Gingival augmentation by combination of laser and Acellular Dermal Matrix allograft in a patient with dystrophic form of epidermolysis bullosa: A case report

Abstract

Key Clinical MessageA patient suffering from epidermolysis bullosa with gingival recession and lack of attached gingiva of the mandibular anterior teeth. Treatment was performed to increase the amount of attached gingiva. An erbium laser was used and the site augmented with Acellular Dermal Matrix allograft to reduce the donor site surgical complications.

Endodontic management of a patient with dystrophic epidermolysis bullosa: A case report

“…The use of a rubber dam in patients with EB is a controversial topic (9,12,22). Despite several reports of treatment involving rubber dams in mild cases of EB, the application of a rubber dam is impossible in EB patients with severely dystrophic characteristics (8–10,22). Due to the insufficient mouth opening and gingival trauma caused by clamps, vaselinized cotton roll isolation is recommended (16–22).…”

“…During dental procedures in patients with DEB, the main challenges to overcome are ankyloglossia and microstomia. The limited mouth opening caused by microstomia has been reported as the greatest obstacle for clinical practice (4–10). Another limitation is ankyloglossia, which causes limited tongue movement.…”

“…Another limitation is ankyloglossia, which causes limited tongue movement. Attempts to minimise trauma during procedures pose a further difficulty (4,8–12). Due to its low prevalence, most healthcare professionals may have limited knowledge of this disease and its dental management, and there is limited information about EB in many dental practices.…”

“…Only 12 published articles focused on DEB patients. Although 2 of the 12 articles’ review sections included recommendations for root canal treatment (RCT), there was no detailed information on the treatment protocols (4–15).…”