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Amy's Class Notes on Epilepsy and Oral Characteristics (1999)
I don't know if these will help you out but just in case, I added them onto the site.  These are just notes that I took in class in different formats.

Epilepsy-- dysfunction or disorder of central nervous system.  Can have seizures.  Seizures -- type of convulsive disorder.

Causes:

  1. genetic
  2. brain tumor
  3. head trauma
  4. prenatal

2 basic types of seizures:

  1. partial -- localized part of the brain
    1. simple
    2. complex
  2. generalized -- effects entire brain
    1. generalized absence
    2. generalized tonic-clonic

3 top medications:

  1. phenytonin / dilatin ***
  2. valproic acid (increased bleeding)
  3. phenobarbital

Causes of seizures:

  1. stress
  2. apprehension
  3. fatigue
  4. flashing lights
  5. noises
  6. odors
  7. alcohol use (withdrawal)

Oral characteristics:

  1. scars of lips and tongue -- from biting
  2. fractured teeth -- from biting falling
  3. gingival overgrowth
    • due to medication
    • dilantin-induced hyperplasia
    • can be exaserbated by plaque and calculus
    • fibrotic, pink
    • mulberry or cauliflower appearance
    • cleft-like grooves between papilla
    • may wedge teeth apart (when severe)
    • papillary and marginal gingiva can be affected

Dental Treatment:

  • scaling important
  • take dentures out
  • plaque control
  • need thorough med. hx.
  • no premed
  • ask what meds taking
  • drugs -- may be drowsy

Treatment modifications:

  • plaque control
  • scaling
  • shorter recall intervals
  • preventive treatment

Oral conditions:

  • Disease does not cause conditions, due to medication
  • home-care very important
  • consult MD if on valproic acid due to bleeding.

Emergency Tx:

  • stop tx.
  • call for medical assistance
  • lower chair as close to the floor, lay back as far as possible (supine)
  • push aside equipment
  • loosen any tight clothing
  • do not force anything in mouth
  • establish airway, monitor vital signs
  • be very reassuring
  • check oral cavity for trauma

 


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