title: [Oral care recommendations for patients with oral autoimmune bullous diseases].
abstract: BACKGROUND
  Autoimmune bullous diseases (AIBD) may cause chronic oral lesions that progress insidiously.
  
  
  OBJECTIVE
  To provide recommendations for optimal oral-dental management of patients presenting AIBD with oral involvement.
  
  
  METHODS
  In the absence of scientific studies with high levels of proof, these recommendations have been drawn up at two meetings by a committee of experts on AIBD comprising 7 dermatologists, 1 stomatologist, 1 maxillofacial surgeon, 2 odontologists and 4 parodontologists.
  
  
  RESULTS
  The oral lesions associated with AIBD may be classified into three grades of severity: severe (generalised erosive gingivitis affecting at least 30% of dental sites), moderate (localised erosive gingivitis affecting less than 30% of dental sites) and controlled (no erosive oral lesions). Good oral-dental hygiene suited to the severity of the oral lesions, must be practised continually by these patients so as to avoid the formation of dental plaque, which aggravates symptoms. Dental and parodontal care must be considered in accordance with the severity grade of the oral lesions: in severe cases, the dental plaque must be eliminated manually with a curette, but several types of care (descaling, treatment for tooth decay, non-urgent extractions, etc.) must be suspended until the grade of severity is moderate or until the disease is stabilised.
authors.affiliation: Clinique dermatologique, hôpital Charles-Nicolle, CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France. Electronic address: valerie.sobocinski@club-internet.fr.
authors.forename: V
authors.initials: V
authors.lastname: Sobocinski
authors.affiliation: Service d'odontologie, hôpital Henri-Mondor, 51, avenue du maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.
authors.forename: S-M
authors.initials: SM
authors.lastname: Dridi
authors.affiliation: Service d'odontologie, CHRU de Nancy, 29, avenue de Lattre-de-Tassigny, 54000 Nancy, France.
authors.forename: C
authors.initials: C
authors.lastname: Bisson
authors.affiliation: Service d'odontologie, CHRU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France.
authors.forename: S
authors.initials: S
authors.lastname: Jeanne
authors.affiliation: Service d'odontologie, hôpital Henri-Mondor, 51, avenue du maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.
authors.forename: F
authors.initials: F
authors.lastname: Gaultier
authors.affiliation: Service de dermatologie, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France.
authors.forename: C
authors.initials: C
authors.lastname: Prost-Squarcioni
authors.affiliation: Service de dermatologie, hôpital Robert-Debré, rue du général-Koening, 51100 Reims, France.
authors.forename: P
authors.initials: P
authors.lastname: Bernard
authors.affiliation: Service de dermatologie, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France.
authors.forename: F
authors.initials: F
authors.lastname: Pascal
authors.affiliation: Service d'odontologie, hôpital Robert-Debré, rue du général-Koening, 51100 Reims, France.
authors.forename: B
authors.initials: B
authors.lastname: Lefevre
authors.affiliation: Service de dermatologie, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France.
authors.forename: P
authors.initials: P
authors.lastname: Weber
authors.affiliation: Service de dermatologie, hôpital Morvan, 2, avenue maréchal-Foch, 29200 Brest, France.
authors.forename: C
authors.initials: C
authors.lastname: Abasq
authors.affiliation: Service de stomatologie et chirurgie maxillo-faciale, hôpital Pitié-Salpêtrière, 47-83 boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Agbo-Godeau
authors.affiliation: Clinique dermatologique, hôpital Charles-Nicolle, CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Joly
authors.affiliation: Service de dermatologie, hôpital Henri-Mondor, 51, avenue du maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.
authors.forename: S
authors.initials: S
authors.lastname: Ingen-Housz-Oro
authors.affiliation: Service de dermatologie, hôpital de Dunkerque, 130, avenue Louis-Herbeaux, 59240 Dunkerque, France.
authors.forename: S
authors.initials: S
authors.lastname: Duvert-Lehembre
mesh_terms: D032921:Consensus; D005602:France; D006801:Humans; D009059:Mouth Diseases / Q000276:immunology / Q000473:pathology* / Q000628:therapy*; D009910:Oral Hygiene / Q000379:methods; D009911:Oral Hygiene Index; D010353:Patient Education as Topic / Q000379:methods; D010391:Pemphigoid, Bullous / Q000276:immunology / Q000473:pathology* / Q000628:therapy*; D012720:Severity of Illness Index
keywords: Autoimmune bullous diseases; Dental and parodontal care; Hygiène buccodentaire; Lésions buccales; Maladies bulleuses auto-immunes; Oral lesions; Oral-dental hygiene; Soins dentaires et parodontaux