How do Epilepsy and seizure disorders affect dental management?
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How do Epilepsy and seizure disorders affect dental management?
Medical stability: coordinate poorly controlled or changing seizures with neurology; defer elective care when medically unstable.
Setting: choose from medical status, procedure needs, and cooperation. GA is not a treatment for poor seizure control.
Triggers: Minimize known individual triggers, including missed medication, sleep deprivation, and stress; light precautions matter particularly when photosensitivity is part of the history
During dental care: Rubber dam, and a mouth prop with floss tied to it; keep the operatory clear
Local anesthesia: Local anesthetic in the lowest effective dose (toxic levels lower the seizure threshold)
Appliances and restorations: Prefer fixed over removable appliances; choose restorations resistant to fracture