with oral health literacy? J Dent Res 95(2):160–166CrossRef Burgette J, Lee J, Baker A, Vann W Jr (2016) Is dental utilization associated with oral health literacy? J Dent Res 95(2):160–166CrossRef
17.
go back to reference Kaplan I, Ventura-Sharabi Y, Gal G, Calderon S, Anavi Y (2012) The dynamics of oral lichen planus: a retrospective clinicopathological study. Head Neck Pathol 6(2):178–183CrossRef Kaplan I, Ventura-Sharabi Y, Gal G, Calderon S, Anavi Y (2012) The dynamics of oral lichen planus: a retrospective clinicopathological study. Head Neck Pathol 6(2):178–183CrossRef
18.
go back to reference Wiriyakijja P, Fedele S, Porter SR, Mercadante V, Ni Riordain R (2018) Patient-reported outcome measures in oral lichen planus: a comprehensive review of the literature with focus on psychometric properties and interpretability. J Oral Pathol Med 47(3):228–239CrossRef Wiriyakijja P, Fedele S, Porter SR, Mercadante V, Ni Riordain R (2018) Patient-reported outcome measures in oral lichen planus: a comprehensive review of the literature with focus on psychometric properties and interpretability. J Oral Pathol Med 47(3):228–239CrossRef
19.
go back to reference Zuo W, Li X, Chen Y, Peng H (2012) Oral health-related quality of life in patients with oral lichen planus. West Chin J Stomatol 30(1):40–44 Zuo W, Li X, Chen Y, Peng H (2012) Oral health-related quality of life in patients with oral lichen planus. West Chin J Stomatol 30(1):40–44
20.
go back to reference Schmalz G, Meisel A, Kollmar O, Kauffels A, Slotta JE, Kottmann T, Haak R, Ziebolz D (2017) Oral health-related quality of life depending on dental and periodontal health in different patients before and after liver transplantation. Clin Oral Investig 22(5):2039–2045CrossRef Schmalz G, Meisel A, Kollmar O, Kauffels A, Slotta JE, Kottmann T, Haak R, Ziebolz D (2017) Oral health-related quality of life depending on dental and periodontal health in different patients before and after liver transplantation. Clin Oral Investig 22(5):2039–2045CrossRef
21.
go back to reference María-del-Carmen Villanueva-Vilchis P, López-Ríos I-MG (2016) Impact of oral mucosa lesions on the quality of life related to oral health. An etiopathogenic study. Med Oral Patol Oral Cir Bucal 21(2):e178CrossRef María-del-Carmen Villanueva-Vilchis P, López-Ríos I-MG (2016) Impact of oral mucosa lesions on the quality of life related to oral health. An etiopathogenic study. Med Oral Patol Oral Cir Bucal 21(2):e178CrossRef
22.
go back to reference Llewellyn CD, Warnakulasuriya S (2003) The impact of stomatological disease on oral health-related quality of life. Eur J Oral Sci 111(4):297–304CrossRef Llewellyn CD, Warnakulasuriya S (2003) The impact of stomatological disease on oral health-related quality of life. Eur J Oral Sci 111(4):297–304CrossRef
23.
go back to reference Levin L, Zini A, Levine J, Weiss M, Lev RA, Hai A, Chebath-Taub D, Almoznino G (2018) Dental anxiety and oral health-related quality of life in aggressive periodontitis patients. Clin Oral Investig 22(3):1411–1422CrossRef Levin L, Zini A, Levine J, Weiss M, Lev RA, Hai A, Chebath-Taub D, Almoznino G (2018) Dental anxiety and oral health-related quality of life in aggressive periodontitis patients. Clin Oral Investig 22(3):1411–1422CrossRef
24.
go back to reference Sansare K, Kapoor R, Karjodkar F (2018) Validity of chronic oral mucosal diseases questionnaire in oral submucous fibrosis. Clin Oral Investig 23(2):873–877CrossRef Sansare K, Kapoor R, Karjodkar F (2018) Validity of chronic oral mucosal diseases questionnaire in oral submucous fibrosis. Clin Oral Investig 23(2):873–877CrossRef
25.
