ANESTHETIC APPROACH FOR ORAL SURGERY PROCEDURE OF PATIENT WITH EPIDERMOLYSIS BULLOSA

Epidermolysis bullosa is a congenital, hereditary disease, characterized with blisters of the skin and mucosal membranes. abnormal healing of these blisters results with contracted scars and erosion. whether diagnostic, treatment or anesthesia, it is likely that the patients will require different procedures in certain phases of their lives; every process can result with new blisters. in this study our aim is to present a 19 year-old patient with simplex type epidermolysis bullosa and taken various precautions in order to prevent new blister formation during minor oral surgery procedure. precautions were taken in order to minimize new bulla formation during preprosthetic surgery, which involved lengthening crown height with gingivectomy for all erupted teeth and removal of excess mucosal tissue over the unerupted first molars for obtaining eruption. after healing was observed prosthetic treatment was carried out in order to fulfill esthetic demands. precautions such as using pillows under pressure areas such as heels and ankles, using paddings under the blood pressure cuff, using smaller electrocardiogram pallets, using hand pressure instead of tourniquet for catheterization minimized new blister formation.