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      Atendimento multidisciplinar do paciente ortodôntico com epidermólise bolhosa Translated title: Multidisciplinary management of the orthodontic patient with epidermolysis bullosa

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          Abstract

          O termo epidermólise bolhosa descreve um grupo variado de doenças hereditárias, crônicas, não inflamatórias, epiteliais e da mucosa, que são caracterizadas por excepcional fragilidade e reduzida resistência após trauma moderado. Esta doença é classificada em forma simples, juncional ou distrófica, com pelo menos 23 subtipos, e é uma doença rara que afeta toda a população, qualquer grupo racial e igualmente homens e mulheres. OBJETIVO: os autores relatam problemas sistêmicos e bucais associados à epidermólise bolhosa, norteando atitudes clínicas multidisciplinares quando o paciente necessita de tratamento ortodôntico.

          Translated abstract

          The term epidermolysis bullosa describes a varied group of hereditary, chronic, non-inflammatory diseases of the skin and mucosa, which are characterized by remarkable skin fragility and reduced resistance after moderate trauma. This disease is classified as simple, junctional or dystrophic form, with at least 23 subtypes, and is a rare disease found in all populations and racial groups, equally affecting males and females. AIM: the authors reports systemic and oral problems associated with epidermolysis bullosa, guiding the multidisciplinary clinical attitudes when the patient needs orthodontic treatment.

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          Most cited references18

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          The heritability of malocclusion: Part 1--Genetics, principles and terminology.

          P Mossey (1999)
          The relative contribution of genes and the environment to the aetiology of malocclusion has been a matter of controversy throughout the twentieth century. Genetic mechanisms are clearly predominant during embryonic craniofacial morphogenesis, but environment is also thought to influence dentofacial morphology postnatally, particularly during facial growth. Orthodontic and orthopaedic techniques are used in the treatment of malocclusion and other dentofacial deformities, but with limited effectiveness. The key to the determination of the aetiology of malocclusion, and its treatability lies in the ability to differentiate the effect of genes and environment on the craniofacial skeleton in a particular individual. Our ability to do this is limited by our lack of knowledge on the genetic mechanisms that control facial growth and lack of scientific evidence for the influence of environmental factors on human craniofacial morphogenesis.
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            Ortodontia contemporânea

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              Crescimento facial

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                dpress
                Revista Dental Press de Ortodontia e Ortopedia Facial
                Rev. Dent. Press Ortodon. Ortop. Facial
                Dental Press Editora (Maringá )
                1980-5500
                2007
                : 12
                : 4
                : 30-35
                Affiliations
                [1 ] Universidade Federal do Rio de Janeiro Brazil
                [2 ] Hospital São Luís
                [3 ] Universidade Federal do Rio de Janeiro Brazil
                Article
                S1415-54192007000400005
                10.1590/S1415-54192007000400005
                c94bdad6-f393-41e9-abe4-714a6a469597

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=1415-5419&lng=en
                Categories
                DENTISTRY, ORAL SURGERY & MEDICINE

                Dentistry
                Epidermolysis bullosa,Orthodontics,Multidisciplinary management,Epidermólise bolhosa,Ortodontia,Tratamento multidisciplinar

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