Oral lichen planus

Photodynamic and LLLT for oral lichen planus meta-analysis

Hoseinpour Jajarm H, Asadi R, Bardideh E, et al. Photodiagnosis and Photodynamic Therapy. 2018.

Source

A review found LLLT may be a corticosteroid alternative for symptomatic oral lichen planus, while photodynamic therapy evidence was inconclusive.

Evidence grade

low

Effect direction

positive

Panel relevance

not-panel-replicable

Key findings

  • Before-after LLLT studies showed pain and sign-score improvement after treatment.
  • Comparisons with corticosteroid therapy showed no pain-score difference between methods.
  • Photodynamic therapy evidence for lesion-size improvement was inconclusive.

Protocol details

WavelengthsNot reported nm
IrradianceNot reported mW/cm2
FluenceNot reported J/cm2
Session timeNot reported minutes
FrequencyOral medicine protocol-specific
DurationVaried by trial
Treatment areaOral mucosal lesions
Device typeLow-level laser therapy and photodynamic therapy

Caveats

  • Oral lichen planus requires dental/oral medicine diagnosis.
  • Photodynamic therapy and LLLT should not be merged into simple red panel claims.