Specialist management of routine dental procedures in adults with refractory epilepsy

• Published in: British dental journal Vol. 216; no. 7; pp. 403 - 407
• Main Authors: Ransford, N., Soryal, I., McCorry, D., Sander, J. W., Duncan, F., Huggins, N.
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 11.04.2014; Nature Publishing Group
• Subjects: 692/699/375/178; 692/700/3032/3159; Adult; Anesthesia; Anesthesia, Dental - methods; Conscious Sedation - methods; Convulsions & seizures; Dental insurance; Dentistry; Dentistry, Operative - methods; Epilepsy; Epilepsy - complications; Hospitals; Humans; Medicine; Neurology; practice; Surgery
• ISSN: 0007-0610; 1476-5373
• DOI: 10.1038/sj.bdj.2014.247

Key Points Provides dental specialists with current information from medical specialists on refractory epilepsy. Highlights the diversity of seizure disorders and the role of informed history taking. Provides practical recommendations on the options for managing dental treatment for these patients. Little published information exists about the management of dental treatment procedures for people with epilepsy who, despite their medication, continue to have seizures. This paper draws on relevant literature in neurology and anaesthetics to provide a multi-speciality consensus on methods of assessment and adjunctive treatment options in order to manage the risk of a clinically significant seizure occurring during a procedure. It aims to enhance current guidelines and practice in the provision of specialist care for this diverse group.