
Management of a high risk epileptic patient under conscious sedation: A multidisciplinary approach
Author(s) -
Burnice Nalina Kumari Chellathurai,
T Ramakrishnan,
SelvaKumar Jayakumaran,
P Devadoss,
Elavazhagan
Publication year - 2016
Publication title -
journal of indian society of periodontology (print)/journal of indian society of periodontology (online)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.309
H-Index - 28
eISSN - 0975-1580
pISSN - 0972-124X
DOI - 10.4103/0972-124x.170817
Subject(s) - medicine , sedation , midazolam , epilepsy , dental procedure , population , multidisciplinary approach , anesthesia , intensive care medicine , dentistry , dental care , psychiatry , social science , environmental health , sociology
Epilepsy, characterized by the risk of recurrent seizures, is a chronic disease that afflicts about 5% of the world's population. The main dental problems associated with epileptic patients include gingival hyperplasia, minor oral injuries, tooth trauma, and prosthodontic problems, which require the dental treatment. Stress and fear are the most common triggering factors for the epilepsy in dental chair. Therefore, a more appropriate method of treating such epileptic patients may be warranted. Conscious sedation is a technique of providing good anesthesia and analgesia to patients, the main advantage of which is the patient's rapid return to presentation levels. Midazolam used as a sedative agent has anticonvulsant properties. This case report highlights a case requiring multiple dental procedures carried out in a high risk epileptic patient under conscious sedation.