# Management of Oral Mucosal Fragility: A Pediatric Dental Perspective on a Unique Case of Epidermolysis Bullosa Simplex (EBS)

## TL;DR

This paper discusses dental management strategies for a child with a rare skin condition causing oral fragility and frequent ulcers.

## Contribution

The paper presents a unique pediatric dental case report and emphasizes early intervention and multidisciplinary care for EBS patients.

## Key findings

- Atraumatic periodontal interventions reduced soft tissue injury in a child with EBS.
- Behavior modification techniques improved oral hygiene in a patient with frequent oral ulcers.
- Early dental referral and preventive care are critical for managing EBS in children.

## Abstract

Oral healthcare is severely hampered in patients with epidermolysis bullosa simplex (EBS), a rare inherited genodermatosis marked by mucocutaneous fragility and blister formation. This case report describes the dental management of a six-year-old female child clinically diagnosed with EBS presenting with severe periodontal manifestations such as extensive calculus accumulation, gingival bleeding, halitosis, and poor oral hygiene as a result of frequent oral ulcerations. Meticulous behaviour modification technique and atraumatic periodontal intervention were employed to minimize soft tissue injury. This report highlights the importance of early dental referral, preventive-focused care, and a multidisciplinary approach in managing pediatric patients with EBS.