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Journal : B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah

Effectiveness of Steroid and Non-Steroid Mouthwashes for Oral Lichen Planus: A Systematic Review Purnomo, Luthfiyyah Andini; Zakiawati, Dewi; Nur'aeny, Nanan
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 12, No 1 (2025): Vol 12 No 1 (Juni 2025)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v12i1.1862

Abstract

Definitive management of Oral lichen planus (OLP) remains challenging due to its intractable nature and unclear cause. Steroid and non-steroid mouthwash preparations are recommended for OLP, especially for diffuse or difficult-to-access lesions. This review aims to evaluate the efficacy of available steroid and non-steroid anti-inflammatory mouthwashes in managing OLP focusing on pain reduction, lesion size reduction, and possible side effects. A systematic literature search from 2012- 2022 was conducted using Scopus, PubMed, and ScienceDirect, following PRISMA guidelines. Nine RCTs included with steroid mouthwashes (dexamethasone, triamcinolone) show promise as effective treatment options for reducing pain and lesion size in OLP, while non-steroid mouthwash (cyclosporine) demonstrates better long-term remission. Natural adjuvant therapies, like nanocurcumin gel, quercetin capsules, and SE-ACE tablets can support the use of steroid mouthwashes. Additionally, fluconazole capsule, itraconazole capsule, and nystatin suspension can be used as adjuvant therapy to prevent secondary candidiasis infection caused by steroid mouthwashes. The risk assessment of bias using the Joanna Briggs Institute (JBI) Critical Appraisal Tools showed seven articles with a low risk of bias and two with a moderate risk. However, heterogeneity in the type, dose, trial duration, and outcome measures limit direct comparisons of treatment effectiveness.
PERAWATAN RONGGA MULUT PASIEN BELL’S PALSY: LAPORAN KASUS Fadhilah, Fania; Fauziah, Hana; Aziza, Fidela Dwirahma; Nur'aeny, Nanan
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 10, No 2 (2023): Vol 10 No 2, Desember 2023
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v10i2.1497

Abstract

Introduction: Bell’s palsy (BP) is an acute weakness or paralysis of the peripheral fascial nerve with an incidence of approximately 20–30 per 100,000 individuals. Bell’s palsy is characterized by a droopy appearance on one side of the face and the inability to open or close the eyes on one side. This condition can affect limitations in daily activities such as eating, drinking, and speaking, as well as the oral health of the sufferer. Patients with Bell’s palsy can have a high caries risk due to decreased saliva production and angular cheilitis. The purpose of this case report is to determine the relationship between the oral manifestations experienced by patients with Bell’s palsy and appropriate management. Case and Management: A 54-year-old woman came with complaints of mouth discomfort. Two weeks earlier, the patient felt that her mouth was left-sided and had received treatment from a neurologist, currently it has improved but still feels numb. There was no history of dental disease or allergies. Extraoral examination: the face was symmetrical, and there were brownish macules, multiple, about 1-2 mm in size, painless. Intraoral examination: The lips were dry, and there was a brownish macule on the lower lip, an irregular shape, a size of about 1cm, no pain, and a deviation of about 1-2 mm to the left on the lower lip. The white plaque on the entire surface of the tongue dorsum could be scraped and did not leave red areas. There was a longitudinal gap in the center of the tongue dorsum and an indentation on the lateral tongue. The patient was instructed to maintain oral hygiene, prescribed povidone iodine 1% as an antiseptic, vaseline album to treat dry lips, neurobion tablets, and consultation with a neurologist. Conclusion: The patient's clinical condition is mild, but oral care for BP patients is very important to maintain oral hygiene