Dental findings in children with West syndrome

Neta, Neusa Barros Dantas; Souza, Carlos Henriquede Carvalho e; Alencar, Suyá Moura Mendes; Júnior, Raimundo Rosendo Prado; Mendes, Regina Ferraz

doi:10.1111/scd.12068

Cited by 7 publications

(9 citation statements)

References 17 publications

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“…Case reports on West syndrome documented by Regis [10], Neta [11] and Khatri et al [12] showed similar intra oral findings i.e. multiple white spot lesions on labial surfaces, generalized tooth wear, altered chronology of teeth and gingival inflammation.…”

Section: Discussionmentioning

confidence: 69%

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Oral findings in West syndrome – A Case Report

Badnaware

Dedhia

Desai

et al. 2017

BDS

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West syndrome is a severe form of epilepsy syndrome which is characterized by triad of infantile spasms, EEG findings (hypsarrhythmia) and developmental delay. Very few literatures is available on the dental findings and management of West syndrome. This case report presents a 8 year old male child with cryptogenic form of West syndrome having a history of multiple clusters of infantile spasms and typical dental findings. Dental treatment of the case has been discussed and preventive measures and treatment of west syndrome has been described. KeywordsWest syndrome; White spot lesion; General anesthesia.

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Section: Discussionmentioning

confidence: 69%

“…Gingival enlargement is likely due to poor oral hygiene and white spot lesions are due to high sucrose diet and sugar containing medications. Neta [11] reported other oral findings like anterior open bite with tongue interposition in between arches, altered chronology, fissured tongue and low caries experience.…”

Section: Discussionmentioning

confidence: 98%

Oral findings in West syndrome – A Case Report

Badnaware

Dedhia

Desai

et al. 2017

BDS

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“…The dental treatment of patients with social development needs and impaired psychomotor presents challenges, such as impaired communication, severe intellectual deficit, inability to obey commands and follow oral hygiene instructions [3], difficulties in cooperation with the treatment, and fear of strangers [6].…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of WS is 1 per 2000-4000 individuals born alive. It is more frequent in males; it is responsible for 2-10% of the causes of childhood epilepsies [2] and can be associated with other systemic conditions or syndromes [6]. WS occurs in children from all ethnic groups [3].…”

Section: Introductionmentioning

confidence: 99%

“…In children with WS -who lack motor coordination or who have the neurological developmental delay, and cognitive and communication deficits -, inadequate oral hygiene presents an additional challenge to the dentist and often has profound mental and physical deficits [3]. Oral health status can also be improved if the family is daily involved with oral hygiene [6] routines.…”

Section: Introductionmentioning

confidence: 99%

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West Syndrome: Report of Clinical Case: 9 Years of Follow-up

Nacamura

Trize

Cabello

et al. 2018

RGO, Rev. Gaúch. Odontol.

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West Syndrome is one of the rare and severe childhood epilepsies, starting in the first year of life and having an uncertain etiology. Even if some of the symptoms are missing, a triad of them defines West Syndrome, including epileptic spasms, arrest or regression of psychomotor development, and hypsarrhythmia on interictal electroencephalography. The objective of this study was to obtain updated data on West Syndrome literature and report a clinical case of a patient with the medical diagnosis of this syndrome, with gastrostomy feed tube, and clinical pattern of spastic quadriplegia. Initial clinical examination showed prolonged retention of deciduous teeth, periodontal disease, poor oral hygiene, mouth breathing, deep palate, anterior open bite, tongue interposition between the dental arches, and low caries experience. Over 9 years the patient presented complications in their sistemicas conditions, with need for gastrostomy and many periods of hospitalization that determined periods of absence for the dental monitoring. Despite this, currently his oral health condition is good and stable. Dental care for people with disabilities should be developed, encouraged and continuously extended, in agreement with the constitutional principles of human dignity and the rights for health and equality.

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Oral health and dental status in people with epilepsy in rural China

Wang

Ding

Zhang

et al. 2019

Seizure

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We evaluated the oral health and dental status of people with epilepsy, and their relationship to seizure frequency, in a community cohort in rural China.Methods: A cross-sectional study of people with epilepsy was carried out in areas in Henan, Shanxi and Ningxia provinces of China. All participants underwent a specially designed "Oral health and Dental status Questionnaire". Univariate and multivariate analyses were used to explore the relationships between seizure frequency and oral health and dental status.Results: A total of 875 people participated. Almost two thirds (65.8%) reported brushing their teeth at least once a day but 634 (73.0%) brushed their teeth for less than 3 min each time. Only 80 (9.1%) had visited a dental clinic in the previous year. Multivariate logistic regression analysis showed that having 1-4 seizures/month (OR 0.60, 95%CI 0.40-0.90) or > 4 seizures/month (OR 0.38, 95%CI 0.22-0.66) was associated with decreased odds of brushing teeth at least once a day, and higher seizure frequency was associated with increased odds of dental injury due to seizures (OR 2.07, 95%CI 1.22-3.50 for < 1 seizure/month; OR 2.12, 95%CI 1.25-3.58 for 1-4 seizures/month; OR 3.09, 95%CI 1.57-6.07 for > 4 seizures/month).Conclusion: Seizure frequency was significantly associated with seizure-related dental injury, and with the lack of good oral health practice. Improvement in the oral health of people with epilepsy in resource-poor areas should be encouraged.

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Dental findings in children with West syndrome

Abstract: Patients with WS seem to have low caries experience, can have a deep palate, and may have their tongue positioned between the arches or on the incisive papilla.

Cited by 7 publications

References 17 publications

Oral findings in West syndrome – A Case Report

Oral findings in West syndrome – A Case Report

West Syndrome: Report of Clinical Case: 9 Years of Follow-up

Oral health and dental status in people with epilepsy in rural China

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