Early teeth extraction in patients with generalized recessive dystrophic epidermolysis bullosa: A case series
| Autor: | Fatimah Alsayer, Ignacia Fuentes, Hinrich Huber, María Joao Yubero, Sebastián Véliz, Susanne M. Krämer |
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| Rok vydání: | 2020 |
| Předmět: |
genetic structures
Dentistry Oral Health 03 medical and health sciences 0302 clinical medicine stomatognathic system Recessive dystrophic epidermolysis bullosa medicine Humans In patient 030212 general & internal medicine Radiation treatment planning Child General Dentistry business.industry Microstomia Maxillary canine 030206 dentistry medicine.disease Dental care Crowding Dental crowding Epidermolysis Bullosa Dystrophica stomatognathic diseases Tooth Extraction business Epidermolysis Bullosa |
| Zdroj: | Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistryREFERENCES. 40(6) |
| ISSN: | 1754-4505 |
| Popis: | Objectives To present early teeth extractions as a treatment option in severe dental crowding in patients with generalized recessive dystrophic epidermolysis bullosa (RDEB). Materials and methods Three patients with generalized RDEB were treated with early teeth extractions to prevent severe dental crowding. Results Two patients had bilateral upper first premolars extraction, and the third patient had permanent maxillary canine extraction. Crowding was avoided, and no further orthodontic treatment was necessary. Conclusion Considering the challenges of severe mucosal fragility and microstomia in patients with generalized RDEB, early teeth extractions are a reasonable option as an orthodontic management. This approach reduces the severity of dental crowding as the child gets older and reduces the need for orthodontic appliances. Individual factors such as access to dental care, general health, and oral health have an important impact on the decision‐making process. Orthodontic treatment planning should include a multidisciplinary team. |
| Databáze: | OpenAIRE |
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