Analysis of different sedation approaches for epileptic patients in dentistry: A retrospective study

Abstract

Few clinical studies have been reported on the use of sedation in epileptic patients receiving dental treatments. The aim of this study was to perform a retrospective analysis of epileptic patients who underwent dental treatments under sedation. The medical records of 212 epileptic patients treated under sedation were reviewed retrospectively. Demographic data, ASA classification, comorbid diseases, medications, sedation duration, sedation agents, oral disorders, dental treatments, and complications were recorded. The mean age of the patients was 24.2±9.1 years. One hundred ninety-four patients were classified as ASA II (91.5%) and 18 (8.5%) as ASA III. Mental retardation was identified in 117 (55.2%) patients. Midazolam (n=204 patients, 96.2%) and ketamine (n=168,79.2%) were the most frequently used sedation agents. Dental caries (n=192, 79.2%) and periodontal diseases (n=31, 14.6%) were the most common oral disorders. The surgical, periodontal, restorative and prosthodontic treatments were performed. Epileptic seizures (n=2), vomiting and desaturation (n=2) and hemorrhage (n=1) were observed. It was concluded that sedation can be effectively and safely used for providing dental care in epileptic patients. Cooperative work of experienced anesthesia and dental team is of great importance to provide a safe and comfortable treatment for epileptic patients requiring a specific treatment approach.

Keywords

• Dentistry
• Epilepsy
• Ketamine
• Midazolam
• Sedation

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