International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 16 , ISSUE 1 ( January-February, 2023 ) > List of Articles

CASE REPORT

Oral Health Considerations and Dental Management for Epileptic Children in Pediatric Dental Care

Keywords : Dental care, Epilepsy, Medical emergency, Seizure

Citation Information : Oral Health Considerations and Dental Management for Epileptic Children in Pediatric Dental Care. Int J Clin Pediatr Dent 2023; 16 (1):170-176.

DOI: 10.5005/jp-journals-10005-2516

License: CC BY-NC 4.0

Published Online: 22-03-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Epilepsy is a chronic neurological disorder characterized by recurrent seizures. Epilepsy generally begins in childhood, potentially impeding education, employment, social relationships, and the development of a sense of self-worth. The number of decayed and missing teeth, the degree of abrasion, and periodontal indices are significantly worse in patients with epilepsy. Epileptic patients require special care during dental treatment. A seizure episode in a dental clinic is a medical emergency, and it is imperative as an oral health care provider to have adequate knowledge about this condition in order to render safer dental care to epileptic patients. There is a paucity of information in the medical literature on the dental management of epileptic patients. The purpose of this case series is to elaborate on the oral health considerations in epileptic patients and educate oral healthcare providers on the diagnosis, treatment, and emergency management of epilepsy, along with special dental treatment needs in epileptic patients. The case series is a compilation of two cases of petit mal epilepsy and one case of generalized tonic-clonic seizure with detailed descriptions of preventive seizure measures and dental management undertaken during the treatment of patients.


HTML PDF Share
  1. World Health Organization. Epilepsy: Etiology, epidemiology, and prognosis. 2001 Fact sheet No. 165.
  2. Waldman HB, Swerdloff M, Perlman SP. Children with mental retardation and epilepsy: demographics and general concerns. ASDC J Dent Child 2000;67(4):268–274.
  3. Fiske J, Boyle C. Epilepsy and oral care. Dent Update 2002;29(4):180–187. DOI: 10.12968/denu.2002.29.4.180
  4. Ogunbodede EO, Adamolekun B, Akintomide AO. Oral health and dental treatment needs in Nigerian patients with epilepsy. Epilepsia 1998;39(6):590–594. DOI: 10.1111/j.1528-1157.1998.tb01426.x
  5. Turner MD, Glickman RS. Epilepsy in the oral and maxillofacial patient: current therapy. J Oral Maxillofac Surg 2005;63(7):996–1005. DOI: 10.1016/j.joms.2004.04.038
  6. Sanders BJ, Weddell JA, Dodge NN. Managing patients who have seizure disorders: dental and medical issues. J Am Dent Assoc 1995;126(12):1641–1647. DOI: 10.14219/jada.archive.1995.0112
  7. Goldenberg MM. Overview of drugs used for epilepsy and seizures: etiology, diagnosis, and treatment. P T 2010;35(7):392–415.
  8. Camfield P, Camfield C. Incidence, prevalence and aetiology of seizures and epilepsy in children. Epileptic Disord 2015;17(2):117–123. DOI: 10.1684/epd.2015.0736
  9. Boelen S, Nieuwenhuis S, Steenbeek L, et al. Effect of epilepsy on psychomotor function in children with uncomplicated epilepsy. Dev Med Child Neurol 2005;47(8):546–550. DOI: 10.1017/s0012162205001064
  10. Childhood Epilepsy: Mental Health and Behaviour. Mass general for children [Internet] [Cited 21 November 2021] Available from https://www.massgeneral.org/children/epilepsy/education/mental-health-and-behavior
  11. Wang M, Ding D, Zhang Q, et al. Oral health and dental status in people with epilepsy in rural China. Seizure 2019;65:42–47. DOI: 10.1016/j.seizure.2018.12.022
  12. Károlyházy K, Kovács E, Kivovics P, et al. Dental status and oral health of patients with epilepsy: an epidemiologic study. Epilepsia 2003;44(8):1103–1108. DOI: 10.1046/j.1528-1157.2003.04003.x
  13. Joshi NH, Deshpande AN, Deshpande NC, et al. Comparative evaluation of oral hygiene status and gingival enlargement among epileptic and healthy children as related to various antiepileptic drugs. J Indian Soc Periodontol 2017;21(2):125–129. DOI: 10.4103/jisp.jisp_48_17
  14. Aragon CE, Burneo JG. Understanding the patient with epilepsy and seizures in the dental practice. J Can Dent Assoc 2007;73(1):71–76.
  15. Joshi SR, Pendyala GS, Saraf V, et al. A comprehensive oral and dental management of an epileptic and intellectually deteriorated adolescent. Dent Res J (Isfahan) 2013;10(4):562–567.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.