Dystrophic epidermolysis bullosa: oral findings and problems.
Dystrophic epidermolysis bullosa (DEB) is one of the three major types of epidermolysis bullosa (EB), an inherited cutaneous disease with blister formation following minor trauma. A subtype of DEB is recessive dystrophic epidermolysis bullosa, Hallopeau-Siemens type (RDEB-HS), where marked scarring leads to deformities of extremities. In RDEB-HS the mucous membranes may also be involved and form adhesions with ankyloglossia and microstomia. Oral hygiene is difficult. A 7-year-old boy with RDEB-HS was brought to the Johannes Gutenberg University dental clinic with dental pain. He had multiple carious lesions, poor oral hygiene and gingivitis. Because he was noncompliant and had microstomia, he required dental therapy under general anesthesia. The recall visits over the past two years had demonstrated that the dental health of this patient with RDEB-HS could be maintained by means of improved oral home care, using antibacterial agents.
Azrak
Birgül
B
Department of Restorative Dentistry, Johannes Gutenberg University, Mainz. azrak@uni-mainz.de
Kaevel
Kristina
K
Hofmann
Ludwig
L
Gleissner
Christiane
C
Willershausen
Brita
B
D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D002648:Child; D002710:Chlorhexidine / Q000627:therapeutic use; D003730:Dental Care for Persons with Disabilities; D003731:Dental Caries / Q000628:therapy*; D003793:Dental Restoration, Permanent; D016108:Epidermolysis Bullosa Dystrophica / Q000150:complications*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009067:Mouthwashes / Q000627:therapeutic use; D010895:Pit and Fissure Sealants / Q000627:therapeutic use; D014081:Tooth Extraction; D014099:Toothbrushing / Q000295:instrumentation
D000891:Anti-Infective Agents, Local; D009067:Mouthwashes; D010895:Pit and Fissure Sealants; D002710:Chlorhexidine