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Oral health care considerations for patients with seizure disorders:

  • 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 procdeures accordingly.
  • Secure intraoral adjunct appliances, such as a mouth prop, with dental floss.
  • Consider topical fluoride forpatients 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.

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