LEUKOPLAKIA

1. Habit counselling: Removal of etiology
2. Conservative therapy:

• Vitamin therapy – Protective effect on epithelium (Vitamin A)
• Vitamin A + Vitamin E: inhibit metabolic degradation
• Retinyl palmitate is used as an antioxidant and a source of vitamin A added to low fat milk and other dairy products to replace the vitamin content lost through the removal of milk fat.
• Isotretinoin, also known as 13-cis-retinoic acid with dosage of 1.5 – 2mg/kg body wt. for 3 months.
• Vitamin A can be sourced from the food we eat, through beta carotene, for example, or in supplement form.
• Antifungal medication Nystatin can be used for candidal Leukoplakia
• Vitamin B complex for commissural leukoplakia
• Vitamin A can be found in: Carrots, Citrus fruits, hard cheese, spinach, milk, eggs, fish

3) Surgical Approach

References: Ghoms, Textbook of Oral Medicine

Dr. Mehnaz Memon🖊