Oral care and dental management for patients with epidermolysis bullosa.

Dental treatment is an important part of the multidisciplinary care of patients with epidermolysis bullosa (EB). Routine dental treatment can be difficult to provide in patients with severe tissue fragility caused by mucosal sloughing, microstomia, ankyloglossia, and scarring. This article provides a review of dental practices, exploring different areas of oral management and highlighting the importance of early referral, preventive programs, and close follow-up to maintain oral health. It also discusses treatment modifications and precautions needed for each of the 4 mayor types of EB. Copyright 2010 Elsevier Inc. All rights reserved.