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General anesthesia for dental care management of a patient with epidermolysis bullosa: 24‐month follow‐up
Author(s) -
Mello Bianca Zeponi Fernandes,
Neto Natalino Lourenço,
Kobayashi Tatiana Yuriko,
Mello Marina Barbosa Almeida,
Ambrosio Eloá Cristina Passucci,
Yaedú Renato Yassutaka Faria,
Machado Maria Aparecida Andrade Moreira,
Oliveira Thais Marchini
Publication year - 2016
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/scd.12170
Subject(s) - medicine , epidermolysis bullosa , oral hygiene , dermatology , dentistry , mucocutaneous zone , disease , pathology
ABSTRACT Epidermolysis bullosa comprises a group of uncommon skin‐related diseases, characterized by the formation of blisters on mucocutaneous regions occurring spontaneously, following a trauma, exposure to heat, or as a result of minimal mechanical trauma. The dental treatment of the patient with epidermolysis bullosa raises many questions and discussions, due to the difficulty of carrying out the procedures. This report aimed to detail the clinical considerations of the treatment under general anesthesia of a patient with epidermolysis bullosa. The extraction of all deciduous teeth under general anesthesia was recommended based on the clinical and radiographic examinations. At 24‐month follow‐up, the patient had great improvement in oral hygiene without new caries lesions. The patient has been followed‐up at every month for caries lesion prevention and permanent tooth development. The treatment under general anesthesia provided the ideal safe conditions and was beneficial for the patient.