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The prevalence of orodental trauma during epileptic seizures in terms of dental treatment – Survey study
Affiliations- Department of Prosthetics, Medical University of Warsaw, ul. Nowogrodzka 59, Warsaw, Poland
- Students’ Scientific Association at the Department of Prosthetics, Medical University of Warsaw, ul. Nowogrodzka 59, Warsaw, Poland
- Department of Oral Surgery, Medical University of Warsaw, ul. Nowogrodzka 59, Warsaw, Poland
- Department of Neurosurgery, Medical University of Warsaw, Banacha 1a, 02-097 Warsaw, Poland
- Department of Neurology, Medical University of Warsaw, 8 Kondratowicza str, 03-242 Warsaw, Poland
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Abstract
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.
AimAssessment of the frequency of head and intraoral trauma during epileptic seizures and to evaluate factors that may predispose to injuries.
Material and MethodsThe 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).
Results52.4% 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.
ConclusionsDental 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.
Abstract
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.
AimAssessment of the frequency of head and intraoral trauma during epileptic seizures and to evaluate factors that may predispose to injuries.
Material and MethodsThe 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).
Results52.4% 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.
ConclusionsDental 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.
Keywords
Injury, Trauma, Dentistry, Epilepsy
About this articleTitle
The prevalence of orodental trauma during epileptic seizures in terms of dental treatment – Survey study
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
361-365
Page views
321
Article views/downloads
1119
DOI
10.1016/j.pjnns.2017.06.004
Bibliographic record
Neurol Neurochir Pol 2017;51(5):361-365.
Keywords
Injury
Trauma
Dentistry
Epilepsy
Authors
Dominika Gawlak
Joanna Łuniewska
Wiktoria Stojak
Anahit Hovhannisyan
Anna Stróżyńska
Katarzyna Mańka-Malara
Marcin Adamiec
Andrzej Rysz
