In contrast to cutaneous lichen planus, lesions in the mouth may persist for many years, and tend to be difficult to treat, with relapses being common. Reassurance that the condition is benign, elimination of precipitating factors and improving oral hygiene are considered initial management for symptomatic Oral Lichen Planus (OLP). Further treatment involves topical corticosteroids (such as betamethasone, clobetasol, dexamethasone, and triamcinolone) and analgesics. If these are ineffective and the condition is severe, systemic corticosteroids may be used. Calcineurin inhibitors (such as pimecrolimus, tacrolimus or cyclosporin) and retinoids (such as tretinoin) are also sometimes used. You are advised to consult your Dermatologist for more information in this regard.
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