FlashcardsMedical conditions: Craniofacial & dental genetics

Epidermolysis bullosa flashcards

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How does Epidermolysis bullosa affect dental management?

1 / 6

How does Epidermolysis bullosa affect dental management?

Prevent friction: lubricate lips and contact surfaces, press rather than slide, and avoid adhesive tape on fragile skin.
Oxygen and anesthesia: When oxygen or anesthesia is used, select compatible dressings/lubricants with the anesthesia team; do not apply petrolatum indiscriminately around an oxygen source.
Local anesthesia: Inject local anesthetic slowly and sufficiently deep to avoid mechanically separating superficial mucosal layers.
Injection route: Select the injection route from the procedure and tissue condition; the specialist guideline does not require routine intraligamental injection
Limited access: microstomia and vestibular scarring can restrict access. Keep suction tips padded or off the mucosa; use small-head soft brushes.
Prevention and restoration: Intensive prevention: fluoride, chlorhexidine, diet counseling; stainless steel crowns over extensive restoration
GA: GA with a team experienced in EB (airway blistering, difficult intubation)

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EB pattern	Oral problem	Dental response
Junctional	Generalized enamel hypoplasia/pitting.	Early structural protection and intensive caries prevention.
Dystrophic, especially recessive	Scarring, microstomia, vestibular loss, ankyloglossia.	Gentle lubricated access; adapted hygiene and experienced airway planning.
All fragile tissues	Blistering from friction or shear.	Press rather than slide; protect contact areas and avoid adhesive trauma.
Persistent atypical ulcer	Possible malignancy rather than routine blistering.	Prompt specialist assessment and biopsy when suspicious.