title: General anesthesia for dental care management of a patient with epidermolysis bullosa: 24-month follow-up.
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.
authors.affiliation: PhD Student, Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Bianca Zeponi Fernandes
authors.initials: BZ
authors.lastname: Mello
authors.affiliation: Postdoctoral Student, Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Natalino Lourenço
authors.initials: NL
authors.lastname: Neto
authors.affiliation: Postdoctoral Student, Department of Pediatric Dentistry, Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Tatiana Yuriko
authors.initials: TY
authors.lastname: Kobayashi
authors.affiliation: MSc Student, Department of Stomatology, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Marina Barbosa Almeida
authors.initials: MB
authors.lastname: Mello
authors.affiliation: MSc Student, Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Eloá Cristina Passucci
authors.initials: EC
authors.lastname: Ambrosio
authors.affiliation: Professor, Department of Stomatology, Bauru School of Dentistry and Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Renato Yassutaka Faria
authors.initials: RY
authors.lastname: Yaedú
authors.affiliation: Full Professor, Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Maria Aparecida Andrade Moreira
authors.initials: MA
authors.lastname: Machado
authors.affiliation: Associate Professor, Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry and Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Thais Marchini
authors.initials: TM
authors.lastname: Oliveira
mesh_terms: D000768:Anesthesia, General; D002675:Child, Preschool; D019140:Dental Care for Children; D017742:Dental Care for Chronically Ill; D004820:Epidermolysis Bullosa / Q000150:complications*; D006801:Humans; D008297:Male
keywords: dental treatment; epidermolysis bullosa; oral manifestations