PREPARATION OF PATIENTS WITH ORAL LICHEN PLANUS FOR PROSTHODONTIC TREATMENT

Timur Mirsaev; Sergey Zholudev; Marina Marenkova; Viktoria Torshina; Olga Schneider

doi:10.18481/2077-7566-2026-22-3-249-257

VAK Russia 3.1.7 UDC 616.31

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PREPARATION OF PATIENTS WITH ORAL LICHEN PLANUS FOR PROSTHODONTIC TREATMENT

Published in Actual problems in dentistry · Volume 22, Issue 3, 2026 · Pages 249–257 · Rubric: ORTHOPEDIC AND DIGITAL DENTISTRY. ORIGINAL RESEARCH PAPERS

DOI: https://doi.org/10.18481/2077-7566-2026-22-3-249-257

Received: 01.09.2026 Accepted: 23.09.2026 Published: 23.09.2026 Language of publication: RUS

Authors

Timur Mirsaev

Sergey Zholudev

Marina Marenkova

Viktoria Torshina

et al.

Olga Schneider

Timur Mirsaev

Academic degree: candidate of medical sciences

Ural State Medical University Assistant Department · Department of orthopaedic dentistry and General practice dentistry · Ekaterinburg

Sergey Zholudev

Academic degree: doctor of medical sciences

Science rang: professor

Ural State Medical University Dean of the faculty, head of the Department · Department of orthopaedic dentistry and General practice dentistry · Ekaterinburg

Marina Marenkova

Academic degree: candidate of medical sciences

Science rang: professor

Ural State Medical Academy Assistant of the department · Department of Orthopedic Dentistry and General Dentistry · Russian Federation · Yekaterinburg

Viktoria Torshina

Ural State Medical University Assistant of the Department · Department of Orthopedic Dentistry and General Practice Dentistry · Russian Federation · Ekaterinburg

Olga Schneider

Academic degree: candidate of medical sciences

Ural State Medical University Docent of Department · Department of Surgical Dentistry, Otorhinolaryngology and Facial Surgery · Ekaterinburg

ABSTRACT

Oral lichen planus (OLP) accounts for an average of 11% of all diseases of the oral mucosa. The management of OLP, particularly of its erosive-ulcerative form, remains one of the important and not yet fully resolved problems in clinical dentistry. Since the disease typically affects patients over 40 years of age, predominantly women, it is often accompanied by partial or complete tooth loss. Achieving stable remission through comprehensive therapy is the essential prerequisite for prosthetic rehabilitation of patients with OLP presenting with defects of the hard dental tissues and dentition. During remission, the prosthodontist’s task is to provide rational prosthetic treatment using inert, biocompatible restorative materials. Aim. To identify a clinically effective comprehensive method of preparing patients with OLP for prosthodontic treatment, particularly those with the erosive-ulcerative form and partial or complete tooth loss. Material and methods. Dental examination, OLP treatment, and complete oral cavity sanation were performed in 56 patients aged 26 to 88 years with OLP and partial or complete tooth loss, referred to the Ural State Medical University for assessment of the feasibility of rational prosthetic treatment. Women accounted for 78.6% (n = 44) and men for 21.4% (n = 12). Two comprehensive OLP treatment regimens were compared during preprosthetic preparation: conventional comprehensive therapy including oral glucocortic oids, and a modified regimen including hydroxychloroquine, levocetirizine, and topical mometasone furoate lotion (Elocom). Conclusion. The results of clinical and laboratory investigations, together with the assessment of quality of life using the OHIP-14 questionnaire at different stages of followup, allow us to recommend modifying the conventional treatment of OLP by adding hydroxychloroquine, levocetirizine, and topical mometasone furoate lotion. This should be followed by rational prosthetic treatment during remission using metal-free and monomerfree restorative materials.

KEYWORDS

oral lichen planus, oral mucosa, prosthodontic treatment, removable dentures, hydroxychloroquine, quality of life, OHIP-14

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GOST

Mirsaev T. D., Zholudev S. E., Marenkova M. l., Torshina V. A., Schneider O. L. PREPARATION OF PATIENTS WITH ORAL LICHEN PLANUS FOR PROSTHODONTIC TREATMENT // Actual problems in dentistry. 2026. no. 3. pp. 249-257. DOI: https://doi.org/10.18481/2077-7566-2026-22-3-249-257. (Date of access 22.10.2026).

MLA

Timur Mirsaev, Zholudev S. E., Marenkova M. l., Torshina V. A., Schneider O. L.. "PREPARATION OF PATIENTS WITH ORAL LICHEN PLANUS FOR PROSTHODONTIC TREATMENT." Actual problems in dentistry 22.3 (2026): 249-257. DOI: https://doi.org/10.18481/2077-7566-2026-22-3-249-257.

APA

Mirsaev T. D., Zholudev S. E., Marenkova M. l., Torshina V. A., Schneider O. L. (2026). PREPARATION OF PATIENTS WITH ORAL LICHEN PLANUS FOR PROSTHODONTIC TREATMENT. Actual problems in dentistry, 22(3), 249-257. https://doi.org/10.18481/2077-7566-2026-22-3-249-257

Chicago

Timur Mirsaev, Zholudev S. E., Marenkova M. l., Torshina V. A., Schneider O. L.. "PREPARATION OF PATIENTS WITH ORAL LICHEN PLANUS FOR PROSTHODONTIC TREATMENT." Actual problems in dentistry 22, no. 3 (2026): 249-257. https://doi.org/10.18481/2077-7566-2026-22-3-249-257.

WIKI

{{cite journal | author = Mirsaev T. D., Zholudev S. E., Marenkova M. l., Torshina V. A., Schneider O. L. | title = PREPARATION OF PATIENTS WITH ORAL LICHEN PLANUS FOR PROSTHODONTIC TREATMENT | journal = Actual problems in dentistry | year = 2026 | volume = 22 | issue = 3 | pages = 249-257 | doi = 10.18481/2077-7566-2026-22-3-249-257 }}

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