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Oropharyngeal Lesions and Their Management in Epidermolysis Bullosa

Oropharyngeal Lesions and Their Management in Epidermolysis Bullosa Abstract • Unique oral problems are usually encountered in the patient with epidermolysis bullosa affecting both soft and hard oral tissues. Bulla formation leading to scarring, ankyloglossia, and microstomia restricts normal oral activities. In addition, food retention on hypoplastic enamel increases tooth breakdown. Management of routine dental care is complicated by the fears of both the patient and dentist. Preventive dental therapy should be initiated as early as possible to reduce dental diseases. Early intervention along with frequent evaluation by the dentist are indicated to ensure optimal dental health and oral functioning. (Arch Dermatol 1988;124:742-745) References 1. Pratilas V, Biezvnski A: Epidermolysis bullosa manifested and treated during anesthesia . Anesthesiology 1975;43:581-583.Crossref 2. Arwill OD, Bergenholtz A, Olsson M: Epidermolysis bullosa hereditaria: A histologic study of changes in teeth in the polydysplastic dystrophic and lethal forms . Oral Med 1965;19:723-744. 3. Arwill OD, Bergenholtz A: Epidermolysis bullosa hereditaria RIA: Growth rate of the dentin in deciduous teeth in epidermolysis bullosa revealed by tetracycline stains Arch Oral Biol 1968;13:819-811.Crossref 4. Brain ED, Wigglesworth J: Developing teeth and epidermolysis bullosa hereditaria letalis . Br Dent J 1968;124:255-260. 5. Gardner D, Hudson C: The disturbances in odontogenesis in epidermolysis bullosa hereditaria letalis . Oral Surg 1975;40:483-493.Crossref 6. Hitchin A: The defects of cementum and epidermolysis bullosa dystrophica . Br Dent J 1973;135:437-442.Crossref 7. Koshiba H, Kimura O, Nakata M: A clinical and histologic observation of enamel hypoplasia in a case of epidermolysis bullosa hereditaria . Oral Surg 1977;43:585-589.Crossref 8. Wright J, Ganntt D: Epidermolysis bullosa associated with enamel hypoplasia and taurodontism . J Oral Pathol 1983;12:73-83.Crossref 9. Carroll D, Stephan M, Hays G: Epidermolysis: Review and report of case . J Am Dent Assoc 1983;107:749-751. 10. Block M, Gross B: Epidermolysis bullosa dystrophica recessive: Oral surgery and anesthetic considerations . J Oral Maxillofac Surg 1982;40:753-758.Crossref 11. James M, Wark H: Airway management during anesthesia in patients with epidermolysis bullosa dystrophica . Anesthesiology 1982;56:323-326.Crossref 12. LaVerne SR, Oropollo A: Ketamine anesthesia in dermolytic bullous dermatosis (epidermolysis bullosa) . Anesth Analg 1977; 56:389-392. 13. Wright T: Epidermolysis bullosa: Dental and anesthetic management of two cases . Oral Surg 1984;57:155-157.Crossref 14. Bearyhill R, Benumolf J, Sandman L: Anesthetic management of emergency cesarean section in a patient with epidermolysis bullosa dystrophica polydysplastica . Anesth Analg 1978;57:281-285. 15. Gormley J, Schow C: Epidermolysis bullosa and associated problems in oral surgical treatment . J Oral Surg 1976;34:45-52. 16. Martinez C: Esthetic anterior restorations in a child with epidermolysis bullosa: Case report . J Dent Handicapped 1978;3:29-30. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Oropharyngeal Lesions and Their Management in Epidermolysis Bullosa

Archives of Dermatology , Volume 124 (5) – May 1, 1988

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1988.01670050086028
Publisher site
See Article on Publisher Site

Abstract

Abstract • Unique oral problems are usually encountered in the patient with epidermolysis bullosa affecting both soft and hard oral tissues. Bulla formation leading to scarring, ankyloglossia, and microstomia restricts normal oral activities. In addition, food retention on hypoplastic enamel increases tooth breakdown. Management of routine dental care is complicated by the fears of both the patient and dentist. Preventive dental therapy should be initiated as early as possible to reduce dental diseases. Early intervention along with frequent evaluation by the dentist are indicated to ensure optimal dental health and oral functioning. (Arch Dermatol 1988;124:742-745) References 1. Pratilas V, Biezvnski A: Epidermolysis bullosa manifested and treated during anesthesia . Anesthesiology 1975;43:581-583.Crossref 2. Arwill OD, Bergenholtz A, Olsson M: Epidermolysis bullosa hereditaria: A histologic study of changes in teeth in the polydysplastic dystrophic and lethal forms . Oral Med 1965;19:723-744. 3. Arwill OD, Bergenholtz A: Epidermolysis bullosa hereditaria RIA: Growth rate of the dentin in deciduous teeth in epidermolysis bullosa revealed by tetracycline stains Arch Oral Biol 1968;13:819-811.Crossref 4. Brain ED, Wigglesworth J: Developing teeth and epidermolysis bullosa hereditaria letalis . Br Dent J 1968;124:255-260. 5. Gardner D, Hudson C: The disturbances in odontogenesis in epidermolysis bullosa hereditaria letalis . Oral Surg 1975;40:483-493.Crossref 6. Hitchin A: The defects of cementum and epidermolysis bullosa dystrophica . Br Dent J 1973;135:437-442.Crossref 7. Koshiba H, Kimura O, Nakata M: A clinical and histologic observation of enamel hypoplasia in a case of epidermolysis bullosa hereditaria . Oral Surg 1977;43:585-589.Crossref 8. Wright J, Ganntt D: Epidermolysis bullosa associated with enamel hypoplasia and taurodontism . J Oral Pathol 1983;12:73-83.Crossref 9. Carroll D, Stephan M, Hays G: Epidermolysis: Review and report of case . J Am Dent Assoc 1983;107:749-751. 10. Block M, Gross B: Epidermolysis bullosa dystrophica recessive: Oral surgery and anesthetic considerations . J Oral Maxillofac Surg 1982;40:753-758.Crossref 11. James M, Wark H: Airway management during anesthesia in patients with epidermolysis bullosa dystrophica . Anesthesiology 1982;56:323-326.Crossref 12. LaVerne SR, Oropollo A: Ketamine anesthesia in dermolytic bullous dermatosis (epidermolysis bullosa) . Anesth Analg 1977; 56:389-392. 13. Wright T: Epidermolysis bullosa: Dental and anesthetic management of two cases . Oral Surg 1984;57:155-157.Crossref 14. Bearyhill R, Benumolf J, Sandman L: Anesthetic management of emergency cesarean section in a patient with epidermolysis bullosa dystrophica polydysplastica . Anesth Analg 1978;57:281-285. 15. Gormley J, Schow C: Epidermolysis bullosa and associated problems in oral surgical treatment . J Oral Surg 1976;34:45-52. 16. Martinez C: Esthetic anterior restorations in a child with epidermolysis bullosa: Case report . J Dent Handicapped 1978;3:29-30.

Journal

Archives of DermatologyAmerican Medical Association

Published: May 1, 1988

References