Abstract

  Epilepsy is a neurological disorder with significant disabilities. Persons with epilepsy (PWE) often need special care and attention. A PWE can have multiple dental health issues in them. It can be due to poor oral hygiene, socioeconomic factors, neglect from the caregiver’s end, antiepileptic medications or due to the attitude by dentists towards them. Seizures by itself can lead on to bone fracture/tooth loss. Antiseizure medications can cause gingival hyperplasia, osteopenia, gum bleeding etc. While giving medications by dentists, undue care should be given to avoid prescribing drugs that lowers seizure threshold. Also in the dental care setting, education of dental hygiene is important. Also it is better to avoid removable dentures. While doing dental surgical procedures, the time duration should be made short as far as possible. Dentists should be made aware that they shouldn’t neglect the care they are supposed to give for PWE.

Keywords: Dental Health; PWE; Antiseizure Drugs; Management; First Aid

References

1. Senthil A., et al. “Epilepsy in India I: Epidemiology and public health”. Annals of Indian Academy of Neurology 3 (2015): 263.
2. Joshi NH., et al. “Comparative evaluation of oral hygiene status and gingival enlargement among epileptic and healthy children as related to various antiepileptic drugs”. Journal of Indian Society of Periodontology 2 (2017): 125-129.
3. Peck CC. “Putting the Mouth into Health: The Importance of Oral Health for General Health”. Interface Oral Health Science 2016. Springer, Singapore (2017): 81-87.
4. Benjamin RM. “Oral health: the silent epidemic”. Public Health Report2 (2010): 158-159.
5. Ghafoor PA., et al. “Assessment of oral side effects of Antiepileptic drugs and traumatic oro-facial injuries encountered in Epileptic children”. Journal of International Oral Health 6 (2014): 126-128.
6. Cornacchio AL., et al. “The effects of antiepileptic drugs on oral health”. Journal of the Canadian Dental Association 77 (2011): b140.
7. Aragon CE and Burneo JG. “Understanding the patient with epilepsy and seizures in the dental practice”. Journal of the Canadian Dental Association1 (2007): 71-76.
8. Lin K., et al. “Drug-induced gingival enlargement-Part II. Antiepileptic drugs: Not only phenytoin is involved”. Journal of Epilepsy and Clinical Neurophysiology2 (2007): 83-88.
9. Károlyházy K., et al. “Dental status and oral health of patients with epilepsy: an epidemiologic study”. Epilepsia 8 (2003): 1103-1108.
10. Yeung PM., et al. “Oral health status of children with epilepsy in Hong Kong”. Journal of Investigative and Clinical Dentistry 10 (2019): E12479.
11. Hingray C., et al. “The Relationship Between Epilepsy and Anxiety Disorders. Current Psychiatry Reports 6 (2019): 40-41.
12. Schöpper M., et al. “Dental care in patients with epilepsy: a survey of 82 patients and their attending dentists and neurologists in southern Germany”. International Dental Journal6 (2016): 366-74.
13. Jacobsen PL and Eden O. “Epilepsy and the Dental Management of the Epileptic Patient”. Journal of Contemporary Dental Practice 1 (2008): 054-062.
14. Corrêa JD., et al. “Phenytoin-induced gingival overgrowth: a review of the molecular, immune, and inflammatory features”. ISRN Dentistry (2011): 497850.
15. Priyadharshini V., et al. “Successful management of phenytoin and phenobarbitone induced gingival enlargement: A multimodal approach”. Contemporary Clinical Dentistry2 (2014): 268-271.
16. Bryan RB and Sullivan SM. “Management of dental patients with seizure disorders”. Dental Clinics of North America 4 (2006): 607-623.
17. Southerland JH., et al. “Dental management in patients with hypertension: challenges and solutions”. Clinical, Cosmetic and Investigational Dentistry 8 (2016): 111-120.
18. Grünheid T., et al. “Clinical use of a direct chairside oral scanner: an assessment of accuracy, time, and patient acceptance”. American Journal of Orthodontics and Dentofacial Orthopedics5 (2014): 673-682.
19. Nonato ER and Borges MA. “Oral and maxillofacial trauma in patients with epilepsy: prospective study based on an outpatient population”. Arquivos de Neuro-Psiquiatria3 (2011): 491-495.
20. Kathuria V., et al. “Carisolv- an innovative method of caries removal”. Journal of Clinical and Diagnostic Research 12 (2013): 3111-3115.
21. Hashmi S., et al. “Swallowed partial dentures”. Journal of the Royal Society of Medicine 2 (2004): 72-75.
22. Katre AN. “Assessment of the Correlation between Appointment Scheduling and Patient Satisfaction in a Pediatric Dental Setup”. International Journal of Dentistry 453237 (2014): 1-7.
23. Radhakrishna S., et al. “Comparison of three behavior modification techniques for management of anxious children aged 4-8 years”. Journal of Dental Anesthesia and Pain Medicine 1 (2019): 29-36.
24. Morgan HI., et al. “Assessment of oral health status of children with epilepsy: A retrospective cohort study”. International Journal of Paediatric Dentistry1 (2019): 79-85.

Citation

Citation: Ashalatha Radhakrishnan., et al. "Dental Health Issues in Persons with Epilepsy". Acta Scientific Neurology 3.12 (2020): 55-61.

Copyright

Copyright: © 2020 Ashalatha Radhakrishnan., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.