Evidence map›Paper›PMID 39673192›Full record

ArticleJournal of the European Academy of Dermatology and Venereology : JEADV2025

Oral health care pathways for patients with epidermolysis bullosa: A position statement from the European reference network for rare skin diseases.

S Krämer, A L Hillebrecht, K Bekes, K Bücher, V Clark, H Haririan, J Jakowski, C Joseph, N Meißner, J Monteiro and 10 more

Abstract readConsensus Statement
In one paragraph

Article in Journal of the European Academy of Dermatology and Venereology : JEADV, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Orthodontic Treatment in Patients With Epidermolysis Bullosa (EB)-Clinical Practice Guidelines (CPG).Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Guideline
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

S KrämerDepartment of Dermatology and Venereology, Medical Center - University of Freiburg, Freiburg, Germany.ORCID https://orcid.org/0000-0002-8510-4022
A L HillebrechtDepartment of Prosthetic Dentistry, Centre for Dental Medicine, Medical Centre - University of Freiburg, Freiburg, Germany.
K BekesDepartment of Paediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria.
K BücherSection for Paediatric Dentistry, Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University, Munich, Germany.
V ClarkBirmingham Children's Hospital, Birmingham, UK.
H HaririanDepartment of Periodontology, Dental Clinic, Faculty of Medicine, Sigmund Freud University, Vienna, Austria.
J JakowskiDepartment of Oral Surgery and Dental Emergency Care, Faculty of Health, Witten/Herdecke University, Witten, Germany.
C JosephERN-Skin (European Network for Rare Skin Disease).
N MeißnerPrivate Practice, Salzburg/Berlin, Germany.
J MonteiroDepartment of Paediatric Dentistry, Sheffield Teaching Hospitals, Sheffield, UK.
S PorterInstitute Director and Professor of Oral Medicine, UCL Eastman Dental Institute, University College London, London, UK.
R SchilkeDepartment of Conservative Dentistry, Periodontology and Preventive Dentistry, Hannover Medical School, Hannover, Germany.
S VelizFaculty of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain.
V VerhaegheERN-Skin (European Network for Rare Skin Disease).
A VinereanuERN-Skin (European Network for Rare Skin Disease).
M C BollingERN-Skin (European Network for Rare Skin Disease).
A DiemERN-Skin (European Network for Rare Skin Disease).
J E MellerioSt John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-2670-8117
C BodemerERN-Skin (European Network for Rare Skin Disease).
C HasDepartment of Dermatology and Venereology, Medical Center - University of Freiburg, Freiburg, Germany.ORCID https://orcid.org/0000-0001-6066-507X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInherited epidermolysis bullosa (EB) comprises a group of genetic disorders characterized by skin fragility and unique oral features. It requires interdisciplinary care from several health professionals, including oral health teams. Modern dentistry encompasses a wide range of therapeutic options performed by specialists from different fields.

objectiveTo guide clinicians caring for patients with different types of EB to seek care from different dental services.

methodsDental treatment needs for patients with EB were identified based on a systematic literature review. A panel of experts was consulted and invited to provide additional information through an open-ended question over 7 months. A Delphi study was applied over two rounds to the resulting pathways design. The threshold of consensus was set a priori at 75%. Patients' representatives revised the final document.

resultsThe panel (n = 17) agreed on a total of 55 recommendations divided into six groups according to the severity of oral compromise in EB (52 recommendations were agreed on in round 1, and three were agreed on in round 2).

conclusionsDental care pathways are presented for each type of EB. Specific considerations are discussed according to clinical features, including age of first referral, frequency of follow-up appointments, and list of dental specialties involved in the care of patients with EB.

Indexed as

Critical PathwaysDental CareEpidermolysis BullosaOral HealthConsensusDelphi TechniqueEuropeHumansRare Diseases

Identifiers

PMID39673192
PMCPMC12105416

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.