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Oral Health Status of Patients with Epilepsy

Year 2023, , 28 - 32, 30.04.2023
https://doi.org/10.36516/jocass.1228371

Abstract

Purpose: Epilepsy is a medical and social disorder characterized by recurrent seizures. It is a general view that patients with epilepsy have worse oral health than the general population. The DMFT index has been widely used worldwide to determine oral and dental health. The aim of this study is to determine the oral health status of epilepsy patients using the DMFT index and to compare it with the control group.
Materials & Methods: The DMFT score of the groups was determined by clinical and radiological examination. Decayed, missing and filled teeth were recorded immediately after the examination.
Results: The number of decayed teeth was 7.27 ± 3.994 in the epilepsy group and 4.04 ± 2.202 in the control group (p<0.05). The number of missing teeth was 5.71 ± 5.891 in the epilepsy group and 3.01 ± 3.763 in the control group (p<0.05). The number of filled teeth was 2.07 ± 2.382 in the epilepsy group and 3.50 ± 2.196 in the control group (p<0.05). DMFT scores were 15.05 ± 7.128 in the epilepsy group and 10.55 ± 5.589 in the control group (p<0.05).
Conclusion: It has been shown in this study that patients with epilepsy have worse oral health compared to the general population, but they do not receive adequate treatment. Functionally and aesthetically adequate dental treatment should be provided to these patients and their quality of life should be increased.

Keywords: Oral health, Antiepileptics, Epilepsy

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References

  • 1. World Health Organization. Atlas: Epilepsy Care in the World, Switzerland, 2005.
  • 2. Fiske J, Boyle C. Epilepsy and Oral Care. Spec Care Dentist. 2002;29:180-7. https://doi.org/10.12968/denu.2002.29.4.180
  • 3. Foyaca-Sibat H. Novel Aspects on Epilepsy, Cro-atia, Intech, 2011. https://doi.org/10.5772/1137
  • 4. Karolyhazy K, Kovacs E, Kivovics P, et al. Dental Status and Oral Health of Patients with Epilepsy: An Epidemiologic Study. Epilepsia. 2003;44:1103-8. https://doi.org/10.1046/j.1528-1157.2003.04003.x
  • 5. Baginska J, Rodakowska E. Current dental caries indices - review of literature. Journal of Stomatol-ogy. 2012;65:899- 912. https://doi.org/10.5604/00114553.1016756
  • 6. Daly B, Batchelor P, Treasure E, et al. Essential Dental Public Health, 2nd ed, UK, Oxford Univesity Press, 2013. https://doi.org/10.1093/oso/9780199679379.001.0001
  • 7. Moradi G, Mohamadi Bolbanabad A, Moinafshar A, et al. Evaluation of Oral Health Status Based on the Decayed, Missing and Filled Teeth (DMFT) Index. Iran J Public Health. 2019;48:2050-7. https://doi.org/10.18502/ijph.v48i11.3524
  • 8. Broadbent JM, Thomson WM. For debate: Prob-lems with the dmf index pertinent to dental caries data analysis. Community Dent Oral Epidemiol. 2005;33:400-9. https://doi.org/10.1111/j.1600-0528.2005.00259.x
  • 9. World Health Organization. Oral Health Surveys-Basic Methods, 5th ed, France, 2013. 10. Pitts N, Zero D, Marsh P, et al. Dental caries. Nat Rev Dis Primers 3. 17030 (2017). https://doi.org/10.1038/nrdp.2017.30
  • 11. Janakiram C, Antony B, Joseph J, et al. Prevalence of Dental Caries in India among the WHO Index Age Groups: A Meta-Analysis. J Clin Diagnostic Res. 2018;12:8-13. https://doi.org/10.7860/JCDR/2018/32669.11956
  • 12. Paiva SM, Abreu-Placeres N, Camacho MEI, et al. Dental caries experience and its impact on qual¬ity of life in Latin American and Caribbean coun¬tries. Braz Oral Res. 2021;35. https://doi.org/10.1590/1807-3107bor-2021.vol35.0052
  • 13. Klein H, Palmer CE, Knutson JW. Studies on Den-tal Caries: I. Dental Status and Dental Needs of El¬ementary School Children. Public Health Rep (1896-1970). 1938;53:751-65. https://doi.org/10.2307/4582532
  • 14. Mehta A. Comprehensive review of caries assess-ment systems developed over the last decade. Re¬vista Sul-Brasileira de Odontologia. 2012;9:312-21.
  • 15. Wang M, Ding D, Zhang Q, et al. Oral health and dental status in people with epilepsy in rural China. Seizure. 2019;65:42-7. https://doi.org/10.1016/j.seizure.2018.12.022
  • 16. Karolyhazy K, Kivovics P, Fejerdy P, et al. Pros-thodontic status and recommended care of patients with epilepsy. J Prosthet Dent. 2005;93:177-82. https://doi.org/10.1016/j.prosdent.2004.11.008
  • 17. Moffitt ML, Bencivenni D, Cohen RE. Drug-in-duced gingival enlargement: an overview. Com-pend Contin Educ Dent. 2013;34:330-36.
  • 18. Seymour RA, Ellis JS, Thomason JM. Drug-in-duced gingival overgrowth and its management. J R Coll Surg Edinb. 1993;38:328-32.

