Vol 51, No 5 (2017)

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The prevalence of orodental trauma during epileptic seizures in terms of dental treatment – Survey study

Dominika Gawlak1, Joanna Łuniewska2, Wiktoria Stojak2, Anahit Hovhannisyan2, Anna Stróżyńska2, Katarzyna Mańka-Malara1, Marcin Adamiec3, Andrzej Rysz45
DOI: 10.1016/j.pjnns.2017.06.004
Neurol Neurochir Pol 2017;51(5):361-365.

Abstract

Introduction

Epilepsy is one of the most common neurological disorders. Seizures that occur during attacks may lead to head injuries. It is crucial to establish proper prophylactic management against trauma occurrence, as nowadays prevention is not sufficient.

Aim

Assessment of the frequency of head and intraoral trauma during epileptic seizures and to evaluate factors that may predispose to injuries.

Material and Methods

The questionnaire was carried out among 106 patients with epilepsy. Survey conducted questions regarding development of the disease and occurrence of orodental and head trauma. Results were statistically analyzed with the chi-square test (p<0.05).

Results

52.4% of subjects admitted the occurrence of oral trauma during epileptic seizures. The most common were lips, tongue or cheeks injuries. 18% patients suffered from tooth crack and 17% from tooth fracture. 50% of respondents suffered from head trauma during seizures: 41% patients reported bruises, 39% burns, 37% wounds, 10% nose fractures, 7% eye socket trauma and 3% skull crack. 14.1% of respondents experienced dentist refusal to undertake treatment, while 4% of patients had epileptic attack during dental procedures.

Conclusions

Dental trauma is common result of epileptic seizures. It is necessary to implement prophylactic management to prevent hard and soft tissues injuries, for example by using custom-made mouthguards. Moreover, specially designed dental programs for this group of patients should be provided.

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Neurologia i Neurochirurgia Polska