Abstract
BACKGROUND:
Epileptic children are liable to experience oral health
problems either due to the disease itself or medications administered to
control the condition.
AIM:
We aimed to investigate caries experience, gingival health
and oro-facial traumatic injuries in a sample of epileptic Egyptian children.
DESIGN:
A retrospective cohort study was conducted from September
2016 to April 2017 using data from medical records in Children Hospital at Ain
Shams University. Dental examination was performed for 100 epileptic children
and 80 healthy subjects who matched in age, gender, and socio-economic status.
Caries experience was measured using the decayed, missing and filled teeth
(DMFT or dmft) index and gingival index (GI) of Loe and Sillness was used to
determine gingival health status. Oro-facial injuries were assessed using the
WHO classification of trauma. Quantitative data were presented as mean, SD, and
95% CI values. Qualitative data were presented as frequencies and percentages
and the significance level was set at P ≤ 0.05.
RESULTS:
The mean ± SD GI for epileptic children was significantly
higher (1.16 ± 0.42) than that of healthy children. (1.01 ± 0.11) Healthy
subjects had significantly lower mean dmf index scores 2.2 ± 2.6 compared to
epileptic subjects where mean dmf scores were 4.1 ± 2.1. No significant
difference, however, was detected between the two groups regarding caries
experience in permanent dentition or incidence of oro-facial injuries.
CONCLUSIONS:
Epileptic children are highly burdened with gingival
problems and liable to develop dental caries especially in primary dentition.
Oral traumatic injuries, however, are not common complications if seizure
attacks are well controlled.
Courtesy of: https://www.mdlinx.com/journal-summaries/oro-facial-traumatic-injuries-epileptic-egyptian/2018/10/10/7546446?spec=neurology
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