For a patient with asymptomatic lichen planus on the tongue, what is the recommended treatment?

For a patient with asymptomatic lichen planus on the tongue, the recommended treatment involves the use of corticosteroids. Corticosteroids are anti-inflammatory agents that help reduce inflammation and prevent further irritation or possible progression of the condition. In the case of lichen planus, especially when it is asymptomatic, topical corticosteroids are often preferred because they can be applied directly to the affected areas, providing localized relief without significant systemic effects.

In asymptomatic cases, treatment is generally aimed at monitoring and ensuring there are no changes or symptomatic developments. If symptoms arise or if there are concerns about the condition's management, corticosteroids can be increased in dosage or frequency as necessary.

Other treatment options may not be appropriate for asymptomatic lichen planus. For instance, antifungals would be utilized only in cases where there is a fungal superinfection, which is not a characteristic of lichen planus. Topical anesthetics might alleviate discomfort but do not address the underlying inflammatory process. Laser therapy is more invasive and typically reserved for more severe cases or symptomatic presentations rather than asymptomatic presentations.