Artículos de revistas
The Association Between Periodontal Disease And Seizure Severity In Refractory Epilepsy Patients
Registro en:
Seizure. , v. 23, n. 3, p. 227 - 230, 2014.
10591311
10.1016/j.seizure.2013.12.008
2-s2.0-84896733425
Autor
Costa A.L.F.
Yasuda C.L.
Shibasaki W.
Nahas-Scocate A.C.R.
De Freitas C.F.
Carvalho P.E.G.
Cendes F.
Institución
Resumen
Purpose Periodontal diseases are common in most populations and affect people at all socioeconomic levels. Evidence suggests that patients with epilepsy actually have higher risks of dental disease and increased oral health needs, but the frequency and consequences of poor controlled seizures on dental and periodontal health have not been reported before. We aimed to assess the impact of seizure frequency on periodontal status and oral hygiene in a sample of epilepsy patients. Methods One hundred and nine consecutive patients treated for epilepsy at the outpatient clinic of our University Hospital were invited to take part in an oral examination to determine their periodontal disease status, together with a control group. In addition, seizure frequency and use of medication were documented. Results In logistic regression model, patients were significantly more susceptible to bad oral hygiene, gingivitis and periodontitis that controls (p < 0.001); seizure frequency was significantly related to bad oral hygiene (p = 0.010), gingivitis (p < 0.001) and periodontitis (p < 0.001). Tooth brushing habits and presence of caries were associated with oral health in patients group. Conclusion Our study found a significant positive correlation between periodontal disease and seizure severity. Epilepsy patients need to focus more on their oral health and quality of oral hygiene. © 2013 British Epilepsy Association. 23 3 227 230 Kinane, D.F., Causation and pathogenesis of periodontal disease (2001) Periodontology, 25, pp. 8-20 Einarson, S., Gerdin, E.W., Hugoson, A., Oral health impact on quality of life in an adult Swedish population (2009) Acta Odontologica Scandinavica, 67, pp. 85-93 Karolyhazy, K., Kivovics, P., Fejerdy, P., Aranyi, Z., Prosthodontic status and recommended care of patients with epilepsy (2005) Journal of Prosthetic Dentistry, 93, pp. 177-182 Károlyházy, K., Kivovics, P., Hermann, P., Fejérdy, P., Arányi, Z., Five-year follow-up of oral health and seizure condition of patients with epilepsy: A prospective observational study (2010) Community Dental Health, 27, pp. 233-237 Károlyházy, K., Kovács, E., Kivovics, P., Fejérdy, P., Arányi, Z., Dental status and oral health of patients with epilepsy: An epidemiologic study (2003) Epilepsia, 44, pp. 1103-1108 Silness, J., Löe, H., Periodontal disease in pregnanc. II: Correlation between oral hygiene and periodontal condition (1964) Acta Odontologica Scandinavica, 22, pp. 121-135 Löe, H., The gingival index, the plaque index and the retention index systems (1967) Journal of Periodontoly, 38, pp. 610-616 Einarsdóttir, E.R., Gunnsteinsdóttir, H., Hallsdóttir, M.H., Sveinsson, S., Jónsdóttir, S.R., Olafsson, V.G., Dental health of patients with Parkinson's disease in Iceland (2009) Special Care in Dentistry, 29, pp. 123-127 Slavkin, H.C., Baum, B.J., Relationship of dental and oral pathology to systemic illness (2000) Journal of the American Medical Association, 284, pp. 1215-1217 Costa, A.L., Yasuda, C.L., Franca, Jr.M.C., Morita, M.E., Cendes, F., Epilepsy is highly associated with severe dentoalveolar and maxillofacial injuries (2011) Epileptic Disorders, 13, pp. 61-64 Tellez-Zenteno, J.F., Nguyen, R., Hernadez-Ronquillo, L., Injuries, accidents and mortality in epilepsy: A review of its prevalence risk factors and prevention (2010) Revista de Investigación Clínica, 62, pp. 466-479 Coventry, J., Griffiths, G., Scully, C., Tonetti, M., ABC of oral health: Periodontal disease (2000) British Medical Journal, 321, pp. 36-39 Pihlstrom, B.L., Michalowicz, B.S., Johnson, N.W., Periodontal diseases (2005) Lancet, 366, pp. 1809-1820 Aragon, C.E., Burneo, J.G., Understanding the patient with epilepsy and seizures in the dental practice (2007) Journal of the Canadian Dental Association, 73, pp. 71-76 Tonetti, M.S., Claffey, N., Advances in the progression of periodontitis and proposal of definitions of a periodontitis case and disease progression for use in risk factor research. Group c consensus report of the 5th European workshop in periodontology (2005) Journal of Clinical Periodontology, 32 (SUPPL. 6), pp. 210-213 Reali, L., Zuliani, E., Gabutti, L., Schönholzer, C., Marone, C., Poor oral hygiene enhances gingival overgrowth caused by calcineurin inhibitors (2009) Clinical Pharmacology & Therapeutics, 34, pp. 255-260 Cornacchio, A.L., Burneo, J.G., Aragon, C.E., The effects of antiepileptic drugs on oral health (2011) Journal of the Canadian Dental Association, 77, p. 140