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Therapeutic potential of fulvic acid in the complex treatment of oral lichen planus

https://doi.org/10.33667/2078-5631-2025-30-28-32

Abstract

The aim of this study was to evaluate the efficacy of a fulvic acid-based gel in the complex treatment of the erosive-atrophic form of oral lichen planus (OLP) in 20 patients (12 women and 8 men, mean age 45–57 years). The comprehensive therapy included professional hygiene, oral sanitation, general medication therapy, and topical application of the fulvic acid gel for 21 days. Assessment was performed clinically, using a periodontal probe and autofluorescence stomatoscopy (AFS), and by investigating oxidative stress markers (malondialdehyde, catalase) in the oral fluid. The results showed complete epithelialization of erosions in 92% of patients by day 28, a significant reduction in the inflammation area according to AFS data, and a significant normalization of biochemical parameters, indicating a reduction in oxidative stress and the high therapeutic efficacy of the studied gel.

About the Authors

N. V. Tiunova
National Research Lobachevsky State University of Nizhny Novgorod
Russian Federation

Tiunova Natalya V. – MD, Associate professor, head of the department of Clinical dentistry, Institute of clinical medicine 

Nizhny Novgorod



K. V. Bykova
National Research Lobachevsky State University of Nizhny Novgorod
Russian Federation

Bykova Ksenia V. – postgraduate student, department of Clinical dentistry, Institute of clinical medicine 

Nizhny Novgorod



S. V. Kopylova
National Research Lobachevsky State University of Nizhny Novgorod
Russian Federation

Kopylova Svetlana V. – MD, PhD, Associate professor, department of physiology and anatomy, Institute of biology and biomedicine 

Nizhny Novgorod



M. L. Zhdanova
National Research Lobachevsky State University of Nizhny Novgorod
Russian Federation

Zhdanova Maria L. – MD, PhD, Associate Professor, Department of Clinical Dentistry

Nizhny Novgorod



E. K. Zherebtsova
National Research Lobachevsky State University of Nizhny Novgorod
Russian Federation

Zherebtsova Eva K. – student, institute of clinical medicine

Nizhny Novgorod



K. A. Romanova
National Research Lobachevsky State University of Nizhny Novgorod
Russian Federation

Romanova Kristina A. – student, institute of clinical medicine

Nizhny Novgorod



A. A. Plishkina
National Research Lobachevsky State University of Nizhny Novgorod
Russian Federation

Plishkina Anna A. – MD, PhD, Associate Professor, Department of Clinical Dentistry 

Nizhny Novgorod



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Review

For citations:


Tiunova N.V., Bykova K.V., Kopylova S.V., Zhdanova M.L., Zherebtsova E.K., Romanova K.A., Plishkina A.A. Therapeutic potential of fulvic acid in the complex treatment of oral lichen planus. Dentistry. 2025;(30):28-32. (In Russ.) https://doi.org/10.33667/2078-5631-2025-30-28-32

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)