Readers ask: How To Care For Patients With Epilepsy In The Dental Office?

Readers ask: How To Care For Patients With Epilepsy In The Dental Office?

How do you manage an epileptic patient in a dental clinic?

Help for a generalised seizure in a dental practice

  1. Clear all dental instruments away from the patient.
  2. If the patient is on the dental chair: place the dental chair in a supported, supine position as near to the floor as possible.
  3. Do not restrain the patient.

How do dental chairs deal with seizures?

Seizure management during treatment: Remove all dental instruments from the mouth. Clear the area around the dental chair. Stay with the child and turn child to one side. Monitor airway to reduce risk of aspiration.

Can dental work cause seizures?

Seizures that occur during or after a dental procedure can occur with N2O104 and methohexital. 51 In these studies, seizures most often occurred in patients with undiagnosed epilepsy or those who missed a dose of their antiepileptic medications on the day of the dental procedure.

How does epilepsy affect oral health?

Seizures may also damage the temporomandibular joints or cause an individual to aspirate a tooth into the lungs. Unfortunately, the drugs used to control this disorder can also produce side effects in the mouth. One side effect often associated with AEDs is gingival hyperplasia, an overgrowth of gum tissue.

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What are the 3 types of seizures?

The different types of generalized seizures are:

  • absence seizures (formerly known as petit mal)
  • tonic-clonic or convulsive seizures (formerly known as grand mal)
  • atonic seizures (also known as drop attacks)
  • clonic seizures.
  • tonic seizures.
  • myoclonic seizures.

What is the reason for epilepsy?

Brain conditions that cause damage to the brain, such as brain tumors or strokes, can cause epilepsy. Stroke is a leading cause of epilepsy in adults older than age 35. Infectious diseases. Infectious diseases, such as meningitis, AIDS and viral encephalitis, can cause epilepsy.

Can nitrous oxide trigger seizures?

We report 3 cases of clinical seizure activity associated with nitrous oxide administration for pediatric procedural sedation. Although temporally related, no causality is established. Review of the medical and dental literature confirm the rarity of these events.

What should I do if someone has a seizure?

Here are things you can do to help someone who is having this type of seizure:

  1. Ease the person to the floor.
  2. Turn the person gently onto one side.
  3. Clear the area around the person of anything hard or sharp.
  4. Put something soft and flat, like a folded jacket, under his or her head.
  5. Remove eyeglasses.

Is laughing gas safe for epilepsy?

Laughing gas ( nitrous oxide ) is safe for most children with a history of seizures. Your child’s dentist may talk to your child’s neurologist before giving your child laughing gas.

How do local anesthetics cause seizures?

CNS is affected because the action of local anesthetics is through reversible binding at sodium channels. Patients with a history of epilepsy are predisposed to seizures as an adverse effect of local anesthetics.

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Can you have a seizure from a tooth infection?

Fever, headache, nausea, vomiting, focal neurological deficit, altered mentation, altered speech, lethargy, papillary edema, neck stiffness, and increased intracranial pressure or seizures are common clinical presentations of a brain abscess.

Can an abscess cause a seizure?

A brain abscess can lead to long-term neurological problems, involving issues with physical function, personality changes, and seizures.

Does seizure medication ruin your teeth?

Seizure Medications and Your Oral Health The bad news is that a lot of the medications that can help with your seizures have potential side effects for your teeth. For example, many seizure medications list potential side effects such as bleeding gums, overgrown gums, tongue swelling and mouth ulcers.

Does epilepsy medication cause bad breath?

Possible side effects include unsteadiness, drowsiness, nausea, stomach pain and bad breath.

How do I stop biting my tongue during a seizure?

A person taking anticonvulsant drugs may experience xerostomia. (11) Oral moisturizing rinses can be recommended. Mouth guards can be helpful to prevent a person from severely biting the tongue, lips, and cheeks.


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