COLUMN JACQUES – Use of Blue®m in the treatment of oral lichen planus – case report

Vol. 12 – Number 46 – 2021 COLUMN JACQUES Page 44-48 Use of Blue®m in the treatment of oral lichen planus – case report Flavia Sukekava1 Luiz Carlos Carmo Filho2 Julia Helena Luiz3 Jaques Luiz4 Abstract Oral lichen planus (OLP) is an autoimmune disease, one of the most prevalent in the mouth, which mainly affects women, leukoderma, between the third and sixth decades of life. Of unknown etiology, it may present with bilateral/symmetrical lesions, occurring throughout the mouth. The clinical characteristics range from white keratotic lesions to painful erosions and ulcerations, with reticular, atrophic, papular, erosive, bullous, and erythematous forms, depending on the time of evolution and location. Oxygen-releasing products are gaining ground in the dental market with the promise of aid in wound healing. The purpose of this case report was to associate these products in the treatment of a patient with OLP. The leukoderma female patient, 56 years old, sought dental care with a complaint of bleeding gums for years. On clinical examination, spontaneous gingival bleeding was observed in the anterior teeth region, excellent plaque control, and erythematous lesions in the cheek mucosa and anterior gingiva. Basic periodontal treatment and mouthwash with Blue®m was proposed for 2 weeks. In the reassessment, improvement was reported for 2 weeks and return to the bleeding condition. At this moment, an incisional biopsy was performed, and fragments were sent for laboratorial analysis, which found structures characteristic of OLP. The patient was instructed to maintain the standard of oral hygiene, to keep the mouthwash twice a day, associated with Blue®m oral gel over the lesions. After one-year follow-up, the patient continues to have no lesion return, no side effects, with significant improvement in quality of life. Descriptors: Oral lichen planus, oral diagnosis, Periodontics, case report. 1 Esp., Me., Dr.ª and Pós Doutora – FOUSP-SP. 2 Esp., Me. In Implantodontics and Dr. in Oral Rehabilitation – FOPUNICAMP. 3 General Practice, Postgraduate student in Periodontics – ORBIS Curitiba Institute. 4 Me. And Dr. in Implantodontics – SLMandic. DOI: 10.24077/2021;1246-CJ4448