Combined medical‐dental treatment of an epidermolysis bullosa patient

Jeffrey H. Camm, Lt Col; Scott E. Gray, Major; Thomas C. Mayes

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Epidermolysis bullosa presents a wide range of clinical symptoms. In this case, a patient had recessive dys‐trophic epidermolysis bullosa that required dental treatment. Standard protocol modifications and medical considerations were required in preparation for general anesthesia. Postop erative follow‐up, including monitoring the relationship of the patient's disease state to dental health, is recommended A patient with a debilitating disease, such as epidermolysis bullosa, is a challenge to the dentist wishing to provide optimal and comprehensive dental treatment. While tissue sloughing and bullae formation during treatment cannot be eliminated, the previously outlined protocol can limit the severity of it. Medical assessment of these patients is mandatory to determine their overall health status. If indicated, a combination medical and dental procedure can be performed under general anesthesia, thereby limiting the number of stressful operations a patient may have to undergo. Triannual dental examinations and continual re‐evaluation are necessary to promote continued dental health and recognition of early pathosis. Aggressive preventive measures are necessary to ensure the patient's future dental needs are minimal.

Original languageEnglish (US)
Pages (from-to)148-150
Number of pages3
JournalSpecial Care in Dentistry
Volume11
Issue number4
DOIs
StatePublished - Jul 1991

ASJC Scopus subject areas

  • Dentistry(all)

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