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Article: Volume 45 Number 3 Page 227 - March 2018

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  Dent Update 2018; 45: 227-234

Paediatric Dentistry /Oral Medicine:  Lichen Planus in Children

CPD:  CPD  0:24   (closed)      Self assess

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Abstract: Lichen Planus (LP) is a chronic, inflammatory disease of the skin and mucous membranes. It is more frequently seen in the middle-aged and elderly population but can be present in children, although this is relatively rare. This paper describes the presentation and management of lichen planus in children, illustrated by seven cases seen within the Paediatric Dentistry Unit. Dentists should be aware of the condition and understand when referral to a specialist centre is required and the need for multidisciplinary management of complex cases.

Clinical relevance: Although oral lichen planus is rare in children, it is important that dentists are able to identify its clinical presentation and abnormal changes to the oral mucosa, as well as being aware of possible local and systemic causes of the condition so that reassurance and correct management pathways can be implemented in primary care practice.

Author notes: Mona Agel, BDS, MJDF RCS(Eng), MDPH, Specialty Dentist in Paediatric Dentistry, Charles Clifford Dental Hospital, Mamdouh Al-Chihabi, BDS, MFDS, MClinDent, Specialty Trainee in Paediatric Dentistry, Charles Clifford Dental Services, Halla Zaitoun, BDS, MFDS, MDentSci, FRCS(Paed), Consultant in Paediatric Dentistry, Charles Clifford Dental Services, Martin H Thornhill, MBBS, BDS, PhD, MSc, FDS RCS(Edin), FDS RCSI, FDS RCS(Eng), Professor of Translational Research in Dentistry, School of Clinical Dentistry, University of Sheffield and Anne M Hegarty, MSc(OM), MBBS, MFD RCSI, FDS(OM) RCS, Consultant in Oral Medicine, Charles Clifford Dental Services, Sheffield, UK.

Objective: To understand the various clinical presentations, aetiology and modes of management of oral lichen planus in the paediatric patient. Enhanced CPD DO C