Oral Lichen Planus: Reticular Type

The lines can cross into web-like or branching shapes, commonly on the inner cheeks and sometimes on the tongue or gums. The pattern may be present on both sides of the mouth and can become more or less visible over time. It is different from an erosive pattern, which has raw, red, or ulcerated areas and is more likely to burn. A white mouth change still deserves an examination because friction, infection, medication reactions, and other disorders may resemble it. General information about [Lichen Planus](/conditions/lichen-planus/) can help you prepare for a consultation.

If the area is comfortable, a clinician may monitor it rather than prescribe immediate treatment. Keep dental check-ups, brush with a soft brush, and mention new toothpaste, mouthwash, dental work, or medicines. If irritation develops, choose softer bland foods and avoid products that sting. A prescribed mouth treatment may calm inflammation; [Topical Corticosteroids](/treatments/medical-dermatology/topical-corticosteroids/) are one option a clinician may discuss.

Book a prompt review if the white network becomes a persistent sore, develops a lump, bleeds, spreads quickly, or makes eating or swallowing difficult. Contact a clinician sooner when pain is increasing or the diagnosis has never been confirmed. Seek urgent help if mouth or tongue swelling affects breathing.

Does the pattern look reticular, erosive, or something else? Should the area be photographed or biopsied? How often should my mouth be checked? What should I do if it becomes red or painful?