Mehdi Vatankhah
1, • Mohammad Taghi Chitsazi
2, Masoumeh Mehdipour
3, li Taghavi Zenouz
3*, Rasoul Estakhri
41 Instructor, Department of Oral Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
2 Associate Professor, Department of Periodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
3 Assistant Professor, Department of Oral Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
4 Associate Professor, Department of Pathology, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract
Recalcitrant gingival erythematous lichen planus lesions comprise a considerable therapeutic problem. This case of chronic
desquamative gingivitis in a 25-year-old woman with erosive oral lichen planus was treated with topical and systemic corticosteroid
administration, followed by placement of a free gingival graft on right upper quadrant. Although recurrence of the
lesions was observed following both treatment modalities, free gingival graft despite being an aggressive therapy, proved
more effective and with fewer side effects compared with topical or systemic steroid therapy, and seems to be a promising
treatment modality with the benefit of more stable results, among others.