Manejo odontológico de paciente com epidermólise bolhosa: relato de caso
Palavras-chave:
Epidermólise Bolhosa, Doenças Raras, Assistência OdontológicaResumo
Epidermólise bolhosa descreve um conjunto de desordens genéticas caracterizadas pela formação de bolhas e erosões a manipulação e mínimo contato. Esta patologia representa um grande desafio à prática clínica do cirurgião-dentista, devendo este saber quais alterações no atendimento ele precisa realizar para contornar as limitações impostas por esta doença e assim proporcionar o melhor atendimento aos pacientes acometidos. Este artigo propõe-se a relatar um caso clínico de manejo odontológico de uma paciente com epidermólise bolhosa, em que foram realizadas laserterapia de baixa potência, raspagem supragengival e exodontias de caninos inferiores decíduos. Dessa forma, esse caso demonstra a importância do cirurgião-dentista na equipe multidisciplinar que atende a estes pacientes.
Downloads
Referências
AL-ABADI, A. et al. Dental and anaesthetic challenges in a patient with dystrophic epidermolysis bullosa. Sultan Qaboos University Medical Journal, v. 16, n. 4, p. e495–e499, 1 nov. 2016.
ALBARIQI, A.; ALBARIQI, A. A. Dental management of a patient with epidermolysis bullosa: a case report. Medical Science. 2020.
ALQARNI, A.; ALQARNI, A. A. Oral manifestations and dental care of epidermolysis bullosa patient: a case report. Medical Science. n. 104, p. 24, [s.d.].
ANTONIETA, D. et al. Manejo odontopediátrico de un paciente con epidermólisis bullosa distrófica: presentación de un caso. Odontología Pediátrica, v. 28, n.2, p. 92-102, 2020.
EL YACOUBI, O.; CHBICHEB, S. Recessive dystrophic epidermolysis bullosa (RDEB): Oral manifestation and management rules in oral surgery: A case report. International Journal of Surgery Case Reports, v. 102, 1 jan. 2023.
ESFAHANIZADEH, K. et al. Epidermolysis Bullosa, Dental and Anesthetic Management: A Case Report. J Dent Shiraz Univ Med Sci. [s.l: s.n.].
FEINSTEIN, J. A. et al. Clinical characteristics, healthcare use, and annual costs among patients with dystrophic epidermolysis bullosa. Orphanet Journal of Rare Diseases, v. 17, n. 1, 1 dez. 2022.
HAS, C. et al. Practical management of epidermolysis bullosa: consensus clinical position statement from the European Reference Network for Rare Skin Diseases. Journal of the European Academy of Dermatology and Venereology, v. 35, n. 12, p. 2349–2360, 1 dez. 2021.
HELDAYANI, I.; SUFIAWATI, I. Improvement in Quality of Life of a Pediatric Patient with Inherited Dystrophic Epidermolysis Bullosa Following Oral Lesions Treatment.Journal of International Dental and Medical Research, v. 16, n.2, p. 818, 2023.
HOU, P. C. et al. Innovations in the Treatment of Dystrophic Epidermolysis Bullosa (DEB): Current Landscape and Prospects. Therapeutics and Clinical Risk Management. Dove Medical Press Ltd, 2023.
JOSEPH, C. et al. Oral health status in patients with inherited epidermolysis bullosa: a comparative multicenter study. Quintessence International, v. 54, n. 1, p. 34–43, 1 jan. 2023.
KRÄMER, S. et al. Clinical practice guidelines: Oral health care for children and adults living with epidermolysis bullosa. Special Care in Dentistry, v. 40, n. S1, p. 3–81, 1 nov. 2020.
MANSOURI, V. et al. Evaluation of Efficacy of Low-Level Laser Therapy. Journal of Lasers in Medical Sciences, v. 11, n. 4, p. 369–380, 2020.
MARCHILI, M. R. et al. Epidermolysis Bullosa in children: the central role of the pediatrician. Orphanet Journal of Rare Diseases, v. 17, n. 1, 1 dez. 2022.
MINICUCCI, E. M. et al. Low-level laser therapy for the treatment of epidermolysis bullosa: A case report. Journal of Cosmetic and Laser Therapy, v. 12, n. 4, p. 203–205, ago. 2010.
MOZAFARPOOR, S. et al. Fractional ablative Er:YAG laser therapy in a patient with chronic recessive dystrophic epidermolysis bullosa: A case report and review of literature. Iranian Journal of Dermatology, v. 24, n. 3, p. 238–241, 1 set. 2021.
MUSSTTAF, R. A.; JENKINS, D. F. L.; JHA, A. N. Assessing the impact of low level laser therapy (LLLT) on biological systems: a review. International Journal of Radiation Biology Taylor and Francis Ltd, 1 fev. 2019.
PERALTA-MAMANI, M. et al. Laserterapia de baixa potência como alternativa no tratamento de lesões bucais decorrentes da epidermólise bolhosa. In: CONGRESSO ODONTOLÓGICO DE BAURU, n.31, 2018, Bauru. Anais. Bauru: Faculdade de Odontologia de Bauru, Universidade de São Paulo, 2018, p.641.
POLIZZI, A. et al. Oral Alterations in Heritable Epidermolysis Bullosa: A Clinical Study and Literature Review. BioMed Research International. Hindawi Limited, 2022.
RATHOD, A. et al. Implementation of Low-Level Laser Therapy in Dentistry: A Review. Cureus, 5 set. 2022.
RETROSI, C. et al. Multidisciplinary care for patients with epidermolysis bullosa from birth to adolescence: experience of one Italian reference center. Italian Journal of Pediatrics, v. 48, n. 1, 1 dez. 2022.
REZENDE, R. P. DE; RODRIGUES, N. S.; RIBEIRO, P. M. L. Manifestações bucais da epidermólise bolhosa: relato de caso. Revista de Ciências Médicas e Biológicas, v. 18, n. 3, p. 429, 20 dez. 2019.
SINDICI, E. et al. The photobiomodulation therapy together with the use of cord blood platelet gel could be safely suggested as primary treatment for oral lesions in patients with inherited epidermolysis bullosa. Photodermatology, Photoimmunology & Photomedicine, v. 36, n.4, p.318-321, 16 mar. 2020.
TETİKER, S.; ALPAY, N. Anesthesia management in dystrophic epidermolysis bullosa: A case report. Journal of Surgery and Medicine, v. 5, n. 9, p. 1–1, 1 set. 2021.
WICKENHEISSER, V. A. et al. Laser Light Therapy in Inflammatory, Musculoskeletal, and Autoimmune Disease. Current Allergy and Asthma Reports. Current Medicine Group LLC 1, 1 ago. 2019.
YAVUZ, Y. et al. Evaluation of Clinical and Oral Findings in Patients with Epidermolysis bullosa. Medicina (Lithuania), v. 59, n. 7, 1 jul. 2023.
