Crown Lengthening Procedure in Epidermolysis Bullosa: A Case Report

Abstract

Epidermolysis bullosa (EB) is a spectrum of conditions characterized by mechanical fragility and blistering of the skin. Individuals suffering from EB display a wide range of symptoms based on affected proteins in different organs and tissues in the body, including the craniofacial complex and the oral cavity. In this case-report, a 22-year-old girl with Dominant Dystrophic Epidermolysis Bullosa is presented. She suffered no other medical complication and psychological examination was normal. Atraumatic extraction of hopeless teeth was performed and patient was referred for endodontic treatment of maintainable teeth. Surgical crown lengthening in anterior segments was performed in two sessions with specific precautions to avoid soft tissue trauma and irritation both during surgery and after it. Post-surgery healing was uneventful and acceptable. In conclusion, with a few precautions, surgical crown lengthening can be performed in these patients with minimal soft tissue trauma and optimal healing post-surgery.