Oral health assessment of epilepsy patients from a tertiary hospital in Asia.

Autor:	Mohd Faiz MN; National University of Malaysia, Faculty of Medicine, Department of Medicine, Kuala Lumpur, Malaysia., Abd Rahman MSH; National University of Malaysia, Faculty of Medicine, Department of Medicine, Kuala Lumpur, Malaysia., Nurazfalina AAA; Hospital Canselor Tuanku Muhriz, Department of Oral and Maxillofacial Surgery, Kuala Lumpur, Malaysia., Jennifer T; Hospital Canselor Tuanku Muhriz, Department of Oral and Maxillofacial Surgery, Kuala Lumpur, Malaysia., Nabil S; National University of Malaysia, Faculty of Medicine, Department of Medicine, Kuala Lumpur, Malaysia., Tan JK; National University of Malaysia, Faculty of Medicine, Department of Medicine, Kuala Lumpur, Malaysia., Rathika R; National University of Malaysia, Faculty of Medicine, Department of Medicine, Kuala Lumpur, Malaysia., Wan Yahya WNN; National University of Malaysia, Faculty of Medicine, Department of Medicine, Kuala Lumpur, Malaysia., Wan Asyraf WZ; National University of Malaysia, Faculty of Medicine, Department of Medicine, Kuala Lumpur, Malaysia., Khoo CS; National University of Malaysia, Faculty of Medicine, Department of Medicine, Kuala Lumpur, Malaysia., Rozita H; National University of Malaysia, Faculty of Medicine, Department of Public Health Medicine, Kuala Lumpur, Malaysia., Zaleha S; Hospital Canselor Tuanku Muhriz, Kuala Lumpur, Malaysia., Tan HJ; National University of Malaysia, Faculty of Medicine, Department of Medicine, Kuala Lumpur, Malaysia. tanhuijan@gmail.com, tanhuijan@ukm.edu.my.
Jazyk:	angličtina
Zdroj:	The Medical journal of Malaysia [Med J Malaysia] 2024 Jul; Vol. 79 (4), pp. 443-451.
Abstrakt:	Introduction: Oral health problems are frequently overlooked in patients with epilepsy. We evaluate the oral health status of epilepsy patients from a tertiary teaching hospital. Materials and Methods: We conducted a cross-sectional study of epilepsy patients from the neurology clinic, Hospital Canselor Tuanku Muhriz, Kuala Lumpur. The dental assessment included the decayed, missing and filled teeth (DMFT) criteria, as well as the plaque and periodontal status by dentists. Results: A total of 151 patients were recruited. The median age of onset of epilepsy was 16 (IQR 7-30) years, with generalised seizures at 59.6% and focal seizures in 40.4% of patients. Fair or poor oral health was present in 59 (39.1%) and gingivitis was seen in 65 (43%). The median DMFT decayed (D), missing (M) and filled teeth (FT) was 3 (IQR 1- 7). The median age of patients with fair or poor oral health was older (40 years, IQR 31-51) than the patients with excellent or good oral health (33 years, IQR 26-45), (p=0.014). Multivariate logistic regression analysis showed that carbamazepine (Odds Ratios, OR: 3.694; 95% Confidence Intervals, 95%CI: 1.314, 10.384) and hypertension (OR 6.484; 95%CI: 1.011, 41.594) are the risk factors for fair or poor oral health. Phenytoin use is 4.271 times more likely to develop gingivitis (OR 4.271; 95% CI: 1.252, 14.573). Conclusion: Factors that contribute to fair or poor oral health include age, antiseizure medications like phenytoin and carbamazepine, and hypertension. Effective preventive strategies should be implemented to maintain oral health in epilepsy patients.
Databáze:	MEDLINE
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