[Prosthetic rehabilitation of an epilepsy patient with dental implants. Case report]

According to epidemiologic data patients with epilepsy generally have more caries, more missing teeth and worse periodontal status than the normal population. Epilepsy patients have a great risk of injury during their seizures or aspiration of foreign bodies such as removable dental prosthesis or fragments of prosthesis. Fixed dental replacements are therefore recommended to reduce this risk. In cases where the anatomic restrictions enable only a conventional removable prosthesis, an implant prosthetic treatment offers helpful alternative for the epileptic patient. The implant prosthetic treatment of a 48-year-old epileptic patient is presented. After inserting six dental implants into the lower jaw, three short span bridges were fabricated. The surgery was carried out under local anesthesia in the routine way. A bite plate was made for night use to avoid the crack of the ceramic surfaces during any possible seizure.