European Archives of Paediatric Dentistry

, Volume 10, Issue 1, pp 19–24 | Cite as

Oral health of children with intractable epilepsy attending the UK National Centre for Young People with Epilepsy

  • T. Percival
  • S. E. Aylett
  • F. Pool
  • A. Bloch-Zupan
  • G. J. Roberts
  • V. S. Lucas


AIM: To investigate the oral health of children with intractable epilepsy attending the UK National Centre for Young People with Epilepsy. STUDY DESIGN AND METHODS: 39 children and adolescents with intractable epilepsy at a residential school, the UK National Centre For Young People With Epilepsy (NCYPE) were age, gender and ethnicity matched with 39 healthy children from local schools in Surrey (England). Dental examinations were completed for indices for both the primary and permanent dentitions comprising decayed, missing and filled teeth and surfaces, plaque index, gingivitis index, developmental enamel defects, and incisor tooth trauma. RESULTS: There was no significant difference in the dmfs, dmft, DMFS or DMFT in the children with epilepsy compared with the controls. There was a significantly greater mean plaque score associated with permanent teeth in the children with epilepsy 68.0 SD±31.5, compared with the control children, 142.9 SD±23.2, p < 0.0001. The mean ±SD gingivitis score was significantly greater in the children with epilepsy 47.9±33.8, compared with the control children, 15.85±21.8, p< 0.001. A significantly greater number of children with epilepsy had experienced anterior tooth trauma, 54% in all, compared with the controls, 12.5% p < 0.0001. Although children with epilepsy had greater mean plaque and gingivitis scores, the prevalence of dental caries was low. Children and teenagers with intractable epilepsy were more likely to have sustained dental trauma than controls. CONCLUSIONS: A dental service aimed at early attention to anterior tooth trauma is needed. In addition, there is an ongoing need for improving the oral hygiene of these individuals to prevent the development of periodontal disease in later life.


