EPILEPTIC

CHILD

PATIENT

INTRODUCTION

HANDICAPPED PERSON

WHO Organization has defined a handicapped person as

one who over an appreciable period is prevented by physical or mental conditions from full participation in the normal activities of their age groups including those of social,recreational,educational and

vocational nature..

SEIZURE DISORDERSSEIZURES DISORDERS IN CHILDREN

1)No recurrent seizures (Febrile convulsion)2)Recurrent seizures (Epilepsy)

ETIOLOGY OF SEIZURES

Genetic factors

Bacterial meningitis

Trauma to the head

Childhood fever

Brain injury or stroke

Disturbances in body,s metabolism

SIGNS AND SYMPTOMSLoss of consciousness

Bodily muscle spasms

Violent convulsive movements

Temporary lack of breathing

Increase salivation

Confusion after seizure followed by deep sleep

EPILEPSY

DEFINITION..It is referred to as a seizure disorder , is a common neurological condition that is characterized by seizures occurring due to abnormal or excessive neuronal activity in the brain..

CLASSIFICATIONGrand mal seizuresPetit mal seizures

Psychomotor seizuresFocal seizures

Self induced seizures

IMPORTANT FEATURES IN THIS GROUP OF PATIENTS..

Gingival enlargementPrecipitation of seizures

AnxietySlightly sedated state

Traumatic injuriesDrug _induced Leukopenia and Thrombocytopenia

TREATMENT PLAN MODIFICATION (Dental Importance)..

1)Reduce stress to the child2)Reduce direct overhead lighting

# particulary for photosensitivity type#3)Mouth props

4)If appliances indicated fixed is preferred5)Surgical gingivectomy

6)Maintaining of good oral hygiene7)Avoid seizure_promoting medications

( CNS stimulants,L.A+Adrenaline )8)Emergency drugs (O2 + I.V OR Rectal Diazpam)

EMERGENCY CARE..

When the seizure occurs in DENTAL OFFICE..

1)Stop all dental procedures2)Dental chair is lowered to supine position

3)Maintain the mouth prop to avoid tongue injury4)Loose the patient,s clothing

5)Evaluating the ABC 6)Deliver O2 via face mask

7)Using intraoral suction device8)In sever cases (I.V Diazepam,, 1mg\kg)

9)If there is no response consult physician admit to the hospital

10)Dental treatment should be postponed

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