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Case Reports in Dentistry
Volume 2014, Article ID 421783, 6 pages
http://dx.doi.org/10.1155/2014/421783
Case Report

Er:YAG Laser Dental Treatment of Patients Affected by Epidermolysis Bullosa

1Dentistry Unit, Department of Pediatric Surgery, Bambino Gesù Children’s Hospital, IRCCS Ospedale Pediatrico Bambino Gesù, Piazza S. Onofrio No. 4, 00165 Rome, Italy
2Dermatology Unit, Department of Pediatric Medicine, Bambino Gesù Children’s Hospital, IRCCS Ospedale Pediatrico Bambino Gesù, Piazza S. Onofrio No. 4, 00165 Rome, Italy
3Department of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Via Caserta No. 6, 00161 Rome, Italy

Received 8 August 2014; Revised 9 October 2014; Accepted 10 October 2014; Published 5 November 2014

Academic Editor: Tatiana Pereira-Cenci

Copyright © 2014 Angela Galeotti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aim. The purpose of this study was to evaluate the efficacy of Er:YAG laser used for treating hard dental tissue in patients with epidermolysis bullosa (EB). Methods. We report two cases of EB in which an Er:YAG laser was used for conservative treatments. In the first case, the Er:YAG laser (2,940 μm, 265 mJ, 25 Hz) was used to treat caries on a deciduous maxillary canine in an 8-year-old male patient affected by dystrophic EB. In the second case, we treated a 26-year-old female patient, affected by junctional EB, with generalized enamel hypoplasia, and an Er:YAG laser (2,940 μm, 265 mJ, 25 Hz) was used to remove the damaged enamel on maxillary incisors. Results. The use of the Er:YAG laser, with the appropriate energy, was effective in the selective removal of carious tissue and enamel hypoplasia. During dental treatment with the Er:YAG laser, patients required only a few interruptions due to the absence of pain, vibration, and noise. Conclusions. Laser treatment of hard dental tissues is a valuable choice for patients affected by EB since it is less invasive compared to conventional treatment, resulting in improved patient compliance.