intractable epilepsy oral health incisor trauma 


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  1. Ainamo J A. Epidemiological index of developmental defects of dental enamel (DDE Index). Int J Dent 1982;32:159–167.Google Scholar
  2. Altman, D. G., Practical Statistics For Medical Research. 1st ed., Chapman & Hall. London, 1991.Google Scholar
  3. Ashley P. Toothbrushing: why when and how? Dent Update 2001;28:36–40.PubMedGoogle Scholar
  4. Brown R.S, Weaver, W T, Bottomley W. On the mechanism of drug — induced gingival hyperplasia. J Oral Pathol Med 1991;20:201–209.PubMedCrossRefGoogle Scholar
  5. Buck D, Baker GA, Jacoby A, Chadwick DW. Patients’ experience as a result of epilepsy. Epilepsia 1997:38:439–445.PubMedCrossRefGoogle Scholar
  6. Cleaton-Jones P, Hargreaves J A, Fatti J P, Chandler HD, Grossman ES. Dental caries diagnosis calibration for clinical field studies. Caries Res 1989;23:195–199.PubMedCrossRefGoogle Scholar
  7. Eeg-Olofsson O, Lundstrom, Hamp, S. E. Oral state of children with epilepsy on treatment with sodium valproate. Scand J Dent Res 1983;91:219–23.PubMedGoogle Scholar
  8. Forsgren L, Beghi E, Oun A, Sillanpaa M. The epidemiology of epilepsy in Europe — a systematic review. Eur J Neurol 2005;12:245–253.PubMedCrossRefGoogle Scholar
  9. Franco E, Saunders C P, Roberts G J, Suwanprasit A. Dental disease, caries related microflora and salivary Iga of children with severe congenital cardiac disease: an epidemiological and oral microbial survey. Pediat Dent 1996; 18:228–235.[20]Google Scholar
  10. Girgis S S, Staple H, Miller WA, Sedrank N, Thompson D. Dental root abnormalities and gingival overgrowth in epileptic patients receiving anticonvulsant therapy. J Periodontol 1980; 5: 474–482.CrossRefGoogle Scholar
  11. Harris J C, Bryan R A, Lucas V S, Roberts GJ. Disease and caries-related microflora in children with dystrophic epidermolysis bullosa. Pediatr Dent 2001;11:66–70.Google Scholar
  12. Hassell TM, Burtner AP, McNeal D, Smith RG. Oral problems and genetic aspects of individuals with epilepsy. Periodontol 2000 1994; 6: 68–78.PubMedCrossRefGoogle Scholar
  13. International Association of Dental Traumatology. 2008. 2008 (electronic citation) [google search International Association of Dental Traumatology].Google Scholar
  14. Lucas V S, Gupta R, Olubenga O O, Gelbier M, Roberts GJ. Dental health indices and caries associated microflora in children with unilateral cleft lip and palate. Cleft Palate Craniofac J 2000; 37: 447–452.PubMedCrossRefGoogle Scholar
  15. Lundstrom A, Eeg-Olofsson O, Hamp S E. Effects of anti — epileptic drug treatment with carbamazepine or phenytoin on the oral state of children and adolescents. J Clin Periodontol 1982; 9: 482–488.PubMedCrossRefGoogle Scholar
  16. Lynch M, Brightman V J. Greenberg, M. S. Neuromuscular Diseases. Burket’s Oral Medicine, Diagnosis and Treatment. 9th ed., JB Lippincott & Company, Philadelphia, 1998.Google Scholar
  17. Maguire R., Rugg Gunn A J, Butler TJ. Dental health of children taking antimicrobial and non-antimicrobial liquid medication long-term. Caries Res 1996; 30: 16–21.PubMedCrossRefGoogle Scholar
  18. Modeer T, Dahllof G, Theorell K. Oral health of non — institutionalized epileptic children with special reference to phenytoin medication. Community Dent Oral Epidemiol 1986; 14:165–8.PubMedCrossRefGoogle Scholar
  19. Mustafa D, Lucas, V S, Junod P, et al.The dental health and caries — related microflora in children with craniosynostosis. Cleft Palate Craniofac J 2001;38:629–635.PubMedCrossRefGoogle Scholar
  20. Office For National Statistics, London, UK. Childrens’ Dental Health Survey, 2003.Google Scholar
  21. Ogunbodede E O, Adamolekun B, Akintomide A O. Oral health and dental treatment needs in Nigerian patients with epilepsy. Epilepsia 1998; 39: 590–4.PubMedCrossRefGoogle Scholar
  22. Rajavaara P, Vainionpaa L, Rattya J,et al. Tooth by tooth survival analysis of dental health in girls with epilepsy. Eur J Paediatr Dent 2003;4:72–77PubMedGoogle Scholar
  23. Roberts I R, Roberts G J. Relation between medicines sweetened with sucrose and dental disease. Br Med J 1979;2:14–16.PubMedCrossRefGoogle Scholar
  24. Scully C. Neurological Disorders. Medical Problems in Dentistry. Butterworth Heineman, UK, 1998.Google Scholar
  25. Seymour R A, Smith D G, Turnbull D N. The effects of phenytoin and sodium valproate on the periodontal health of adult epileptic patients. J Clin Periodontol 1985;12:413–9.PubMedCrossRefGoogle Scholar
  26. Sheehy E C, Roberts G J, Beighton D, O’Brian G. Oral health in children undergoing liver transplantation. Int J Paediatr Dent 2000; 10:109–111.PubMedCrossRefGoogle Scholar
  27. Sonbol H, Pelargidou M, Lucas V S, et al. Dental health indices and caries — related microflora in children with severe haemophilia. Haemophilia 2001; 7: 468–474.PubMedCrossRefGoogle Scholar
  28. Storhaug K, Holst D. Caries experience of disabled school — age children. Community Dent Oral Epidemiol 1987;15:144–9.PubMedCrossRefGoogle Scholar
  29. WHO Oral health Surveys. Basic Methods. Geneva, 1987.Google Scholar

Copyright information

© Adis International 2009

Authors and Affiliations

  • T. Percival
    • 1
  • S. E. Aylett
    • 2
  • F. Pool
    • 3
  • A. Bloch-Zupan
    • 4
  • G. J. Roberts
    • 5
  • V. S. Lucas
    • 5
  1. 1.Dept. Paediatric DentistryUniversity of the West IndiesWest Indies
  2. 2.Dept. of Neurology, Integrated Neurosciences UnitGreat Ormond Street Hospital for ChildrenUK
  3. 3.The National Centre for Young People With EpilepsyUK
  4. 4.Dept. Paediatric Dentistry, Eastman Dental Institute For Oral Health Care SciencesUniversity College LondonEngland
  5. 5.Dept. Dental PaediatricsKings College London Dental InstituteLondonEngland

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