Short-term consequences of Helicobacter pylori treatment in patients with oral lichen planus: A prospective study

Farshad Javadzadeh; Masoud Shirmohamadi; Maryam Hosseinpour Sarmadi; Morteza Ghojazadeh; Sepideh Bohlouli; Amir Ghorbanihaghjo; Solmaz Pourzare

doi:10.34172/japid.2023.004

Short-term consequences of Helicobacter pylori treatment in patients with oral lichen planus: A prospective study

J Adv Periodontol Implant Dent. 2022 Oct 9;15(1):42-46. doi: 10.34172/japid.2023.004. eCollection 2023.

Authors

Farshad Javadzadeh¹, Masoud Shirmohamadi², Maryam Hosseinpour Sarmadi³, Morteza Ghojazadeh³, Sepideh Bohlouli¹, Amir Ghorbanihaghjo⁴, Solmaz Pourzare¹

Affiliations

¹ Department of Oral Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
² Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
³ Research Center for Evidence-Based Medicine, Iranian EBM Centre: A Joanna Briggs Institute Affiliated Group, Tabriz University of Medical Sciences, Tabriz, Iran.
⁴ Biochemistry and Clinical Laboratories Department, Biomedical Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.

Abstract

Background: Oral lichen planus (OLP) is a multifactorial chronic inflammatory condition with unknown etiology. This condition has been associated with Helicobacter pylori. This study aimed to investigate the relationship between the treatment of H. pylori infection and improvements in OLP lesions.

Methods: In this cohort study, 42 patients with erosive or ulcerative OLP lesions were evaluated in terms of H. pylori infection using the H. pylori stool antigen (HpSA) test. The patients were divided into three groups. The first group consisted of 12 H. pylori-negative patients. The second group consisted of 21 H. pylori-positive patients receiving antibacterial treatment. The third group included nine H. pylori-positive patients not willing to receive treatment. All the three groups underwent the usual OLP treatment. Patients in the second and third groups were re-evaluated by the HpSA test after two months. The efficacy indexes and visual analog scale were used to evaluate clinical improvements.

Results: The efficiency index and pain scores were affected by the intervention (P<0.001). The logistic regression analysis showed that the severity index before treatment was significantly effective (OR=0.745 (95% CI: 0.602‒0.923; P=0.007). No statistical significance for factors affecting other variables (P>0.05) was obtained.

Conclusion: Pain intensity was higher in patients with H. pylori than in those without H. pylori before treatment. Also, in patients with H. pylori, the treatment affects the complete recovery rate.

Keywords: Helicobacter pylori; Oral lichen planus; Visual analog scale.