Dr. James Sciubba, an oral pathologist, reinforced the need to involve dentists in treatment of pemphigus. In pemphigus vulgaris the oral blisters are delicate and transitory, leaving behind ulcers and eroded skin. In cicatricial pemphigoid the blisters are longer lasting and tend to leave scars. Both cases are much different than skin lesions, and dentists are not often prepared to diagnose what they see. Scrupulous oral hygiene including regular visits to the oral hygienist should be part of every patient's health regimen.
Dental plaque can have a virulent effect when the immune system is being suppressed.
Even common dental procedures can cause reactions in patients that may be avoided if the dentist is involved in the treatment plan from the start. The best suggestion for finding a dentist who can correctly evaluate and treat oral pemphigus is to contact a local teaching hospital. They will be familiar with the disease and the current treatment protocols. In regard to replacing teeth that have been lost, Dr. Sciubba recommends implants.