Management of a high risk epileptic patient under conscious sedation: A multidisciplinary approach

Epilepsy, characterized by the risk of recurrent seizures, is a chronic disease that afflicts about 5% of the world's population. The main dental problems associated with epileptic patients include gingival hyperplasia, minor oral injuries, tooth trauma, and prosthodontic problems, which requir...

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Bibliographic Details
Published in:Journal of Indian Society of Periodontology 2016-01, Vol.20 (1), p.91-94
Main Authors: Chellathurai, Burnice Nalina Kumari, Thiagarajan, Ramakrishnan, Jayakumaran, SelvaKumar, Devadoss, Pradeep, Elavazhagan
Format: Article
Language:English
Subjects:
Anticonvulsants
Care and treatment
Case Report
Conscious sedation
Dosage and administration
Epilepsy
gingival hyperplasia
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Summary:Epilepsy, characterized by the risk of recurrent seizures, is a chronic disease that afflicts about 5% of the world's population. The main dental problems associated with epileptic patients include gingival hyperplasia, minor oral injuries, tooth trauma, and prosthodontic problems, which require the dental treatment. Stress and fear are the most common triggering factors for the epilepsy in dental chair. Therefore, a more appropriate method of treating such epileptic patients may be warranted. Conscious sedation is a technique of providing good anesthesia and analgesia to patients, the main advantage of which is the patient's rapid return to presentation levels. Midazolam used as a sedative agent has anticonvulsant properties. This case report highlights a case requiring multiple dental procedures carried out in a high risk epileptic patient under conscious sedation.
ISSN:0972-124X
0975-1580
DOI:10.4103/0972-124X.170817