The association between periodontal disease and seizure severity in refractory epilepsy patients

Autor(es)

Costa, Andre L. F. ^{[1, 2]} ; Yasuda, Clarissa Lin ^[2] ; Shibasaki, Wendel ^[1] ; Raphaelli Nahas-Scocate, Ana Carla ^[1] ; de Freitas, Claudio Froes ^[1] ; Guedes Carvalho, Paulo Eduardo ^[1] ; Cendes, Fernando ^[2]

Afiliação do(s) autor(es)

^[1] UNICID Univ Sao Paulo City, Dept Orthodont, BR-03071000 Sao Paulo - Brazil

^[2] UNICAMP Univ Campinas, Dept Neurol, Lab Neuroimaging, Campinas, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: SEIZURE-EUROPEAN JOURNAL OF EPILEPSY; v. 23, n. 3, p. 227-230, MAR 2014.
• Citações Web of Science: 6

Resumo

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. (C) 2013 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved. (AU)

• Processo FAPESP: 07/59340-4 - Avaliacao clinica e por ressonancia magnetica da saude oral e disfuncao temporomandibular em individuos submetidos ao tratamento cirurgico para epilepsia do lobo temporal.
• Beneficiário: André Luiz Ferreira Costa
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado