Epidermolysis Bullosa: evaluation of oral and dental findings


Gül E. B., KASIMOĞLU Y., KORUYUCU M., TUNA İNCE E. B.

14th EAPD Congress, Lugano, Switzerland, 20 - 23 June 2018, pp.54

  • Publication Type: Conference Paper / Full Text
  • City: Lugano
  • Country: Switzerland
  • Page Numbers: pp.54
  • Istanbul University Affiliated: Yes

Abstract

INTRODUCTION Epidermolysis bullosa (EB) is a diverse group of genetic skin disorders characterized by spontaneous or mechanical stress-induced blistering of skin and mucous membranes. It is subdivided into four major types based on the site of blister development: simplex, junctional, dystrophic EB and Kindler Syndrome. BACKGROUND The effects of EB on tooth formation and structure is unclear, and its clinical expression is highly variable, with involvement of oral soft tissue and tooth development varying considerably on a case-by-case basis. We presented oral manifestations and therapy of 18 children with EB. CASE REPORT(S) EB patients (13 male, 5 female; aged 4-19) with 2 simplex type, 5 junctional type, 11 dystrophic type were included in the study. Dental and radiographic examination was performed. Oral manifestations include repeated occurrence of blisters, erosions and scars, limited mouth opening, ankyloglossia, lingual depapillation and elimination of buccal sulci. Rampant dental caries are frequently observed in cases. Dental treatment provided included restorations, tooth extractions and preventive program. Treatment was provided with minimal touching and using a lubricant to protect commissure and intra-oral soft tissue due to limited mouth opening.Patients have been followed-up regularly for caries prevention and permanent tooth development. FOLLOW UP Patients have been followed-up regularly for caries prevention and permanent tooth development. CONCLUSIONS Dental treatment in EB is a real challenge for dentists due to the difficulty of carrying out the procedures. Dental preventive treatments with regular recall visits that include oral care education for patients and parents along with fluoride therapy are the keys to maintaining patients with EB’s oral health.