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Laser patterned microcoagulation (LPM) in the management of desquamative gingivitis secondary to oral lichen planus: A randomized controlled pilot clinical trial (LPM TRIAL)

Introduction to Laser Patterned Microcoagulation (LPM)

Laser patterned microcoagulation (LPM) is a new treatment option for desquamative gingivitis caused by oral lichen planus (OLP). This clinical trial tested how effective LPM is in reducing symptoms compared to a control treatment.

Study Overview

The study was conducted with 30 patients who had OLP presenting as desquamative gingivitis. Patients were randomly assigned to either the LPM treatment group or a control group receiving a sham treatment along with a topical medication.

Key Findings

LPM significantly reduced both the number and size of gum lesions. Additionally, patients receiving LPM reported greater pain relief compared to those in the control group. Here are some specific results:

  • Pain reduction in the LPM group: 6.4 (lower is better)
  • Pain reduction in the control group: 4.07
  • Oral disease severity score at 3 months: LPM group 1.87 vs. control group 2.47
  • Thongprasom’s score at 6 months: LPM group 0.33 vs. control group 1.33

Safety and Tolerability

LPM was well-tolerated by all patients, with no significant side effects reported. This suggests that LPM is a safe option for managing this condition.

Practical Healthcare Results and Solutions

The findings indicate that LPM can lead to faster healing and less inflammation for patients with OLP. This treatment could be an effective alternative to traditional methods.

Opportunities for Clinics and Patients

Clinics can consider integrating LPM into their treatment options for managing desquamative gingivitis. Setting clear goals for measurable outcomes, such as pain reduction and healing time, can enhance patient care.

AI Tools for Clinical Needs

Clinics can also explore AI solutions tailored to track and analyze treatment outcomes effectively, ensuring optimal management of conditions like OLP.

Next Steps

Starting with a pilot project to implement LPM in practice can provide valuable insights. Tracking results can help demonstrate the real-world impact of this innovative treatment.

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