What is the recommended treatment for asymptomatic lichen planus present on the tongue?

The recommended treatment for asymptomatic lichen planus present on the tongue is corticosteroids. Lichen planus is an inflammatory condition that can affect the skin and mucous membranes, including the oral cavity. Although asymptomatic lesions do not require aggressive treatment, the use of topical corticosteroids can effectively reduce inflammation and prevent exacerbation of symptoms if they were to occur. These medications help to modulate the immune response and address any potential inflammatory activity in the tissues.

Corticosteroids are particularly useful because they can be applied directly to the affected area, allowing for localized treatment with minimal systemic side effects. They work by decreasing immune activity and promoting healing of the lesions. This approach is especially important in managing oral lichen planus, where lesions can be persistent.

While antifungal, antibacterial, or antiseptic rinses might be considered in cases involving infections or other conditions affecting the oral cavity, they are not the primary treatment for lichen planus, especially when the lesions are asymptomatic. Such agents do not target the underlying inflammatory process that characterizes lichen planus.