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Efficacy of fluocinolone acetonide mouthwash versus dexamethasone mouthwash for symptomatic oral lichen planus treatment: a randomized clinical trial

Phase 2
Recruiting
Conditions
Oral lichen planus
OLP
Registration Number
TCTR20240610001
Lead Sponsor
Facultry of dentistry, Chulalongkorn university
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
74
Inclusion Criteria

1. Age 18 years old or above.
2. Patients can provide consent.
3. Patients can communicate well.
4. Patients have been clinically and histopathological diagnosed as OLP or compatible with OLP.
5. Patients have bilateral lesions with modified Thongprasom sign score at least 3 on both sides at the first visit of the study
6. Patients' NRS scores are at least 3 on the first visit of the study.
7. Patients present symptoms, corresponding to erosive/ulcerative or atrophic type of OLP.
8. OLP patients have no history of corticosteroid usage for at least 3 months.

Exclusion Criteria

1.Patients have histopathologic evidence of dysplasia.
2.Patients refuse to follow drug prescriptions.
3.Patients on long-term systemic corticosteroid therapy for other reasons that could not be discontinued.
4.Patients have uncontrolled diabetes mellitus or HbA1c > 8% or Fasting plasma glucose (FPG) > 180 mg/dl.
5.Patients have severe dry mouth with additive score of the Challacombe Scale of Clinical Oral Dryness > 7.
6.Patients have current immunosuppressant usage.
7.Patients have any active bacterial/fungal/viral infections at examination visit.
8.Patients have OLCL.
9.Patients have OLL-GVHD or history of allogenic bone marrow transplantation.
10.Patients have evidence of heavy smoking within the past 6 months.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Total modified Thongprasom sign score at 1 months after end of the intervention Clinical examination by researcher
Secondary Outcome Measures
NameTimeMethod
umeric rating scale at 1 months after end of the intervention Patient reported outcome using a questionnaire interview,Oral Impact on Daily Performance(OIDP) score at 1 months after end of the intervention Patient reported outcome using a questionnaire interview,Fungal colony count at 1 months after end of the intervention Fungal colony count on Sabouraud's dextrose agar
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