Issue: Vojnosanit Pregl 2017; Vol. 74 (No. 7)

Oral health status in children with inherited dystrophic epidermolysis bullosa

Authors:
Aleksandra Čolović, Olivera Jovičić, Radoje Stevanović, Mirjana Ivanović

Download full articele PDF

Background/Aim. Epidermolysis bullosa is a group of rare, genetic connective tissue diseases that cause blisters in the skin and mucosal membranes. The aim of this study was to evaluate the oral health status of patients with epidermolysis bullosa dystrophica and level of knowledge and opinion of parents about the implementation of preventive measaures and quality of dental care of affected children. Methods. This study included a group of 17 patients from Serbia suffering from dystrophic epidermolysis bullosa and matched control group. Dental caries status was assessed using the Klein-Palmer index. Oral hygiene status was verified with oral hygiene indices, simplified plaque index, and calculus index as described by Green and Vermillion. The gingiva was assessed as healthy or inflamed (gingivitis) on the basis of any changes in color, shape, size and surface texture. The condition of oral mucosa has been registered on the basis of inspection of the lips, tongue, a floor of the mouth, mouth vestibule and  palate. The level of knowledge and  the impressions of parents about the application of  preventive measures were investigated through two questionnaires specifically designed for this study. Results.  In both dentitions, there was the highest percentage of caries teeth. In primary dentition average value of the modified plaque index  was 1.4 ± 1.14 and modified calculus was 0.7 ± 1. On permanent teeth  average plaque index was 2 ± 0.4, and average calculus 1.6 ± 0.6. Statistically, significant higher values were found  in permanent dentition in percentage distribution of decayed, missing, filled teeth and also for plaque and calculus indices between affected children and the control group. Most common findings on mucosa were microstomia (76.5%) and ankyloglossia (88.2%). Conclusion. The absence of protocol between the treating physician and the dentist and not sufficiently informed parents are leading to inadequate dental care. The implementation of preventive measures is of most importance to decrease the risk of severe complications that are difficult to be managed.