Epileptic seizure related orodental trauma incidence in adults and children

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Koç S., Er K., Apaydın Doğan E., Çalışır K., Karayılmaz H., Duman Ö.

Turkish Endodontic Journal, cilt.6, sa.2, ss.50-54, 2021 (Hakemli Dergi)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 6 Sayı: 2
  • Basım Tarihi: 2021
  • Doi Numarası: 10.14744/tej.2021.77487
  • Dergi Adı: Turkish Endodontic Journal
  • Derginin Tarandığı İndeksler: TR DİZİN (ULAKBİM), Other Indexes
  • Sayfa Sayıları: ss.50-54
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Purpose: The aim of the current study was to evaluate the incidence of epileptic seizure-associated head/neck and intra-oral injuries.

Methods: A questionnaire survey collecting information on the development of epilepsy and occurrence of oro-dental and head trauma was applied to 153 adult and 63 pediatric patients diagnosed with epilepsy. Intra-oral examination was performed in patients with a history of oro-dental trauma and the injured teeth were identified. The data were analyzed statistically.

Results: Trauma during epileptic seizures was reported by 58.8% of adults and 30.1% of children included in this study. The head and neck region, lips, and tongue were most commonly affected, and 10% of adults and 3.2% of pediatric patients had experienced tooth fracture. Stress and flu infections were the most common triggering factors for seizures in adults (43.7%) and children (23.8%), respectively. Patients diagnosed with generalized seizures sustained trauma more frequently, and a significant association between the number of antiepileptic drugs used and the incidence of trauma was observed in adults.
Conclusion: Based on the current findings, the incidence of head/neck and intra-oral injuries in epileptic
patients was found to be dependent on the seizure type, number of medicine used, and the
frequency of seizures.