“…Our results are consistent with Saengsuwan Jiamji et al who reported that the main reason for an epileptic attack was not following the drug regimen and thus stressed the urging need for counselling of patients with epilepsy in order to follow instructions on proper usage of AEDs.…”
Background
Epileptic children are liable to experience oral health problems either due to the disease itself or medications administered to control the condition.
Aim
We aimed to investigate caries experience, gingival health and oro‐facial traumatic injuries in a sample of epileptic Egyptian children.
Design
A retrospective cohort study was conducted from September 2016 to April 2017 using data from medical records in Children Hospital at Ain Shams University. Dental examination was performed for 100 epileptic children and 80 healthy subjects who matched in age, gender, and socio‐economic status. Caries experience was measured using the decayed, missing and filled teeth (DMFT or dmft) index and gingival index (GI) of Loe and Sillness was used to determine gingival health status. Oro‐facial injuries were assessed using the WHO classification of trauma. Quantitative data were presented as mean, SD, and 95% CI values. Qualitative data were presented as frequencies and percentages and the significance level was set at P ≤ 0.05.
Results
The mean ± SD GI for epileptic children was significantly higher (1.16 ± 0.42) than that of healthy children. (1.01 ± 0.11) Healthy subjects had significantly lower mean dmf index scores 2.2 ± 2.6 compared to epileptic subjects where mean dmf scores were 4.1 ± 2.1. No significant difference, however, was detected between the two groups regarding caries experience in permanent dentition or incidence of oro‐facial injuries.
Conclusions
Epileptic children are highly burdened with gingival problems and liable to develop dental caries especially in primary dentition. Oral traumatic injuries, however, are not common complications if seizure attacks are well controlled.
“…Our results are consistent with Saengsuwan Jiamji et al who reported that the main reason for an epileptic attack was not following the drug regimen and thus stressed the urging need for counselling of patients with epilepsy in order to follow instructions on proper usage of AEDs.…”
Background
Epileptic children are liable to experience oral health problems either due to the disease itself or medications administered to control the condition.
Aim
We aimed to investigate caries experience, gingival health and oro‐facial traumatic injuries in a sample of epileptic Egyptian children.
Design
A retrospective cohort study was conducted from September 2016 to April 2017 using data from medical records in Children Hospital at Ain Shams University. Dental examination was performed for 100 epileptic children and 80 healthy subjects who matched in age, gender, and socio‐economic status. Caries experience was measured using the decayed, missing and filled teeth (DMFT or dmft) index and gingival index (GI) of Loe and Sillness was used to determine gingival health status. Oro‐facial injuries were assessed using the WHO classification of trauma. Quantitative data were presented as mean, SD, and 95% CI values. Qualitative data were presented as frequencies and percentages and the significance level was set at P ≤ 0.05.
Results
The mean ± SD GI for epileptic children was significantly higher (1.16 ± 0.42) than that of healthy children. (1.01 ± 0.11) Healthy subjects had significantly lower mean dmf index scores 2.2 ± 2.6 compared to epileptic subjects where mean dmf scores were 4.1 ± 2.1. No significant difference, however, was detected between the two groups regarding caries experience in permanent dentition or incidence of oro‐facial injuries.
Conclusions
Epileptic children are highly burdened with gingival problems and liable to develop dental caries especially in primary dentition. Oral traumatic injuries, however, are not common complications if seizure attacks are well controlled.
“…Importantly, a recent study in Thailand found that EDS was the cause of 33% of accidents occurring with Thai commercial truck drivers and was one of the major causes of traffic accidents in Thailand. A correlation between sleeping during the day and accidents has been reported [45], while 90% of the EDS occurred because of sleep deprivation [46].…”
“…There is inconsistency between countries in the seizure‐free period needed by people with epilepsy to be able to obtain a driving license, and many people with epilepsy continue to drive . Table shows the driving restrictions for patients with epilepsy in Asian countries and the United Kingdom . Although driving restrictions for patients with uncontrolled epilepsy may be needed to ensure patient and public safety, these must be balanced with a patient's independence and QOL …”
Section: Psychosocial Diagnostic and Treatment Challengesmentioning
confidence: 99%
“…77 Table 5 shows the driving restrictions for patients with epilepsy in Asian countries and the United Kingdom. [77][78][79][80][81][82][83][84][85] Although driving restrictions for patients with uncontrolled epilepsy may be needed to ensure patient and public safety, these must be balanced with a patient's independence and QOL. 82…”
This article reviews the burden of epilepsy in Asia, the challenges faced by people with epilepsy, and the management of epilepsy. Comparison is made with other parts of the world. For this narrative review, data were collected using specified search criteria. Articles investigating the epidemiology of epilepsy, diagnosis, comorbidities and associated mortality, stigmatization, and treatment were included. Epilepsy is a global health care issue affecting up to 70 million people worldwide. Nearly 80% of people with epilepsy live in low- and middle-income countries with limited resources. People with epilepsy are prone to physical and psychological comorbidities, including anxiety and depression, which can negatively impact their quality of life. Furthermore, people with epilepsy are at higher risk of premature death than people without epilepsy. Discrimination or stigmatization of people with epilepsy is common in Asia and can affect their education, work, and marriage opportunities. Access to epilepsy treatment varies throughout Asia. Although highly advanced treatment is available in some countries, up to 90% of people with epilepsy are not adequately treated or are not treated with conventional antiepileptic therapy in resource-limited countries. People in remote areas often do not receive any epilepsy care. First-generation antiepileptic drugs (AEDs) are available, but usually only in urban areas, and second-generation AEDs are not available in all countries. Newer AEDs tend to have more favorable safety profiles than first-generation AEDs and provide options to tailor therapy for individual patients, especially those with comorbidities. Active epilepsy surgery centers are present in some countries, although epilepsy surgery is often underutilized given the number of patients who could benefit. Further epidemiologic research is needed to provide accurate epilepsy data across the Asian region. Coordinated action is warranted to improve access to treatment and care.
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