Abstract
Epilepsy is caused by a number of genetic, physiological and infectious disorders as well as by trauma. In 70% of patients the epilepsy is well controlled by antiepileptic drugs but the disease itself and the pharmaceutical management often have an impact on the oral cavity. Primary management considerations are the provision of good periodontal care and the restoration of the teeth with stable, strong restorations. Epileptic patients have differing needs when developing plans for prosthodontic treatment. Treatment should be individually tailored, considering the type and severity of the disease with special emphasis on the type and frequency of seizures. This case report describes the prosthodontic rehabilitation of a generalized tonic-clonic convulsive patient for missing mandibular anterior teeth with a precision attachment cast removable partial denture.
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References
Turner MD, Glickman RS. Epilepsy in the oral and maxillofacial patient: current therapy. J Oral Maxillofac Surg. 2005;63:996–1005.
Elia M, Musumeci SA, Ferri R, Cammarata M. Trisomy 12p and epilepsy with myoclonic absences. Brain Dev. 1998;20:127–30.
Sirven JI. Classifying seizures and epilepsy: a synopsis. Semin Neurol. 2002;22:237–46.
Bryan RB, Sullivan SM. Management of dental patients with seizure disorders. Den Clin North Am. 2006;50:607–62.
Károlyházy K, Arányi Zs, Kivovics P, Linninger M, Nemes K. Classification system of patients with epilepsy according to their risk factors and dental manageability. Fogorv Szle. 2001;94:141–4.
Károlyházy K, Kivovics P. Classification of precisional attachments used in prosthetic rehabilitation of epilepsy patients. Quintessenz. 2003;2:939–46.
Lofberg PG, Ericson G, Eliasson S. A clinical and radiographic evaluation of removable partial dentures retained by attachments to alveolar bars. J Prosthet Dent. 1982;47:126–32.
Károlyházy K, Kivovics P, Fejérdy P, Arányi Zs. Prosthetic status and recommended care of patients with epilepsy. J Prosthet Dent. 2005;93:177–82.
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Gautam, R., Singh, S., Singh, K. et al. Extracoronal precision attachments in a patient with generalized tonic-clonic seizures. J. Stomat. Occ. Med. 5, 130–133 (2012). https://doi.org/10.1007/s12548-012-0048-5
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DOI: https://doi.org/10.1007/s12548-012-0048-5