EPİLEPSİ HASTALARININ AĞIZ SAĞLIĞI DURUMU

Year 2023, , 28 - 32, 30.04.2023
https://doi.org/10.36516/jocass.1228371

Abstract

Amaç: Epilepsi tekrarlayan nöbetlerle karakterize, tıbbi ve sosyal bir bozukluktur. Epilepsili hastaların genel popülasyondan daha kötü ağız sağlığına sahip olduğu genel bir görüştür. DMFT indeksi, ağız ve diş sağlığını belirlemek için dünya çapında yaygın olarak kullanılan bir indekstir. Bu çalışmada DMFT indeksi kullanılarak epilepsi hastalarındaki oral sağlık durumunun belirlenmesi ve kontrol grubuyla kıyaslanması amaçlanmaktadır.
Materyal & Metod: Grupların DMFT skoru klinik ve radyolojik muayene ile belirlenmiştir. Çürük, eksik ve dolgulu dişler muayenenin hemen ardından kaydedilmiştir.
Bulgular: Çürük diş sayısı epilepsi grubunda 7.27 ± 3.994 ve kontrol grubunda 4.04 ± 2.202 idi (p<0.05). Eksik diş sayısı epilepsi grubunda 5.71 ± 5.891 kontrol grubunda 3.01 ± 3.763 idi (p<0.05). Dolgulu diş sayısı epilepsi grubunda 2.07 ± 2.382 ve kontrol grubunda 3.50 ± 2.196 idi (p<0.05). DMFT skorları epilepsi grubunda 15.05 ± 7.128 ve kontrol grubunda 10.55 ± 5.589 idi (p<0.05).
Sonuçlar: Epilepsili hastaların genel popülasyona kıyasla daha kötü ağız sağlığına sahip olduğu, ancak yeterli düzeyde tedavi almadıkları çalışmamızda gösterilmiştir. Fonksiyonel ve estetik olarak yeterli diş tedavisi bu hastalara sağlanarak yaşam kalitesi yükseltilmelidir.

