Management of dental patients with seizure disorders.
Dental practitioners from time to time must treat patients with epilepsy or similar seizure disorders. This article describes the various classification for epilepsy, explains how such disorders are evaluated and diagnosed, discusses management methods, and addresses related issues for special populations, such as pregnant women and elderly. In addition, the article offers information about what special steps dentists should take in treating such epileptic patients and others vulnerable to seizures and in preparing offices and staff for the possibility that a patient will have a seizure in the office. In general, a patient with severe, poorly controlled epilepsy should be treated in a hospital. Otherwise, a well-controlled patient should easily be treated in the office.
Bryan
Robert B
RB
Department of Oral and Maxillofacial Surgery, University of Oklahoma Health Sciences Center, College of Dentistry, 1201 N. Stonewall, Oklahoma City, OK 73117, USA. Robbryan@cox.net
Sullivan
Steven M
SM
D000367:Age Factors; D017742:Dental Care for Chronically Ill; D004638:Emergency Treatment; D004827:Epilepsy / Q000145:classification / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D006801:Humans; D012640:Seizures / Q000503:physiopathology