Oral health status in patients with epilepsy

  • Shamsolmoulouk Najafi 1. Department of Oral Medicine, International School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. Department of Oral Medicine, Dental Research Center, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. 2. Oral medicine Department, Dental Research center, International Campus of Tehran University of Medical Sciences, Faculty of Dentistry, Tehran, Iran. 3. Oral medicine Department, Tehran University of Medical Sciences, Faculty of Dentistry, Tehran, Iran.
  • Soheila Manifar Oral medicine Department, emam Khomeini hospital, Tehran University of Medical Sciences, Tehran, Iran.
  • Abbas Tafakhori Department of neurology, Imam Khomeini hqspital, Tehran University of Medical Sciences, Tehran, Iran.
  • Sudabe Heydari Student of Dentistry, International Campus of Tehran University of Medical Sciences, Faculty of Dentistry, Tehran, Iran.
  • Mina Khayamzadeh Oral medicine Department, International Campus of Tehran University of Medical Sciences, Faculty of Dentistry, Tehran, Iran.
  • Mohammad Javad Kharazi Fard Department of epidemiology and biostatistics, Tehran University of Medical Sciences, Tehran, Iran.
Keywords: Epilepsy, Oral healt, Periodontal

Abstract

Introduction: Epilepsy is one of the most common chronic neurologic diseases. It has a great influence on quality of life, as it engages 1-3% of a society. Normally, 10% of the people of the societyhave experienced seizure once or several times during their lives. Regardingalldentistry aspects, they receive insufficient treatments, which might be due to the medical and economic status ofthem. Oral health is of paramount importance.Objective: This research aims at examining oral health status of the patients with epilepsy, comparing them with the non-patient ones from systemic point of view, and evaluating periodontal treatment needs.Materials and Method: Sixty patients were randomly includedin this cross-sectional study. They were divided into 2 subgroups of partial and general (based on frequencies of seizures, typeof seizure, and mental status). Sixty systemically non-patient people who referred to the Imam Khomeini Hospital for blood donation were randomly included in the study as the control group. They were medical and epilepsy history. Oral examinations were carried out. The Simplified OralHygiene Index (OHI-S), decay-missing-filled tooth (DMF-T), normal teeth abrasion rate (Abrasion Index), Prosthetic Index; periodontal treatment needs (CPITN) and Muhleman index were evaluated and a statistical comparison was made between the patient group and the control groupand between the epilepsy subgroups.Results: OHI-S index, DMF-T index, Muhlemman index and Prosthetic index of the patient group was considerably higher than the one of the control group. About CPITN index, In mandible, the patient group has a significant difference with the control group, except in the area of thesecond left molar.Conclusion: Several factors contributed to worsening oral health status in the patient group as compared with the control group. For example, the effect of seizure itself, negative attitudesof dentists, and social and economic conditions. We propose to start oral treatments concurrent with the treatments concerning epilepsy. Some special dental interventions were proposed for eachsubgroup.Keywords: Epilepsy, Oral healt, Periodontal.
Published
2018-04-22
How to Cite
1.
Najafi S, Manifar S, Tafakhori A, Heydari S, Khayamzadeh M, Kharazi Fard MJ. Oral health status in patients with epilepsy. jcr. 5(1):35-2.
Section
Original Article(s)