Share This Article:

Management of Epileptic Patients in Dentistry

Full-Text HTML XML Download Download as PDF (Size:74KB) PP. 47-52
DOI: 10.4236/ss.2012.31008    18,332 Downloads   33,972 Views   Citations

ABSTRACT

Epilepsy has direct negative effects on sufferers’ general dental condition and oral health, both of which are further affected by inadequate oral hygiene; poor oral hygiene itself is often also caused by epilepsy-related poor health. Consequently, tooth loss, caries and periodontal disease occur increasingly often in epilepsy sufferers and they need more dental treatment. However, in fact the epileptic patients can receive fewer and simpler treatment modalities. The aim of this study was to review and synthesize recent studies on dental treatment in epilepsy patients and to mention potential triggers for seizures in dental practice.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Y. Mehmet, Ö. Senem, T. Sülün and K. Hümeyra, "Management of Epileptic Patients in Dentistry," Surgical Science, Vol. 3 No. 1, 2012, pp. 47-52. doi: 10.4236/ss.2012.31008.

References

[1] N. Aydemir, C. Ozkara, R. Canbeyli and A. Tekcan, “Changes in Quality of Life and Self-Perspective Related to Surgery in Patients with Temporal Lobe Epilepsy,” Epilepsy & Behavior, Vol. 5, No. 5, 2004, pp. 735-742. doi:10.1016/j.yebeh.2004.06.022
[2] M. D. Turner and R. S. Glickman, “Epilepsy in the Oral and Maxillofacial Patient: Current Therapy,” Journal of Oral and Maxillofacial Surgery, Vol. 63, No. 7, 2005, pp. 996-1005. doi:10.1016/j.joms.2004.04.038
[3] B. J. Sanders, J. A. Weddell and N. N. Dodge, “Managing Patients Who Have Seizure Disorders: Dental and Medical Issues,” Journal of the American Dental Association, Vol. 126, No. 12, 1995, pp. 1641-1647.
[4] H. B. Waldman, M. Swerdloff and S. P. Perlman, “Children with Mental Retardation and Epilepsy: Demographics and General Concerns,” ASDC Journal of Dentistry for Children, Vol. 67, No. 231, 2000, pp. 268-274.
[5] J. Fiske and C. Boyle, “Epilepsy and Oral Care,” Dental Update, Vol. 29, 2002, pp. 180-187.
[6] E. O. Ogunbodede, B. Adamolekun and A. O. Akintomide, “Oral Health and Dental Treatment Needs in Nigerian Patients with Epilepsy,” Epilepsia, Vol. 39, No. 6, 1998, pp. 590-654. doi:10.1111/j.1528-1157.1998.tb01426.x
[7] F. M. Mai, “Psychiatric Comorbidity in Epilepsy: Basic Mechanisms, Diagnosis, and Treatment. Book Review,” Journal of Psychiatry and Neuroscience, Vol. 23, 1998, pp. 314-315.
[8] T. R. Browne and G. L. Holmes, “Epilepsy,” New England Journal of Medicine, Vol. 344, No. 15, 2001, pp. 1145-1151. doi:10.1056/NEJM200104123441507
[9] P. J. Chapman, “Medical Emergencies in Dental Practice and Choice of Emergency Drugs and Equipment: A Survey of Australien Dentists,” Australian Dental Journal, Vol. 42, No. 2, 1997, pp. 103-108. doi:10.1111/j.1834-7819.1997.tb00104.x
[10] A. H. Friedlander and J. L. Cummings, “Temporal Lobe Epilepsy: Its Association with Psychiatric Impairment and Appropriate Dental Management,” Oral Surgery, Oral Medicine, Oral Pathology, Vol. 68, No. 3, 1989, pp. 288-292. doi:10.1016/0030-4220(89)90213-2
[11] G. V. Busschots and B. I. Milzman, “Dental Patients with Neurologic and Psychiatric Concerns,” Dental Clinics of North America, Vol. 43, 1999, pp. 471-483.
[12] S. Gallagher, S. Weiss, C. J. Oram, T. Humphries, K. E. Harman and S. Menascu, “Efficacy of Very High Dose Steroid Treatment in a Case of Landau-Kleffner Syndrome,” Developmental Medicine & Child Neurology, Vol. 48, No. 9, 2006, pp. 766-769. doi:10.1017/S0012162206001630
[13] A. L. Lux and J. P. Osborne, “The Influence of Etiology upon Ictal Semiology, Treatment Decisions and Long-Term Outcomes in Infantile Spasms and West Syndrome,” Epilepsy Research, Vol. 70, 2006, pp. 77-86. doi:10.1016/j.eplepsyres.2006.01.017
[14] T. J. O’Brien, R. E. Hogan and L. Sedal, “Tooth-Brush- ing Epilepsy: A Report of a Case with Structural and Functional Imaging and Electrophysiology Demonstrating a Right Frontal Focus,” Epilepsia, Vol. 37, No. 7, 1996, pp. 694-697. doi:10.1111/j.1528-1157.1996.tb00636.x
