Problems with access to dental treatment for children with epilepsy

Mielnik−Błaszczak, Maria; Skawińska-Bednarczyk, Agnieszka; Michałowski, Artur; Błaszczak, Jerzy

doi:10.1016/j.yebeh.2017.12.014

Cited by 6 publications

(9 citation statements)

References 8 publications

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“…According to Mielnik-Błaszczak M., most children with epilepsy do not have regular dental check-ups. Besides, patients with epilepsy are less likely to see dentists compared to the general population, even though they have a higher need for it [21,22].…”

Section: E P I L E P S Y I T S P O S S I B L E S Y M P T O M S a N Dmentioning

confidence: 99%

Examining and Treating Patients With Epilepsy Atthe Dentist’s Office (Literature Review)

Смирнова¹,

Суетенков²,

Smirnov³

et al. 2020

AREM

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Our literature review analyzes the sources focusing on epilepsy, as well as on aspects of working with children suffering from epilepsy at a dentist's appointment. Based on the obtained data, the oral cavity status may indicate previously undetected epilepsy, as the dentist may become a doctor of the first contact. And when managing children diagnosed with epilepsy, it is important to select individual treatment tactics for them. The dentist, therefore, should have basic understanding of the patient's condition, the main symptoms of epilepsy, and be capable of applying first aid tactics in case of an epileptic seizure. Otherwise, epilepsy patients tend to have poor dental health and need regular visits to the dentist.

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Section: E P I L E P S Y I T S P O S S I B L E S Y M P T O M S a N Dmentioning

confidence: 99%

Examining and Treating Patients With Epilepsy Atthe Dentist’s Office (Literature Review)

Смирнова¹,

Суетенков²,

Smirnov³

et al. 2020

AREM

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“…In Latin America and the Caribbean, a prevalence range of 15.8–17.8 cases per 1000 inhabitants has been reported, and the incidence ranged from 77.7 to 190 cases per 100,000 inhabitants; and it is estimated that the prevalence of epilepsy in Peru is 20 per 1000 people [ 4 , 5 ]. This disease affects the brain and is characterized by repetitive and unpredictable seizures in those affected [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…In order to provide adequate treatment to patients with epilepsy, it is necessary for dentists to be familiar with specific needs of these patients, as well as to warn and prevent possible risks at dental level that could affect patients during an epileptic seizure [ 7 , 18 – 20 ]. In addition, it is important for the dentist to be aware of the possible implications of prescribing certain drugs related to seizure control in order to prevent periodontal complications [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic factors associated with the level of knowledge about management of epileptic patients in Peruvian dental students: a cross-sectional study under a multivariable analysis

et al. 2023

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Background Epilepsy is a chronic neurological disease that could indirectly affect oral health, and it is necessary for dentists to be familiar with the specific needs of patients with epilepsy. Therefore, aim of the present study was to assess the factors associated with the level of knowledge about management of epileptic patients in Peruvian dental students. Methods This analytical, observational, cross-sectional and prospective study assessed 312 dental students from a Peruvian university during February to April 2022. A validated questionnaire of 20 closed multiple-choice questions was used to measure the level of knowledge about dental management in epileptic patients. A logit model was used to assess the influence of variables: gender, age, year of study, marital status, place of origin and area of residence, with the level of knowledge in dental students considering a significance level of p < 0.05. Results Of the total, 28.8%, 36.2% and 34.9% had a poor, fair and good level of knowledge, respectively, about the dental treatment of epileptic patients. On the other hand, it was observed that being a woman (OR = 0.44, CI 0.26–0.75) and being a third year student (OR = 0.39, CI 0.21–0.74) and fourth year student (OR = 0.43, CI 0.23–0.89) constituted a protective factor against poor knowledge about the dental management of epileptic patients, while being from the capital city constituted a risk factor. Finally, age, marital status and the students' area of residence were not considered influential factors (p > 0.05). Conclusion Most of the students showed a poor and fair level of knowledge about the dental management of epileptic patients, with gender, academic year and place of origin being influential factors. It is advisable that authorities and teachers in the dental profession organize recurrent training programs on the care of patients with chronic diseases requiring special attention, since knowing general concepts, pharmacological management and dental care of epileptic patients will allow future dentists to develop competencies to improve and implement good quality care protocols for this group of patients.

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“…In this context, this recent study underscores the importance of increasing the regular dental care availability even to small towns of developed countries. [2] We believe that this has probably occurred due to both financial reasons and the low number of clinics available in the studied region. Also, Morgan et al investigated 100 epileptic individuals over a year in Egypt.…”

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confidence: 99%

“…[6] We would like to provide the mnemonic "DEpvceNTAL" [Table 1] to help relevant health-care providers remember the main facts about oral health in patients with epilepsy. [1][2][3][4]6]…”

mentioning

confidence: 99%