Abstract
Oral lichenoid lesions (OLLs) are clinical and histologic contemporaries of oral lichen planus (OLP). The differentiation between the 2 groups is the association of the former with known inciting factors, and dental amalgam has been the most implicated restorative material in the induction of OLLs. We report a 32-year-old feoderm woman who sought the stomatology service complaining of lesion on her lower lip. On examination painless white plate on the lower lip was observed. The intraoral examination evidenced white plate in the buccal mucosa on the right side, smooth surface, and painless. The clinical diagnoses were common wart on the lower lip and lichen planus in the buccal mucosa. The incisional biopsies were conducted for both, and the histopathologic results showed hyperkeratosis on the lower lip and OLP/OLLs on the buccal mucosa. This case reinforces the importance of the stomatologist in the decision to biopsy more than 1 area to elucidate the diagnosis. Oral lichenoid lesions (OLLs) are clinical and histologic contemporaries of oral lichen planus (OLP). The differentiation between the 2 groups is the association of the former with known inciting factors, and dental amalgam has been the most implicated restorative material in the induction of OLLs. We report a 32-year-old feoderm woman who sought the stomatology service complaining of lesion on her lower lip. On examination painless white plate on the lower lip was observed. The intraoral examination evidenced white plate in the buccal mucosa on the right side, smooth surface, and painless. The clinical diagnoses were common wart on the lower lip and lichen planus in the buccal mucosa. The incisional biopsies were conducted for both, and the histopathologic results showed hyperkeratosis on the lower lip and OLP/OLLs on the buccal mucosa. This case reinforces the importance of the stomatologist in the decision to biopsy more than 1 area to elucidate the diagnosis.
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