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

Abstract EN

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.