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[Dentistry and epilepsy].

L Pick1, J Bauer

  • 1Klinik und Poliklinik für Epileptologie, Universitätsklinikum Bonn, Sigmund-Freud-Strasse 25, 53105 Bonn.

Der Nervenarzt
|January 16, 2002
PubMed
Summary

Dental patients with epilepsy require special care. Dentists should manage seizures and prevent dental injuries, considering medication side effects like gingival hyperplasia and choosing appropriate anesthetics.

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Area of Science:

  • Dentistry
  • Neurology

Context:

  • Epileptic seizures are a common medical incident during dental surgeries.
  • Dental procedures pose risks for patients with epilepsy, including falls and injuries.

Purpose:

  • To outline dental management strategies for patients with epilepsy.
  • To highlight risks associated with epilepsy in dental settings and propose preventive measures.

Summary:

  • Dentists must inquire about epilepsy history and seizure management protocols.
  • Fixed dental prosthetics can prevent aspiration; phenytoin can cause gingival hyperplasia, managed by drug change or enhanced hygiene.
  • Local anesthetics without epinephrine are recommended; prolonged teeth brushing may trigger seizures.

Impact:

  • Improved patient safety and outcomes in dental settings for individuals with epilepsy.
  • Reduced dental complications and enhanced quality of care through informed dental practices.

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