Epilepsy & Oral Health

While the subject of dental health should concern everyone, it is of particular importance to those with epilepsy. Both seizures and anti seizure medications can render devastating effects to the oral health of a person with epilepsy. These negative effects include:

  • Chipped and broken teeth
  • Irritated gums
  • Gingival Hypertrophy (over grown gums)
  • Periodontal Disease
  • Bleeding gums
  • Xerostomia (dry mouth)
  • Susceptibility to oral infections such as canker sores and lesions
  • Postoperative bleeding

To help prevent dental issues from occurring, it is recommended that people who suffer from seizures follow a suitable dental care program worked out with a dentist. This program should include:

  • See a dentist every 6 months for a routine check up and cleaning
  • Regular brushing and flossing
  • Make your dentist aware of the type of medication prescribed, including dosage levels and any side effects that you may have experienced
  • In case of a dental emergency due to a fall, seek medical assistance immediately
  • To help ensure a safe and effective dental visit, there are some recommend Dental Visit Tips for people who suffer from epilepsy
  • Take anti-seizure medication a few hours prior to your appointment
  • Inform your dentist of your complete medical history, including seizure history
  • Tell a dental team member if you experience an aura
  • Visit the dentist accompanied by someone you trust

TREATMENT OF EPILEPSY – a new Mobile App

This app, Treatment of Epilepsy, will be useful for all health providers and those in allied health fields involved in the treatment and care of patients with epilepsy.

It was conceived and written by 2 pediatric neurologists practicing at Miami Children’s Hospital in Miami, Florida. It is kept up to date regularly.

Within the app, you can access a searchable list of medications by generic and brand names with information about uses, dosage, formulation, metabolism, level, half-life, monitoring, contraindications, mechanism of action, warnings, side effects, and drug interactions. Also use it to look-up seizure and syndrome classifications, as well as syndrome clinical description and their treatment.

It also has information on the treatment of Status Epilepticus, zoomable photos of EEGs, the Ketogenic Diet, driving regulations around the world, pregnancy and breast feeding issues and other practicable information, which can time consuming to find when needed. In summary, Treatment of Epilepsy Features Include:

  • An extensive list of medications with targeted treatment information
  • Information on a large variety of epileptic syndromes
  • Seizure and syndrome classifications
  • A notes feature that allows app users to save personal notes for each medication
  • An in-app calculator accessible on every screen
  • Guide to the laws for driving with epilepsy by state and countries
  • Definitions and treatment information for Status Epilepticus
  • Uses, parameters, side effects and more associated with the Ketogenic Diet
  • Zoomable EEGs
  • Information on epilepsy in relation to pregnancy, breast-feeding, and sports
  • Easy to find lists of abbreviations and medical references

IOS:
Download

Android:
Download

 

Helpful Resources & Seizure Safety

Do You Know What To Do If Someone Is Having A Seizure?
1. DO:

  • Stay calm; do not panic. You cannot stop the seizure
  • Note the time the seizure started; time the seizure with a watch. Seizures become extremely dangerous when they last longer than 5 minutes. You will need to tell this information to the doctor
  • Cushion head, remove glasses
  • Turn their head to the side in order to keep their airway clean to prevent choking
  • Clear area around seizing person to prevent injury by removing sharp objects, stairs, or furniture that could hurt them
  • Loosen tight clothing
  • Look for medical alert ID; Follow any instructions
  • When seizure ends, offer help. Stay with the person until seizing person is awake and oriented
  • Call 911 and ask for an ambulance if:
    • Seizure lasts more than 5 minutes
    • You are concerned for the seizing person’s safety
    • No ID indicating “epilepsy” or “seizure disorder”
    • Slow recovery, a second seizure, or difficulty breathing afterwards
    • Person is pregnant or has other medical issues
    • Signs of injury or sickness

2. DON’T

  • Put anything in mouth
  • Restrain them
  • Offer food or drink until they are alert
  • Put your fingers in their mouth.

Dr. Oz – Seizure First Aid
As featured on the Dr. OZ Show, February 15, 2010
Seizure First-Aid, “WOULD YOU KNOW WHAT TO DO?”

Resources, Epilepsy Articles and Organizations

101 Epilepsy Questions

The attached publication was made possible with funding from the Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau under Grant H98MC21215, Project Access: Innovative Strategies for Serving Children and Youth with Epilepsy. The contents are solely the responsibility of the authors and do not necessarily represent the official views of the HRSA or JoshProvides Epilepsy Assistance Foundation.

The information contained in the attached publication is not intended as a substitute for professional medical advice. A physician should be consulted about all clinical care and treatment decisions.