Prevention and dental treatment of patients with epilepsy

Naskova, Sanja and Atanasova, Sandra and Toneva, Verica (2017) Prevention and dental treatment of patients with epilepsy. International Journal Knowledge. ISSN 2545-4439

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Abstract

Epilepsy is the most common chronic neurologic disorder in pediatric neurology. It is a brain disorder characterized by excessive neuronal discharge that can produce seizures, unusual body movements, and loss or changes in consciousness. Transient episodes of motor, sensory, or psychic dysfunction, with or without unconsciousness or convulsive movements may be present. Patients who have epilepsy have been shown to have significantly worse dental condition than the general population. Patients living with epilepsy have special needs during dental treatment. They also need regular dental check-ups every 6 to 12 months. Dentists with a thorough knowledge of seizure disorders and the medications used to treat them can provide necessary dental and oral health care for those patients. During dental procedure, there is a possibility of head, tongue, lip, and cheeks injury because of seizures. So, preventing injury is the primary, most important goal of assistance. Also there is a high prevalence of bone and dental fractures. Significantly greater risk of burns is found in persons with epilepsy than other general population. Dentist should reduce the reasons for convulsive attacks. The appointment should be given to the patient in early hours of the day, reduce the direct overhead lighting, particularly for the photosensitive form of epilepsy. Also, he should reduce stress of the child by behavioral management and conscious sedation techniques. If the attack begins treatment should be stopped and dental tampons, prostheses and instruments should be removed. The patient should be helped into the supine position. Any tight clothing the patient is wearing should be loosened. The patient should be monitored to make sure his/her airway does not become obstructed. However, if the seizure lasts longer and continues in spite of medication, the patient should be sent to hospital. After the patient regains consciousness, he/she should be sent home to rest. Treatment should be postponed until the patient feels well again. The dentist should give advises to brush teeth twice a day with a soft-bristled brush and use fluoride toothpaste. Because brushing doesn’t clean every surface of the teeth, flossing is necessary for a really clean mouth. In addition, there is an ongoing need to improve the oral hygiene of these individuals to prevent the development of periodontal and dental disease in later life. We recommended planning dental treatment of such group of patients, avoiding trigger risk for convulsive attacks and preventing injury due attacks. Key words: oral health, oral hygiene, patient, epilepsy, injury

Item Type: Article
Subjects: Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Sanja Naskova
Date Deposited: 07 Feb 2018 09:03
Last Modified: 07 Feb 2018 09:03
URI: http://eprints.ugd.edu.mk/id/eprint/19362

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