Agustín-Panadero Rubén, Gomar-Vercher Sonia, Peñarrocha-Oltra David, Guzmán-Letelier Marcelo, Peñarrocha-Diago Miguel
Int J Prosthodont. 2015 Jan-Feb;28(1):33-6. doi: 10.11607/ijp.4092.
Epidermolysis bullosa (EB) is a rare skin disorder characterized by blister formation in response to minor trauma and accompanied by extracutaneous manifestations. The use of endosseous implants to support fixed prostheses for the rehabilitation of patients with recessive dystrophic EB might provide a considerably better clinical treatment outcome than traditional prosthodontic interventions. This case history report describes the clinical management of such an afflicted patient. Implants were placed immediately following teeth extractions and subsequently loaded with fixed full-arch prostheses. This treatment option is proposed for patients with recessive dystrophic EB to preclude mucosal irritation associated with wearing removable prostheses.
大疱性表皮松解症(EB)是一种罕见的皮肤疾病,其特征是在受到轻微创伤后形成水疱,并伴有皮肤外表现。使用骨内种植体来支持固定修复体,以修复隐性营养不良型EB患者,可能比传统的口腔修复干预提供更好的临床治疗效果。本病例报告描述了一名此类患者的临床治疗情况。在拔牙后立即植入种植体,随后安装固定全牙弓修复体。对于隐性营养不良型EB患者,建议采用这种治疗方案,以避免佩戴可摘义齿引起的黏膜刺激。