Implant-retained overdenture for a patient with severe lichen planus: A case report with 3 years’ follow-up and a systematic review

Publication date: Available online 7 August 2018

Source: Journal of Oral and Maxillofacial Surgery

Author(s): Li Fu, Yan Liu, Jing Zhou, Yanmin Zhou

Abstract

Purpose

To describe a new case of implant-retained overdenture in a patient with severe oral lichen planus (OLP) and to perform a literature review to evaluate the effectiveness and safety of implant rehabilitation in OLP patients.

Materials and Methods

A patient with erosive OLP was restored with implant-retained overdenture using the Locator attachment system. A literature search was performed in the PubMed/Medline, Embase and Cochrane databases for articles published between 1990 and 2018 using the key terms "oral lichen planus" and "implant".

Results

The present case revealed favorable restorative results and excellent implant osseointegration with acceptable marginal bone resorption during the follow-up of 3 years. The literature search identified 13 publications, including 9 single case reports or case series and 4 small-scale controlled studies. A total of 86 OLP patients and 259 dental implants were analyzed. The survival rate of implants was 95.8% during a follow-up period ranging from 1 to 13 years.

Conclusions

Dental implant seems to be an acceptable and reliable treatment option in patients with OLP. Nevertheless, clinical information on this topic is still scarce, and more well-designed randomized studies are needed to define the benefits and risks of implant rehabilitation in OLP patients.

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