Malhotra et al used a clinical scoring system for oral lichen planus and its response to oral betamethasone. The authors are from New Delhi, India.
Parameters: oral lichen planus
Parameters:
(1) right buccal mucosa
(2) left buccal mucosa
(3) back surface of tongue
(4) front surface of tongue
(5) upper lip
(6) lower lip
(7) gingiva
(8) palate
Parameter |
Finding |
Points |
right buccal mucosa |
no lesion |
0 |
|
< 50% |
1 |
|
>= 50% |
2 |
left buccal mucosa |
no lesion |
0 |
|
< 50% |
1 |
|
>= 50% |
2 |
back of tongue |
no lesion |
0 |
|
< 50% |
1 |
|
>= 50% |
2 |
front of tongue |
no lesion |
0 |
|
< 50% |
1 |
|
>= 50% |
2 |
upper lip |
not involved |
0 |
|
involved |
1 |
lower lip |
not involved |
0 |
|
involved |
1 |
gingiva |
not involved |
0 |
|
involved |
1 |
palate |
not involved |
0 |
|
involved |
1 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimm score: 0
• maximum score: 12
Total Score |
Grade |
0 |
0 |
1 to 3 |
I |
4 to 6 |
II |
7 to 12 |
III |
Grade |
Symptomatic? |
Erosions? |
Severity |
I |
no |
no |
mild |
I |
yes |
no |
moderate |
II |
NA |
no |
moderate |
III |
NA |
no |
severe |
NA |
NA |
yes |
severe |
Specialty: Otolaryngology