STUDY REGARDING THE NEUROPSYCHIC PATHOLOGY IMPLICATIONS IN PERIODONTAL PATHOLOGY

Abstract

Introduction: Epilepsy, in all its forms, must be known by the dental specialists who always can encounter an epileptic seizure when treating such patients. Many times, the medication of epileptic patients might contravene with dental treatment, another reason for a hightened attention to this disease. Purpose of the study: The purpose of this study consisted in the assessment of periodontal changes on epileptic patients with various types of seizures, correlated to the systemic modifications determined by the disease state and to the administrated drugs. Materials and methods: We evaluated a number of 58 patients with epilepsy diagnostic, based on neurologic observation sheets and on speciality clinical examination (dento-periodontal) and radiologic examination (apical radiographs and panoramic radiographs). Results: Analysing the relationship between epilepsy and other diseases, we observed that the associated pluripathology is the most frequent. We noticed that periodontal diseases appears mostly on patients with multiple drugs therapy, in contrast to the ones with monotherapy. The most important changes occur on phenytoin and carbamazepine medications. Discussions: In this study we observed the occurrence of periodontal lesions inhanced by entiepileptic drugs medication and by neuropsychic factors, life conditions, sedentarism and by an impaired oral hygiene. Conclusions: The antiepileptic drugs frequently induce adverse effects on oral cavity tissues. The severity of periodontal lesions depend on the evolution and treatment of the disease. Key-words: epilepsy, anticonvulsivant drugs, periodontal status