Eficacia del láser vs corticoides en el tratamiento del Liquen Plano Oral Una revisión sistemática

Abstract

Introduction: Oral Lichen Planus is an autoimmune disease that manifests with reticular or atrophic-erosive forms, either on the tongue, gums and mucous membranes. Various treatments have been implemented, such as corticosteroids, retinoids, etc., the first being the most widely used. There is the possibility of recurrence in the lesion and symptoms. Therefore, laser therapy is proposed as an effective alternative. Objective: Establish the efficacy of low-power laser in the treatment of oral lichen planus, compared to the use of corticosteroids. Methodology: Systematic review type study; A search was made for articles on randomized clinical trials evaluating the efficacy of laser vs. corticosteroids in oral lichen planus. Results: Eight studies used diode lasers, four Gallium-Aluminum lasers, three CO2 lasers, one Er:YAG laser, one Nd:YAG laser; In addition, the most commonly used corticosteroid was Dexamethasone 0.5 mg in four items, triamcinolone acetonide 0.1% in three, clobetasol propionate 0.05% in three, and other corticosteroids, cortisone and kenakort A-orabase. In this sense, the most effective laser in reducing the size of lesions is the diode laser and the Er:YAG laser, which is more effective in healing; the most used and effective corticosteroid in reducing pain was dexamethasone. At follow-up, the shortest time was three months and the longest was eight years. In two articles, taste alteration was evidenced by the use of corticosteroids and pain in the first and second sessions of PDT. Conclusion: It was evidenced that laser therapy can be implemented in the treatment of OLP due to its reduction of signs, symptoms, the absence of recurrence of lesions and few side effects. Also, simultaneous use of corticosteroids can be used to obtain better results.