Oral lichen planus
- White or grey streaks in a linear or lacy pattern particularly on the buccal mucosa and side of the tongue. Usually bilateral.
- Soreness or a roughness in the mouth.
- Usually occurs in adults over 40.
- Trigger factors include drugs, contact sensitivity to dental amalgam, trauma and viral infections.
- Dental check to deal with any local physical trauma from teeth or dentures.
- Discontinue aggravating medication.
- Topical steroid such as betamethasone tablet.
- Systemic steroids and/or azathioprine occasionally for painful or erosive oral LP.
- Monitor progress monthly.
Buccal occlusion line
- Trauma from repeated biting of the buccal mucosa.
- Raised, linear lesion on the buccal mucosa along the 'bite' line.
- Dental advice to deal with any possible causes of trauma.
- Biopsy if the diagnosis is in doubt.