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目的:探讨下颌第三磨牙伴邻近黏膜口腔扁平苔藓(oral lichen planus,OLP)的临床特点和治疗方法。方法:选择2012年~2014年就诊的下颌第三磨牙伴邻近黏膜口腔扁平苔藓,左右对称发病患者17例,随机拔除一侧下颌第三磨牙,同时采用RAE评分表进行OLP体征记分,评价治疗后1个月和3个月疗效。结果:治疗后1个月和3个月复诊,拔牙侧OLP治疗总有效率均为100%,且拔牙侧与非拔牙侧两组差异均有统计学意义(P<0.05)。结论:下颌第三磨牙伴邻近OLP,解除其机械刺激可有效减少OLP的发生。
Objective: To investigate the clinical features and treatment of mandibular third molars with adjacent oral lichen planus (OLP). Methods: From 2012 to 2014, 17 patients with mandibular third molars with adjacent mucosal oral lichen planus and bilateral symmetrical lesion were selected. One side of the mandibular third molars were randomly selected. The RAE score was used to score the OLP signs. After evaluation, 1 month and 3 months efficacy. Results: The total effective rates of the OLP treatment at the one and three months after the treatment were 100%, and the difference between the two groups was statistically significant (P <0.05). Conclusion: The mandibular third molars with adjacent OLP, lifting its mechanical stimulation can effectively reduce the incidence of OLP.