DOI:

10.37988/1811-153X_2022_4_56

The effectiveness of a three-stage routing scheme for patients with lichen planus of the oral mucosa

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Authors

  • V.V. Shkarin 1, PhD in Medical Sciences, associate professor and head of the Public health and health care Department
    ORCID: 0000-0002-4009-9733
  • Yu.A. Makedonova 1, 2, PhD in Medical Sciences, associate professor of the Dentistry Department; senior researcher of the Habilitation and rehabilitation Laboratory
    ORCID: 0000-0002-5546-8570
  • S.V. Dyachenko 1, assistant at the Dentistry Department
    ORCID: 0000-0002-5526-8130
  • L.M. Gavrikova 1, PhD in Medical sciences, associate professor of the Dentistry Department
    ORCID: 0000-0001-7063-2132
  • D.A. Belonozhkina 1, 5th year student at the Dental Faculty
    ORCID: 0000-0001-9611-179X
  • I. Yavuz 3, Ed.D., professor, lecturer of the Faculty of Medicine
    ORCID: 0000-0001-6953-747X
  • 1 Volgograd State Medical University, 400131, Volgograd, Russia
  • 2 Volgograd Medical Research Center, 400131, Volgograd, Russia
  • 3 Dicle University, 21280, Diyarbakir, Turkey

Abstract

The problem of effective routing of patients with lichen planus of the oral mucosa remains relevant. The goal is to supplement and systematize the routing scheme of patients with this pathology and evaluate its effectiveness. >. The study involved 32 patients who applied to dental medical organizations (StMO) of level I, 36 patients observed in StMO of level II, 46 patients from StMO of level III who were randomized into 3 groups: Group I — patients who applied to StMO of level I and to whom generally accepted methods of patient management were applied; Group II — monitoring of patients was carried out in StMO level II with the use of conventional treatment, group III — patients from StMO level III, to whom their own original management methodology was applied. >. On the 3rd day of therapy, the severity of pain syndrome (1.43 points) was significantly lower in group III both in relation to the indicators before treatment (2.84 points) and relative to the indicators of the control group (1.85 points, p<0.05). There was also a difference in the severity of the intensity of edema and hyperemia, which in patients of group III became 1.2 times less from the start of treatment and 1.05 times less than in patients of the control group. This trend continued at all periods of observation. When monitoring the course of lichen planus in patients observed at the place of residence, positive dynamics was revealed, however, 38 patients due to the ineffectiveness of treatment, according to the routing scheme, were sent to dental medical organizations of the III level, where clinical stabilization of the process was achieved using digital monitoring and treatment methods. >. A comparative clinical study determined the effectiveness of the routing scheme to improve the quality of dental care for patients with lichen planus of the oral mucosa.

Key words:

oral lichen planus, routing scheme, erosive and ulcerative lesions, telemedicine technologies

For Citation

[1]
Shkarin V.V., Makedonova Yu.A., Dyachenko S.V., Gavrikova L.M., Belonozhkina D.A., Yavuz I. The effectiveness of a three-stage routing scheme for patients with lichen planus of the oral mucosa. Clinical Dentistry (Russia).  2022; 25 (4): 56—63. DOI: 10.37988/1811-153X_2022_4_56

