Zahnmedizin und Epilepsie

Pick, Ludwig; Bauer, Judith

doi:10.1007/s001150170008

Cited by 13 publications

(6 citation statements)

References 22 publications

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“…Limited recommendations concerning the dental treatment of epilepsy patients have been previously published (17,19–22); however, it follows from our classification that patients should be handled differentially, depending on the characteristics of their disease. It must also be stressed that the majority of patients living with epilepsy can and should receive dental treatment without restrictions and be provided with functionally and esthetically adequate dental care.…”

Section: Discussionmentioning

confidence: 99%

Dental Status and Oral Health of Patients with Epilepsy: An Epidemiologic Study

et al. 2003

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Summary: Purpose: We performed a dental survey of epilepsy patients to examine their oral health by statistical means and to provide a guide for the dental treatment of these patients. Methods: We first set up four “dental” subgroups of epilepsy patients, based on the types of seizures, seizure frequency, and mental state. One hundred one patients underwent a survey concerning their dental, medical, and epilepsy histories, followed by a dental examination. Indexes quantifying oral hygiene, the number and condition of the remaining teeth, periodontium, and the degree of prosthetic treatment were measured. An age‐matched control group of general (nonepilepsy) population underwent an identical dental examination. Statistical comparison was performed between the patient and the control groups and between subgroups of epilepsy patients. Results: In almost all aspects of oral health and dental status, patients with epilepsy showed a significantly worse condition compared with the control group. Comparison of the subgroups of epilepsy patients revealed that the most severe findings concern patients who have poorly controlled epilepsy, especially those who have frequent generalized tonic–clonic seizures. Conclusions: The observed difference probably results from a combination of factors such as the effect of the seizures themselves, socioeconomic conditions, and the negative attitude of dentists. We recommend that the planning of dental treatment of such patients should start with the assessment of their disease and determination of the “dental” subgroup to which they belong. For each subgroup, specific recommendations for interventions are given.

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Section: Discussionmentioning

confidence: 99%

Dental Status and Oral Health of Patients with Epilepsy: An Epidemiologic Study

et al. 2003

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“…In a study by Pick et al in 2001, they recommended using local anesthetics that do not contain vasoconstrictors in epilepsy patients (11). Local anesthesia without vasoconstrictor was used in our study.…”

Section: Discussionmentioning

confidence: 94%

Retrospective analysis of the effect on vital signs of using local anesthesia during dental procedures on patients with epilepsy

2022

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Aim: In our study, it is aimed to investigate the effects on vital signs by measuring fever, oxygen saturation, pulse, and blood pressure from the patient before, during, and after local anesthesia application. Methodology: Patients who applied to Necmettin Erbakan University, Faculty of Dentistry, Department of Pedodontics between January 2021 and July 2022, who had epilepsy and needed dental treatment; After clinical/radiographic examination, Necmettin Erbakan University Meram Medical Faculty Pediatric Neurology Department was sent for consultation. Within the scope of the research, temperature, oxygen saturation, pulse, and blood pressure measurements were made before, during, and after anesthesia in 39 procedures performed on 19 patients in total. SPSS 23 program was used for the statistical analysis of data. Before the analysis of the data, Kolmogorov-Smirnov and Shapiro-Wilk tests were applied to test the normality of the distribution. Paired sample t-test was used to examine the fever, pulse, blood pressure, and oxygen saturation levels of the participants before, during, and after anesthesia. The statistical significance level in the study was accepted as p<0.05. Results: There was a statistically significant difference between the participants' pulse measurements during anesthesia and their post-anesthetic pulse measurements (p= 0.049). There was a statistically significant difference between pre-anesthesia oxygen saturation measurements and pre-anesthesia oxygen saturation measurements (p= 0.042). There was a statistically significant difference between the pre-anesthesia oxygen saturation measurements and the post-anesthetic oxygen saturation measurements of the participants (p= 0.012). Conclusion: In patients with a history of epilepsy, attention should be paid to the anesthetics used during the procedure and the consequences of dental anxiety, and dental treatments should be planned within the necessary precautions.

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“…Seizures can also be associated with West Syndrome, Lennox-Gastaut Syndrome and Landau Kleffner Syndrome [2,12,13]. There are also some case reports of reflex epileptic seizures caused by prolonged brushing of teeth [14][15][16][17].…”

Section: Etiologymentioning

confidence: 99%

“…Added to these, it also reported that biting the finger of the dentist by the patient during seizure is common. This type of trauma have a risk of infection for the dentist, that is not directly belonging to the epilepsy itselfes [17].…”

Section: Traumamentioning

confidence: 99%

Management of Epileptic Patients in Dentistry

Yaltırık¹,

Senem²,

Sülün³

et al. 2012

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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

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Zahnmedizin und Epilepsie

Cited by 13 publications

References 22 publications

Dental Status and Oral Health of Patients with Epilepsy: An Epidemiologic Study

Dental Status and Oral Health of Patients with Epilepsy: An Epidemiologic Study

Retrospective analysis of the effect on vital signs of using local anesthesia during dental procedures on patients with epilepsy

Management of Epileptic Patients in Dentistry

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