Epilepsy - Oral Health Care Considerations
- Elucidate the type of seizure, how well the seizure activity is controlled, the frequency and duration of seizure activity, potential triggers, and what time of the day a seizure may be expected.
- Well-controlled epileptics can receive all types of routine dental care without any special modifications.
- Consider a hospital setting for patients with a poorly controlled or uncontrolled seizure disorder.
- Phenytoin (Dilantin) is associated with gingival overgrowth. The overgrowth may be exacerbated by poor oral hygiene.
- The use of a removable prosthesis may be contraindicated in patients with frequent or severe seizure activity.
- Use fixed prothesis when possible.
- If the dentition has been traumatized, adjust restorative procedures accordingly.
- Secure intraoral adjunct appliances, such as a mouth prop, with dental floss.
- Consider topical fluoride for patients with oral dryness (usually associated with anti-seizure medications).
- Combining aspirin and other non-steroidal anti-inflammatory medications will valproic acid may cause enhanced bleeding tendencies.
Medical Complexity Status - Epilepsy#
| Epilepsy | MCS1B |
|---|---|
| Anticipated complication | Controlled/ stable |
| Hemostasis | None |
| Microbial susceptibility | None |
| Drugs/ drug interactions | Minor |
| Stress/trauma | Minor |
See Medical Complexity Status for more information.