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Published in: Clinical Oral Investigations 12/2019

01-12-2019 | Denture | Original Article

Severity of oral lichen planus and oral lichenoid lesions is associated with anxiety

Authors: Miriane Lucindo Zucoloto, Matheus Eiji Warikoda Shibakura, Jefferson Veronezi Pavanin, Fernanda Teixeira Garcia, Paulo Sérgio da Silva Santos, Aloizio Premoli Maciel, Camila de Barros Gallo, Nathalia Vilela Souza, Lara Maria Alencar Ramos Innocentini, Janaina Silva Martins Humberto, Ana Carolina Fragoso Motta

Published in: Clinical Oral Investigations | Issue 12/2019

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Abstract

Objectives

Oral lichen planus (OLP) and oral lichenoid lesions (OLL) are chronic inflammatory diseases whose symptoms can impair patient’s quality of life (QoL). Psychological factors seem to play an important role in these diseases. This study aimed to determine the impact of oral health and anxiety levels on the QoL of patients with OLP and OLL.

Patients and methods

This was a cross-sectional study composed of OLP and OLL patients and a control group matched by age and sex with no autoimmune/inflammatory or malignant oral lesions. Anxiety levels and oral health impact on QoL were assessed using the Hamilton Anxiety Scale (HAM-A) and the Oral Health Impact Profile-14 (OHIP-14), respectively. The instruments were filled through personal interview before starting the treatment for oral lesions.

Results

A total of 87 patients diagnosed with OLP (n = 45) and OLL (n = 42), and 87 controls were included in the study. Statistical differences were observed for the psychic and somatic anxiety dimensions between severities of diseases. Patients with OLP or OLL had higher scores for the OHIP-14 dimensions physiological discomfort and social limitation compared with controls. In addition, higher scores for physical pain, physical disability, social disability, and handicap were detected among patients with greater severity.

Conclusion

Greater severity of OLP and OLL seems to be associated with increased levels of anxiety, higher scores of oral health impact profile, and decreased QoL.

Clinical relevance

Patients with severe OLP/OLL may benefit from additional therapeutic treatments, such as psychological and/or psychiatric management, concomitant to treatment specific to oral lesions.
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Metadata
Title
Severity of oral lichen planus and oral lichenoid lesions is associated with anxiety
Authors
Miriane Lucindo Zucoloto
Matheus Eiji Warikoda Shibakura
Jefferson Veronezi Pavanin
Fernanda Teixeira Garcia
Paulo Sérgio da Silva Santos
Aloizio Premoli Maciel
Camila de Barros Gallo
Nathalia Vilela Souza
Lara Maria Alencar Ramos Innocentini
Janaina Silva Martins Humberto
Ana Carolina Fragoso Motta
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 12/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-019-02892-2

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