Dental Status and Oral Health of Patients with Epilepsy in Prasart Neurological Institute: A Survey Study

Abstract

Background:  Several studies reported that seizures possibly contribute to the incident of dental trauma, both teeth and soft tissues. However, at Prasart Neurological Institute, there is no correlation between dental statuses of patients who suffer from Epilepsy and traumatic injuries of teeth and surrounding tissues. On the contrary, according to collected data from the survey established at this hospital, there are certain evidences of cracked as well as fractured teeth which are obviously not related to seizures.

Objective:  A survey study dental status and oral health of patients with epilepsy in Prasart Neurological Institute

Method: This study of dental status in those with epilepsy at Prasart Neurological Institute from September 2017 to February 2019 was gathered by surveying Epilepsy patients 280 persons.

Result:  Epilepsy patients 280 persons, with females 170 and males 100 (mean age = 39.9) from Outpatient Department. All of patients are categorized into 3 groups (well, moderated controlled and uncontrolled seizures, at 33, 159 and 88 respectively.) In addition, with periodontal status, there are three groups as follow 1. Normal periodontal status (6 persons), 2. Gingivitis (120 persons) 3. Gingivitis and calculus deposited in general (140 persons), and 4. Periodontitis (14 persons).

Conclusion:  from our study, it can be clearly seen that dentists could basically operate on patients with controlled seizures similarly to normal people. Nevertheless, operators should avoid stress stimulating seizures that can occur during the procedures and be careful an aspiration and using dental instruments. This study could demonstrate oral condition in patients suffering from Epilepsy and help dentists have understanding to manage patients in controlled seizures group