[15] G. L. Holmes, S. Blair and E. Eisenberg, “Tooth-Brush- ing-Induced Epilepsy,” Epilepsia, Vol. 23, No. 6, 1982, pp. 657-661. doi:10.1111/j.1528-1157.1982.tb05081.x
[16] M. Koutroumanidis, R. Pearce, D. R. Sadoh and P. Panayiotopoulos, “Tooth Brushinginduced Seizures: A Case Report,” Epilepsia, Vol. 42, No. 5, 2001, pp. 686-688. doi:10.1046/j.1528-1157.2001.32700.x
[17] L. Pick and J. Bauer, “Dentistry and Epilepsy,” Nervenarzt, Vol. 72, No. 1, 2001, pp. 946-949. doi:10.1007/s001150170008
[18] B. T. Kennedy and J. S. Haller, “Treatment of the Epileptic Patient in the Dental Office,” New York State Dental Journal, Vol. 64, 1998, pp. 26-31.
[19] K. N. Ciarroca, M. S. Greenberg and A. Garfunkel, “Neuromuscular Disease,” In: M. S. Greenberg, M. Glick, Eds., Burket’s Oral Medicine Diagnosis and Treatment, 10th Edition, BC Decker Inc., Lewiston, 2003, p. 592.
[20] E. N. Arnautova and T. N. Nesmeianova, “A Proposed International Classification of Epileptic Seizures,” Epilepsia, Vol. 5, No. 4, 1964, pp. 297. doi:10.1111/j.1528-1157.1964.tb03337.x
[21] K. Karolyhazy, E. Kovacs, P. Kivovics, P. Fejerdy and Z. Aranyi, “Dental Status and Oral Health of Patients with Epilepsy: An Epidemiologic Study,” Epilepsia, Vol. 44, No. 8, 2003, pp. 1103-1108. doi:10.1046/j.1528-1157.2003.04003.x
[22] M. P. Majola, M. L. McFadyen, C. Connolly, Y. P. Nair, M. Govender and M. H. Laher, “Factors Influencing Phenytoin-Induced Gingival Enlargement,” Journal of Clinical Periodontology, Vol. 27, No. 7, 2000, pp. 506-512. doi:10.1034/j.1600-051x.2000.027007506.x
[23] I. Marakoglu, U. K. Gursoy, H. Cakmak and K. Marakoglu, “Phenytoin-Induced Gingival Overgrowth in Un-Cooperated Epilepsy Patients,” Yonsei Medical Journal, Vol. 45, No. 2, 2004, pp. 337-340.
[24] J. French, “The Long-Term Therapeutic Management of Epilepsy,” Annals of Internal Medicine, Vol. 120, No. 5, 1994, pp. 411-422.
[25] M. J. Brodie, “Diagnosing and Predicting Refractory Epilepsy,” Acta Neurologica Scandinavica, Vol. 112, Suppl. 181, 2005, pp. 36-39. doi:10.1111/j.1600-0404.2005.00507.x
[26] R. H. Mattson, “Medical Management of Epilepsy in Adults,” Neurology, Vol. 51, No. 5, 1998, pp. 15-20.
[27] F. Perlik, M. Kolinova, J. Zvarova and V. Patzelova, “Phenytoin as a Risk Factor in Gingival Hyperplasia,” Therapeutic Drug Monitoring, Vol. 17, No. 5, 1995, pp. 445-448. doi:10.1097/00007691-199510000-00002
[28] K. Karolyhazy, P. Kivovics, P. Fejerdy and Z. Aranyi, “Prosthodontic Status and Recommended Care of Patients with Epilepsy,” Journal of Prosthetic Dentistry, Vol. 93, No. 2, 2005, pp. 177-182. doi:10.1016/j.prosdent.2004.11.008
[29] S. F. Malamed, “Handbook of Local Anesthesia,” 4th Edition, Mosby, St Louis, 1997, p. 121.
[30] D. Buck, G. A. Baker, A. Jacoby, D. F. Smith and D. W. Chadwick, “Patients’ Experiences of Injury as a Result of Epilepsy,” Epilepsia, Vol. 38, No. 4, 1997, pp. 439-444. doi:10.1111/j.1528-1157.1997.tb01733.x
[31] M. T. Hosey and R. R. Welbury, “Medical Disability,” In: R. R. Welbury, M. S. Duggal and M. T. Hosey, Eds., Pediatric Dentistry, 3rd Edition, Oxford University Press, Oxford, 2005, pp. 385-410.
[32] C. E. Dent, A. Richens, D. J. Rowe and T. C. Stamp, “Osteomalacia with Long-Term Anticonvulsant Therapy in Epilepsy,” British Medical Journal, Vol. 4, 1970, pp. 69-72. doi:10.1136/bmj.4.5727.69
[33] K. B. Desai, W. J. Ribbans and G. J. Taylor, “Incidence of Five Common Fracture Types in an Institutional Epileptic Population,” Injury, Vol. 27, 1996, pp. 97-100. doi:10.1016/0020-1383(95)00189-1
[34] J. A. Parry and F. A. Khan, “Provision of Dental Care for Medically Compromised Children in the UK by General Dental Practitioners,” International Journal of Paediatric Dentistry, Vol. 10, No. 4, 2000, pp. 322-327. doi:10.1046/j.1365-263x.2000.00207.x
[35] B. J. Abdullah, L. K. Teong, J. Mahadevan and A. “Ja- laludin, Dental Prosthesis Ingested and Impacted in the Esophagus and Orolaryngopharynx,” Journal of Otolaryngology, Vol. 27, 1998, pp. 190-194.

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.