Anahtar Kelimeler: Ağız sağlığı, Antiepileptikler, Epilepsi

Project Number

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References

  • 1. World Health Organization. Atlas: Epilepsy Care in the World, Switzerland, 2005.
  • 2. Fiske J, Boyle C. Epilepsy and Oral Care. Spec Care Dentist. 2002;29:180-7. https://doi.org/10.12968/denu.2002.29.4.180
  • 3. Foyaca-Sibat H. Novel Aspects on Epilepsy, Cro-atia, Intech, 2011. https://doi.org/10.5772/1137
  • 4. Karolyhazy K, Kovacs E, Kivovics P, et al. Dental Status and Oral Health of Patients with Epilepsy: An Epidemiologic Study. Epilepsia. 2003;44:1103-8. https://doi.org/10.1046/j.1528-1157.2003.04003.x
  • 5. Baginska J, Rodakowska E. Current dental caries indices - review of literature. Journal of Stomatol-ogy. 2012;65:899- 912. https://doi.org/10.5604/00114553.1016756
  • 6. Daly B, Batchelor P, Treasure E, et al. Essential Dental Public Health, 2nd ed, UK, Oxford Univesity Press, 2013. https://doi.org/10.1093/oso/9780199679379.001.0001
  • 7. Moradi G, Mohamadi Bolbanabad A, Moinafshar A, et al. Evaluation of Oral Health Status Based on the Decayed, Missing and Filled Teeth (DMFT) Index. Iran J Public Health. 2019;48:2050-7. https://doi.org/10.18502/ijph.v48i11.3524
  • 8. Broadbent JM, Thomson WM. For debate: Prob-lems with the dmf index pertinent to dental caries data analysis. Community Dent Oral Epidemiol. 2005;33:400-9. https://doi.org/10.1111/j.1600-0528.2005.00259.x
  • 9. World Health Organization. Oral Health Surveys-Basic Methods, 5th ed, France, 2013. 10. Pitts N, Zero D, Marsh P, et al. Dental caries. Nat Rev Dis Primers 3. 17030 (2017). https://doi.org/10.1038/nrdp.2017.30
  • 11. Janakiram C, Antony B, Joseph J, et al. Prevalence of Dental Caries in India among the WHO Index Age Groups: A Meta-Analysis. J Clin Diagnostic Res. 2018;12:8-13. https://doi.org/10.7860/JCDR/2018/32669.11956
  • 12. Paiva SM, Abreu-Placeres N, Camacho MEI, et al. Dental caries experience and its impact on qual¬ity of life in Latin American and Caribbean coun¬tries. Braz Oral Res. 2021;35. https://doi.org/10.1590/1807-3107bor-2021.vol35.0052
  • 13. Klein H, Palmer CE, Knutson JW. Studies on Den-tal Caries: I. Dental Status and Dental Needs of El¬ementary School Children. Public Health Rep (1896-1970). 1938;53:751-65. https://doi.org/10.2307/4582532
  • 14. Mehta A. Comprehensive review of caries assess-ment systems developed over the last decade. Re¬vista Sul-Brasileira de Odontologia. 2012;9:312-21.
  • 15. Wang M, Ding D, Zhang Q, et al. Oral health and dental status in people with epilepsy in rural China. Seizure. 2019;65:42-7. https://doi.org/10.1016/j.seizure.2018.12.022
  • 16. Karolyhazy K, Kivovics P, Fejerdy P, et al. Pros-thodontic status and recommended care of patients with epilepsy. J Prosthet Dent. 2005;93:177-82. https://doi.org/10.1016/j.prosdent.2004.11.008
  • 17. Moffitt ML, Bencivenni D, Cohen RE. Drug-in-duced gingival enlargement: an overview. Com-pend Contin Educ Dent. 2013;34:330-36.
  • 18. Seymour RA, Ellis JS, Thomason JM. Drug-in-duced gingival overgrowth and its management. J R Coll Surg Edinb. 1993;38:328-32.
There are 17 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Articles
Authors

Damla Soydan Çabuk 0000-0002-9369-726X

Berkhas Tumani Üstdal 0000-0001-6245-919X

Project Number -
Publication Date April 30, 2023
Acceptance Date January 16, 2023
Published in Issue Year 2023

Cite

APA Soydan Çabuk, D., & Tumani Üstdal, B. (2023). Oral Health Status of Patients with Epilepsy. Journal of Cukurova Anesthesia and Surgical Sciences, 6(1), 28-32. https://doi.org/10.36516/jocass.1228371
https://dergipark.org.tr/tr/download/journal-file/11303