References

  1. Latysheva S.V., Budzeuskaya T.V. The analysis of detection of the lesions of oral mucosa on the initial visit of patients. Sovremennaya stomatologiya (Belarus) . 2017; 1 (66): 34—37 (In Russ.). eLIBRARY ID: 28829251
  2. Lukina G.I., Belyaeva Yu.G., Abramova M.Ya. The current state of the diagnosis of precancerous diseases in dentistry. Russian Stomatology. 2019; 2: 53—54 (In Russ.). eLIBRARY ID: 40884093
  3. Makedonova Yu.A., Poroisky S.V., Gavrikova L.M., Afanaseva O.Y. Manifestation of the oral mucosa diseases in patients with COVID-19. Vestnik VSMU. 2021; 1 (77): 110—115 (In Russ.). eLIBRARY ID: 45153499
  4. Mutafchieva M.Z., Draganova-Filipova M.N., Zagorchev P.I., Tomov G.T. Oral lichen planus known and unknown: a review. Folia Med (Plovdiv). 2018; 60 (4): 528—535. PMID: 31188760
  5. Shkarin V.V., Makedonova Yu.A., Dyachenko S.V. Analysis of the prevalence of lichen planus of the mucosa of the oral cavity in volgograd residents. Medical and pharmaceutical journal Pulse. 2022; 4: 143—148 (In Russ.). eLIBRARY ID: 48341439
  6. Cerqueira J.D.M., Moura J.R., Arsati F., Lima-Arsati Y.B.O., Bittencourt R.A., Freitas V.S. Psychological disorders and oral lichen planus: A systematic review. J Investig Clin Dent. 2018; 9 (4): e12363. PMID: 30270524
  7. Chiang C.P., Yu-Fong Chang J., Wang Y.P., Wu Y.H., Lu S.Y., Sun A. Oral lichen planus Differential diagnoses, serum autoantibodies, hematinic deficiencies, and management. J Formos Med Assoc. 2018; 117 (9): 756—765. PMID: 29472048
  8. Parlatescu I., Tovaru M., et al. Oral health-related quality of life in different clinical forms of oral lichen planus. Clin Oral Investig. 2020; 24 (1): 301—308. PMID: 31098713
  9. Gavrikova L.M., Makedonova Yu.A., Dyachenko S.V. Effectiveness of complex pain management in the treatment of patients with oral mucosal diseases. Russian Journal of Pain. 2020; S: 18—19 (In Russ.). eLIBRARY ID: 44008093
  10. Aboushelib M.N., Elsafi M.H. Clinical management protocol for dental implants inserted in patients with active lichen planus. J Prosthodont. 2017; 26 (1): 29—33. PMID: 26916247
  11. Dyachenko S.V., Makedonova Yu.A., Gavrikova L.M., Dyachenko D.Yu., Yavuz I. The condition of the oral mucosa of patients with COVID-19. International Journal of Dentistry and Oral Research. 2021; 1 (3): 58 61. https://dergipark.org.tr/en/pub/ijdor/issue/69812/1166259.
  12. Gururaj N., Hasinidevi P., Janani V., Divynadaniel T. Diagnosis and management of oral lichen planus Review. J Oral Maxillofac Pathol. 2021; 25 (3): 383—393. PMID: 35281147
  13. Makedonova YuliyaA., Gavrikov LiudmilaM., Dyachenko SvetlanaV., Efimova ElenaV. Clinical methods of monitoring inflammatory-destructive lesions of the mucosa of the oral cavity. Volgograd Scientific and Medical Journal. 2022; 2: 12—17 (In Russ.). eLIBRARY ID: 49023090
  14. Cassol-Spanemberg J., Rodríguez-de Rivera-Campillo M.E., Otero-Rey E.M., Estrugo-Devesa A., Jané-Salas E., López-López J. Oral lichen planus and its relationship with systemic diseases. A review of evidence. J Clin Exp Dent. 2018; 10 (9): e938-e944. PMID: 30386529
  15. Tampa M., Caruntu C., Mitran M., Mitran C., Sarbu I., Rusu L.C., Matei C., Constantin C., Neagu M., Georgescu S.R. Markers of oral lichen planus malignant transformation. Dis Markers. 2018; 2018: 1959506. PMID: 29682099
  16. Risman B.V., Zubarev P.N. Modern methods for evaluating the process of the wound process. Russian Military Medical Academy Reports. 2020; 3: 74—81 (In Russ.). eLIBRARY ID: 46412004
  17. Tlish M.M., Osmolovskaya P.S. Lichen planus ruber, current therapy: a systematic review. Kuban Scientific Medical Bulletin. 2021; 2: 104—119 (In Russ.). eLIBRARY ID: 45559580
  18. Wang Y., Du G., Shi L., Shen X., Shen Z., Liu W. Altered expression of CCN1 in oral lichen planus associated with keratinocyte activation and IL-1β, ICAM1, and CCL5 up-regulation. J Oral Pathol Med. 2020; 49 (9): 920—925. PMID: 32740993
  19. Sharda P., Mohta A., Ghiya B.C., Mehta R.D. Development of oral lichen planus after COVID-19 vaccination a rare case report. J Eur Acad Dermatol Venereol. 2022; 36 (2): e82-e83. PMID: 34606669
  20. Makedonova Yu.A., Shkarin V.V., Dyachenko S.V., Gavrikova L.M., Dyachenko D.Yu., Zhuravlev L.V. Evaluation of the clinical effectiveness of diagnosis and monitoring of inflammatory and destructive diseases of the oral mucosa from the standpoint of a patient-guided approach. Endodontics Today. 2022; 2: 162—170 (In Russ.). eLIBRARY ID: 49065613
  21. Dyachenko D.Yu., Dyachenko S.V. Finite element method in computer simulation for improved patient care in dentistry: A systematic review. Kuban Scientific Medical Bulletin. 2021; 5: 98—116 (In Russ.). eLIBRARY ID: 47124529
  22. Papko S.V., Krainyukov P.E., Avetisyan A.Ya. Optimization of the management of the activity of the dental organization based on the methodology of the system approach. Military Medical Journal. 2018; 10: 10—14 (In Russ.). eLIBRARY ID: 36487874
  23. Halfin R.A., Syrtsova L.E., Lvova D.P., Kobatskay E.E. A patient-centered approach: basic concepts. Health Care Standardization Problems. 2017; 1-2: 9—13 (In Russ.). eLIBRARY ID: 28392705
  24. Halfin R.A., Syrtsova L.E., Lvova D.P., Kobatskay E.E., Allenov A.M. Methods of identification and analysis of points of contact for the implementation of patient-centred and perceptive approaches to marketing of medical services. Health Care Standardization Problems. 2017; 7—8: 67—74 (In Russ.). eLIBRARY ID: 29817520
  25. Shkarin V.V., Simakov S.V., Ivasheva V.V., Emelyanova O.S., Chepurina N.G., Bagmetov N.P., Lomovtsev M.S. A new model of primary health care organization. Volgograd region’s case: problems, solutions.. Health Care Standardization Problems. 2020; 7-8: 20—26 (In Russ.). eLIBRARY ID: 44016042
  26. Babenko A.I., Kostrubin S.A., Babenko E.A. The demand for medical technologies during provision of stomatological care to adult population in polyclinic. Problems of Social Hygiene, Public Health and History of Medicine. 2020; 3: 444—448 (In Russ.). eLIBRARY ID: 42992737
  27. Bagnenko A.S., Bagnenko N.M., Soldatova L.N., Iordanishvili A.K. Teleconsultations for diagnosis and treatment of dentoalveolar anomalies in regions with low population density (Part I). The Dental Institute. 2014; 1 (62): 62—65 (In Russ.). eLIBRARY ID: 22133906
  28. Makedonova Yu.A., Gavrikova L.M., Dyachenko S.V., Dyachenko D.Yu. Efficiency of telemedical technologies in treatment of patients with the oral mucosa diseases. Vestnik VSMU. 2021; 4 (80): 76—81 (In Russ.). eLIBRARY ID: 47447615

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Received

September 8, 2022

Accepted

October 23, 2022

Published on

December 21, 2022