Stabilized oral lichen planus does not compromise dental implants survival: A systematic review and meta‐analysis

Background This study aimed to evaluate the incidence of implant failure in patients with oral lichen planus (OLP) and investigate the potential association between OLP and peri‐implant diseases. Materials and Methods Embase, Web of Science, PubMed, and Scopus databases were searched for studies wit...

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Bibliographic Details
Published in:Oral diseases 2024-09, Vol.30 (6), p.3850-3865
Main Authors: Li, Jing Wen, Kot, Wai Ying, McGrath, Colman Patrick, Chan, Bik Wan Amy, Zheng, Li Wu
Format: Article
Language:English
Subjects:
Dental implants
Dental Implants - adverse effects
Dental prosthetics
Dental Restoration Failure
Humans
Lichen planus
Lichen Planus, Oral - complications
Meta-analysis
Mucositis
Oral cancer
oral lichen planus
Peri-Implantitis - etiology
peri‐implant diseases
Risk Factors
Stomatitis - etiology
systematic review
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Summary:Background This study aimed to evaluate the incidence of implant failure in patients with oral lichen planus (OLP) and investigate the potential association between OLP and peri‐implant diseases. Materials and Methods Embase, Web of Science, PubMed, and Scopus databases were searched for studies with no time restrictions. Meta‐analysis was performed calculating pooled proportion of peri‐implantitis (PI), peri‐implant mucositis (PIM), and bleeding on probing (BOP) prevalence using fixed‐effects model. Odds ratio and corresponding 95% CI were calculated to assess the potential risk of PI, PIM, and BOP in dental implant patients with OLP compared to healthy controls. Results Implant failure rate was 4.38% at the patient level and 4.37% at the implant level. Six patients (3.92%) from five studies were diagnosed with oral cancer after receiving implant. The prevalence of PI, PIM, and BOP at the implant level were 14.00%, 20.00%, and 40.00%, respectively. There was no significant difference in the occurrence of PI and PIM between OLP patients and healthy controls. Conclusions Stabilized OLP is not considered a significant risk factor for peri‐implant diseases. It is advised against placing implants or prostheses during the acute phase of the disease. Histopathological investigation to differentiate OLP from oral lichenoid dysplasia is crucial.
ISSN:1354-523X
1601-0825
1601-0825
DOI:10.1111/odi.14964