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Dental treatment in a patient with epidermolysis bullosa
Author(s) -
Siqueira Maria Alice,
De Souza Silva Juliana,
Silva Francisco Wanderley Garcia de Paula e,
DíazSerrano Kranya Victória,
Freitas Aldevina Campos de,
Queiroz Alexandra Mussolino de
Publication year - 2008
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/j.1754-4505.2008.00012.x
Subject(s) - medicine , microstomia , epidermolysis bullosa , dentistry , dermatology , dental care , tongue , pathology
Epidermolysis bullosa (EB) is a rare inherited group of genodermatoses characterized by mucocutaneous fragility and blister formation, either spontaneously or as a result of minimal mechanical trauma. The repetition of these episodes in the oral cavity leads to atrophy of the mucosa, causing microstomia, ankyloglossia, tongue denudation, and vestibule obliteration, characteristics that make dental treatment difficult. Patients with EB are at high risk for caries due to the presence of dental anomalies; they also tend to have a soft diet and difficulties with mechanical removal of the dental biofilm. This case report presents a patient diagnosed with EB and describes the difficulties faced by the clinician during dental treatment as well as the measures adopted to safely manage the patient's dental care.