Efficacy of herbal interventions in oral lichen planus: A systematic review

Introduction: Oral lichen planus (OLP) is a chronic autoimmune condition requiring prompt treatment to alleviate the signs and symptoms. There is weak evidence emphasizing the efficacy of any one therapy. Steroids, of all the therapies, have proved to be effective and hence considered as the standar...

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Main Authors: Ashita R Kalaskar, Rahul R Bhowate, Ritesh R Kalaskar, Sheelpriya R Walde, Rachana D Ramteke, Priyanka P Banode
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Contemporary Clinical Dentistry
Subjects:
Online Access:http://www.contempclindent.org/article.asp?issn=0976-237X;year=2020;volume=11;issue=4;spage=311;epage=319;aulast=Kalaskar
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author Ashita R Kalaskar
Rahul R Bhowate
Ritesh R Kalaskar
Sheelpriya R Walde
Rachana D Ramteke
Priyanka P Banode
author_facet Ashita R Kalaskar
Rahul R Bhowate
Ritesh R Kalaskar
Sheelpriya R Walde
Rachana D Ramteke
Priyanka P Banode
author_sort Ashita R Kalaskar
collection DOAJ
description Introduction: Oral lichen planus (OLP) is a chronic autoimmune condition requiring prompt treatment to alleviate the signs and symptoms. There is weak evidence emphasizing the efficacy of any one therapy. Steroids, of all the therapies, have proved to be effective and hence considered as the standard care for OLP. However, the complications associated with it further worsen the patient's condition. Alternative safe approaches such as herbal interventions (HIs) have been tried in OLP. Their efficacies could only be evaluated from properly designed research protocols such as randomized controlled trials (RCTs). The present systematic review aims to assess the efficacy of HIs compared to steroids in RCTs involving OLP. Materials and Methods: An extensive search for HIs in OLP was conducted in PubMed, MEDLINE, Cochrane Central Register of Controlled Trials, Scopus, and gray literature. Eight studies fulfilled the eligibility criteria. Results: In all the studies, clinical severity was significantly reduced in within-group comparisons, whereas between-group comparisons showed nonsignificant results, except for total glucosides of paeony capsules. Conclusion: Efficacy of herbal therapy in OLP should be weighed against the high bias in the studies.
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spelling doaj.art-ab93dd6160db417c81d5d5330e8ba62f2022-12-21T20:21:56ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612020-01-0111431131910.4103/ccd.ccd_320_20Efficacy of herbal interventions in oral lichen planus: A systematic reviewAshita R KalaskarRahul R BhowateRitesh R KalaskarSheelpriya R WaldeRachana D RamtekePriyanka P BanodeIntroduction: Oral lichen planus (OLP) is a chronic autoimmune condition requiring prompt treatment to alleviate the signs and symptoms. There is weak evidence emphasizing the efficacy of any one therapy. Steroids, of all the therapies, have proved to be effective and hence considered as the standard care for OLP. However, the complications associated with it further worsen the patient's condition. Alternative safe approaches such as herbal interventions (HIs) have been tried in OLP. Their efficacies could only be evaluated from properly designed research protocols such as randomized controlled trials (RCTs). The present systematic review aims to assess the efficacy of HIs compared to steroids in RCTs involving OLP. Materials and Methods: An extensive search for HIs in OLP was conducted in PubMed, MEDLINE, Cochrane Central Register of Controlled Trials, Scopus, and gray literature. Eight studies fulfilled the eligibility criteria. Results: In all the studies, clinical severity was significantly reduced in within-group comparisons, whereas between-group comparisons showed nonsignificant results, except for total glucosides of paeony capsules. Conclusion: Efficacy of herbal therapy in OLP should be weighed against the high bias in the studies.http://www.contempclindent.org/article.asp?issn=0976-237X;year=2020;volume=11;issue=4;spage=311;epage=319;aulast=Kalaskarherbalinterventionoral lichen planusrandomized controlled trialsteroid.
spellingShingle Ashita R Kalaskar
Rahul R Bhowate
Ritesh R Kalaskar
Sheelpriya R Walde
Rachana D Ramteke
Priyanka P Banode
Efficacy of herbal interventions in oral lichen planus: A systematic review
Contemporary Clinical Dentistry
herbal
intervention
oral lichen planus
randomized controlled trial
steroid.
title Efficacy of herbal interventions in oral lichen planus: A systematic review
title_full Efficacy of herbal interventions in oral lichen planus: A systematic review
title_fullStr Efficacy of herbal interventions in oral lichen planus: A systematic review
title_full_unstemmed Efficacy of herbal interventions in oral lichen planus: A systematic review
title_short Efficacy of herbal interventions in oral lichen planus: A systematic review
title_sort efficacy of herbal interventions in oral lichen planus a systematic review
topic herbal
intervention
oral lichen planus
randomized controlled trial
steroid.
url http://www.contempclindent.org/article.asp?issn=0976-237X;year=2020;volume=11;issue=4;spage=311;epage=319;aulast=Kalaskar
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AT riteshrkalaskar efficacyofherbalinterventionsinorallichenplanusasystematicreview
AT sheelpriyarwalde efficacyofherbalinterventionsinorallichenplanusasystematicreview
AT rachanadramteke efficacyofherbalinterventionsinorallichenplanusasystematicreview
AT priyankapbanode efficacyofherbalinterventionsinorallichenplanusasystematicreview