go back to reference Aksoy B, Hapa FA (2018) Do we really not need to treat patients with white reticular lesions of oral lichen planus?: a case-control pilot study. Turkderm 52(1):24–28CrossRef Aksoy B, Hapa FA (2018) Do we really not need to treat patients with white reticular lesions of oral lichen planus?: a case-control pilot study. Turkderm 52(1):24–28CrossRef
26.
go back to reference Silva CAB, Grando LJ, Fabro SML, de Mello ALSF (2015) Oral health related to quality of life in patients with stomatological diseases. Stomatologija 17(2):48–53PubMed Silva CAB, Grando LJ, Fabro SML, de Mello ALSF (2015) Oral health related to quality of life in patients with stomatological diseases. Stomatologija 17(2):48–53PubMed
27.
go back to reference Valter K, Boras VV, Buljan D, Juras DV, Sušić M, Pandurić DG, Verzak Z (2013) The influence of psychological state on oral lichen planus. Acta Clin Croat 52(2):145PubMed Valter K, Boras VV, Buljan D, Juras DV, Sušić M, Pandurić DG, Verzak Z (2013) The influence of psychological state on oral lichen planus. Acta Clin Croat 52(2):145PubMed
28.
go back to reference Suter VG, Negoias S, Friedrich H, Landis BN, Caversaccio M-D, Bornstein MM (2017) Gustatory function and taste perception in patients with oral lichen planus and tongue involvement. Clin Oral Investig 21(3):957–964CrossRef Suter VG, Negoias S, Friedrich H, Landis BN, Caversaccio M-D, Bornstein MM (2017) Gustatory function and taste perception in patients with oral lichen planus and tongue involvement. Clin Oral Investig 21(3):957–964CrossRef
29.
go back to reference Lundqvist E, Wahlin Y-B, Bergdahl M, Bergdahl J (2006) Psychological health in patients with genital and oral erosive lichen planus. J Eur Acad Dermatol Venereol 20(6):661–666CrossRef Lundqvist E, Wahlin Y-B, Bergdahl M, Bergdahl J (2006) Psychological health in patients with genital and oral erosive lichen planus. J Eur Acad Dermatol Venereol 20(6):661–666CrossRef
30.
go back to reference Adamo D, Cascone M, Celentano A, Ruoppo E, Leuci S, Aria M, Mignogna MD (2017) Psychological profiles in patients with symptomatic reticular forms of oral lichen planus: a prospective cohort study. J Oral Pathol Med 46(9):810–816CrossRef Adamo D, Cascone M, Celentano A, Ruoppo E, Leuci S, Aria M, Mignogna MD (2017) Psychological profiles in patients with symptomatic reticular forms of oral lichen planus: a prospective cohort study. J Oral Pathol Med 46(9):810–816CrossRef
31.
go back to reference Adamo D, Mignogna MD, Pecoraro G, Aria M, Fortuna G (2018) Management of reticular oral lichen planus patients with burning mouth syndrome-like oral symptoms: a pilot study. J Dermatol Treat:1–7 Adamo D, Mignogna MD, Pecoraro G, Aria M, Fortuna G (2018) Management of reticular oral lichen planus patients with burning mouth syndrome-like oral symptoms: a pilot study. J Dermatol Treat:1–7
Metadata
Title
Oral health–related quality of life in different clinical forms of oral lichen planus
Authors
Ioanina Parlatescu
Mihaela Tovaru
Carmen Larisa Nicolae
Ruxandra Sfeatcu
Andreea Cristiana Didilescu
Publication date
01-01-2020
Publisher
Springer Berlin Heidelberg
Keyword
Lichen Planus
Published in
Clinical Oral Investigations / Issue 1/2020
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-019-02951-8

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