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Evaluation of Clinically Effective Doses of Triamcinolone Acetonide for Intralesional Injection in Oral Lichen Planus

Journal of Oral Medicine and Pain 2019³â 44±Ç 1È£ p.1 ~ 10
¹Ú¼öÇö, ÀÌÇØ¿Á, ÁÖÇý¹Î, ÀÌÁö¿¬, ÀüÇý¹Ì, ¿Á¼ö¹Î, ¾È¿ë¿ì, Á¤¼ºÈñ,
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¹Ú¼öÇö ( Park Su-Hyeon ) - Pusan National University School of Dentistry Department of Oral Medicine
ÀÌÇØ¿Á ( Lee Hae-Ohk ) - Pusan National University School of Dentistry Department of Oral Medicine
ÁÖÇý¹Î ( Ju Hye-Min ) - Pusan National University School of Dentistry Department of Oral Medicine
ÀÌÁö¿¬ ( Lee Ji-Yeon ) - Pusan National University School of Dentistry Department of Oral Medicine
ÀüÇý¹Ì ( Jeon Hye-Mi ) - Pusan National University Hospital Department of Oral Medicine
¿Á¼ö¹Î ( Ok Soo-Min ) - Pusan National University School of Dentistry Department of Oral Medicine
¾È¿ë¿ì ( Ahn Yong-Woo ) - Pusan National University School of Dentistry Department of Oral Medicine
Á¤¼ºÈñ ( Jeong Sung-Hee ) - Pusan National University School of Dentistry Department of Oral Medicine

Abstract


Purpose: The aim of this study was to evaluate the optimal doses of intralesional triamcinolone acetonide (TA) in the treatment of oral lichen planus (OLP).

Methods: A randomized clinical trial was performed. Sixty-two lesions of OLP were received 12 mg (group A) or 20 mg (group B) of TA intralesionally weekly for 2 weeks. Subjective symptoms, lesion size, favorable conversion of clinical subtypes, and clinical response were evaluated at weeks 0, 1, 2, and 4.

Results: After two consecutive injections of TA, group B showed significant reduction in burning sensation and reticular area (p<0.01). Favorable conversion and complete response were greater in group B. Mild oral candidiasis was developed in group B (10.7%).

Conclusions: A 20-mg injection of TA was much more effective compared with 12-mg injection of TA in the treatment of OLP.

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Intralesional injections; Oral lichen planus; Triamcinolone acetonide

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