Oral rehabilitation with bone graft and simultaneous dental implants in a patient with epidermolysis bullosa: a clinical case report

J Oral Maxillofac Surg. 2009 Jul;67(7):1499-502. doi: 10.1016/j.joms.2009.03.034.


Epidermolysis bullosa (EB) represents a group of mainly hereditary skin disorders, manifested by an exceptional tendency of the skin and mucosa to form bullae and vesicles after minor friction and trauma. Oral features include repeated blistering, scar formation, elimination of buccal and vestibular sulci, and alveolar bone resorption. The use of endosseous implants in the fixed prosthetic rehabilitation of patients with recessive dystrophic EB might provide a considerably better outcome than conventional removable prosthetic methods. This clinical report describes the fixed rehabilitation with 2 implants placed simultaneously with bone graft in a partially edentulous patient diagnosed with recessive dystrophic EB. The implants, with simultaneous bone graft, were placed to decrease the number of surgical operations required, avoiding soft tissue ulcerations and discomfort in the patient. This treatment option appears to be favorable for recessive dystrophic EB patients compared with other options involving removable prostheses, which irritate the oral mucosa.

Publication types

  • Case Reports

MeSH terms

  • Alveolar Bone Loss / complications
  • Alveolar Bone Loss / rehabilitation
  • Alveolar Bone Loss / surgery*
  • Bone Transplantation / methods
  • Dental Implantation, Endosseous / methods*
  • Dental Prosthesis, Implant-Supported*
  • Denture, Partial, Fixed*
  • Epidermolysis Bullosa Dystrophica / complications*
  • Epidermolysis Bullosa Dystrophica / genetics
  • Female
  • Genes, Recessive
  • Guided Tissue Regeneration, Periodontal / methods
  • Humans
  • Jaw, Edentulous, Partially / rehabilitation
  • Mandible / surgery*
  • Middle Aged
  • Mouth Diseases / complications