A Review of the Nonsurgical Treatment of Oral Leukoplakia

The aim of this paper was to assess the nonsurgical treatment of oral leukoplakia (OL). A medline search from 1983 to 2009 was conducted. The topical or systemic nonsurgical treatments or combination of both was reviewed. The primary outcomes of interest were clinical resolution, malignant transform...

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Main Authors: Adriana Spinola Ribeiro, Patrícia Ribeiro Salles, Tarcília Aparecida da Silva, Ricardo Alves Mesquita
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2010/186018
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author Adriana Spinola Ribeiro
Patrícia Ribeiro Salles
Tarcília Aparecida da Silva
Ricardo Alves Mesquita
author_facet Adriana Spinola Ribeiro
Patrícia Ribeiro Salles
Tarcília Aparecida da Silva
Ricardo Alves Mesquita
author_sort Adriana Spinola Ribeiro
collection DOAJ
description The aim of this paper was to assess the nonsurgical treatment of oral leukoplakia (OL). A medline search from 1983 to 2009 was conducted. The topical or systemic nonsurgical treatments or combination of both was reviewed. The primary outcomes of interest were clinical resolution, malignant transformation, follow-up, and recurrence of OL. Studies showed a rate higher than 50% of clinical resolution with photodynamic therapy, beta-carotene, lycopene, or vitamin A. Few studies reported rates of recurrence from 5 to 67% and of malignant transformation from 8 to 23%. There is a lack of randomized clinical trials that assess the effectiveness of nonsurgical treatment of OL. At this time, randomized controlled trials for nonsurgical treatment of OL demonstrate no evidence of effective treatment in preventing malignant transformation and recurrence. It reinforces that even after clinical resolution, OL should be regularly followed.
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spelling doaj-art-e7fa08387f004f61a95ef8d4d64874f72025-08-20T03:21:02ZengWileyInternational Journal of Dentistry1687-87281687-87362010-01-01201010.1155/2010/186018186018A Review of the Nonsurgical Treatment of Oral LeukoplakiaAdriana Spinola Ribeiro0Patrícia Ribeiro Salles1Tarcília Aparecida da Silva2Ricardo Alves Mesquita3Department of Oral Surgery, Medicine and Pathology, Dental School, Federal University of Minas Gerais, CEP 31.270-901, Belo Horizonte, Minas Gerais, BrazilDepartment of Oral Surgery, Medicine and Pathology, Dental School, Federal University of Minas Gerais, CEP 31.270-901, Belo Horizonte, Minas Gerais, BrazilDepartment of Oral Surgery, Medicine and Pathology, Dental School, Federal University of Minas Gerais, CEP 31.270-901, Belo Horizonte, Minas Gerais, BrazilDepartment of Oral Surgery, Medicine and Pathology, Dental School, Federal University of Minas Gerais, CEP 31.270-901, Belo Horizonte, Minas Gerais, BrazilThe aim of this paper was to assess the nonsurgical treatment of oral leukoplakia (OL). A medline search from 1983 to 2009 was conducted. The topical or systemic nonsurgical treatments or combination of both was reviewed. The primary outcomes of interest were clinical resolution, malignant transformation, follow-up, and recurrence of OL. Studies showed a rate higher than 50% of clinical resolution with photodynamic therapy, beta-carotene, lycopene, or vitamin A. Few studies reported rates of recurrence from 5 to 67% and of malignant transformation from 8 to 23%. There is a lack of randomized clinical trials that assess the effectiveness of nonsurgical treatment of OL. At this time, randomized controlled trials for nonsurgical treatment of OL demonstrate no evidence of effective treatment in preventing malignant transformation and recurrence. It reinforces that even after clinical resolution, OL should be regularly followed.http://dx.doi.org/10.1155/2010/186018
spellingShingle Adriana Spinola Ribeiro
Patrícia Ribeiro Salles
Tarcília Aparecida da Silva
Ricardo Alves Mesquita
A Review of the Nonsurgical Treatment of Oral Leukoplakia
International Journal of Dentistry
title A Review of the Nonsurgical Treatment of Oral Leukoplakia
title_full A Review of the Nonsurgical Treatment of Oral Leukoplakia
title_fullStr A Review of the Nonsurgical Treatment of Oral Leukoplakia
title_full_unstemmed A Review of the Nonsurgical Treatment of Oral Leukoplakia
title_short A Review of the Nonsurgical Treatment of Oral Leukoplakia
title_sort review of the nonsurgical treatment of oral leukoplakia
url http://dx.doi.org/10.1155/2010/186018
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