epilepsy patients

[charmi_shah]

Can anyone guide me regarding the management of an epileptic patient during dental treatment?

        

[Anonymous]

To put it in short :
1) Do not start treatment without physicians consent.
2) Always use a mouth prop.( most important)
3) If you are doing endo than see to it that there is a floss attached to all the instruments.
4) ensure that a high power suction is around .

Other precautions as usual.

severe cases must be referred or treated in a hospital.

Hope this helps,

Dr. Veerendra Darakh

        

[Anonymous]

If patient gets epileptic attack during dental treatment following protocol is recomended

1) Protect the patient from injury;
2) Remain calm;
3) Move all dental equipment out of the way;
4) Remove everything from patient’s mouth;
5) Do not attempt to move patient;
6) Place chair in supine position;
7) Turn patient to side to control airway;
8) Administer oxygen and
9) Summon medical assistance if seizure lasts more than five minutes.

When the seizure is over you must be sensitive to the patient- reassure him or her. Reschedule the dental appointment for another day, and be sure that the patient has safe transportation home.

        

[gaurang_thanvi2003]

If Any Dentist treating patient and epilepsy occur then following covenant should be taken as Life saving AID for patient….
I.Stop treatment from mouth and remove all surgical instruments .
II.Make the body relaxed by making dental chair parallel to floor and supine position .
III.Place the patient on his or her side.
IV.Do not restrain the patient.
V.Both patient and dentist sholud be cool and clam,dont make it Hovac.
VI.Do not put fingers in patient’s mouth.
VII.Call emergency if seizing increases more than 3 minutes.
VIII.Administer oxygen at the rate of 6-8L/minute.
IX.If seizure last longer than more 1 min. ,administer 10 mg dose of diazopan intramuscularly.
X.Be aware of the fresh airway.
Once the seizure is over then-
I.Do not take futher dental treatment.
II.Try to talk to the patient to know the patient’s consciousness level.
III.Do not allow patient to leave the dental clinic.
IV.Try to contact the patient’s family,if she/he is alone.
V.Give a glass of sugar+salt water or any fruit juice.
VI.Do a brief oral examination.
VII.If patient feel good then discharge with resposible family member.

Regards
Gaurang Thanvi
Jodhpur Dental College

        

[Anonymous]

thank you doctors ., ,. your posts are gona be helpful to set a standard protocol for treatment of epilepsy patients ., ., the above posts tell us about management during procedures .,. , wat are the precautions to be followed (if any) prior to or after procedures on epilepsy patients .. ? ?

        

[Anonymous]

Nice to see the interest regarding the management of epilepy patients. But these patients are not commonly encountered in routine dental practice, i feel that a general dental practitioner should know about other medical conditions which as commonly encountered in day today practice, such as geriatrics, pregnancy, diabetes, hypertension etc.

        

[sushantpatel_doc]

All the above posts tell us how to successfully manage a patient if he gets an epileptic attack. But it would be interesting to know what precautions one must take to avoid an epileptic attack in a patient who gives a history of frequent seizures?

        

[Author]

Posts