Epidermólisis ampollosa hereditariaa propósito del manejo odontológico de tres casos clínicos
- Serrano Martínez, C
- Silvestre Donat, FJ
- Bagán Sebastián, JV
- Peñarrocha Diago, M
- Alió Sanz, J
ISSN: 1137-2834
Year of publication: 2001
Volume: 6
Issue: 1
Pages: 48-56
Type: Article
More publications in: Medicina oral
Abstract
Hereditary epidermolysis bullosa (EB) is a mucocutaneous disorder characterized by the appearance of blisters and vesicles in response to minimum friction. The digestive mucosa is one of the most frequently affected regions - including the oral mucosa. Three types of EB have been established according to the histological level of the lesion. Thus, simple EB involves intraepidermal bullae that leave no scars, while junctional EB exhibit blisters between the lamina lucida and lamina densa of the basal membrane. These lesions heal leaving atrophy and involve important hypoplastic lesions in the dental enamel. In turn, dystrophic EB presents synechiae-forming subepidermal blisters - the recessive form being the variant involving the greatest oral lesions (microstomia, ankyloglossia, milium cysts and rampant caries). Three cases of EB are presented and their clinical-dental management difficulties are described. The oral manifestations are described, along with the dental treatments provided and the evolution of the periodontal indices over a twoyear period following the application of hygiene-preventive and therapeutic measures.