Condition of hard tissues of teeth, parodontal tissues and oral hygiene in children of early school age with epilepsy

Abstract

Epilepsy is a chronic disease characterized by the risk of repeated seizures; its prevalence in developing countries is 5.59 per 1000 people, and in developed countries – 5–7 per 1000 people. It is known that, regardless of age, a decrease in bone mineral density is observed in patients with epilepsy. In addition, seizures along with mental deterioration can compromise oral and dental care, which can lead to various dental diseases. The purpose of the study was to examine the state of hard tooth tissues, parodontal tissues and oral hygiene in children of early school age with epilepsy. 44 children with epilepsy of 7–9 years age (main group) and 90 children of the same age without somatic pathology (comparison group) were examined and observed in the children's hospital №5, living in Odessa and Odessa region. The state of the hard tissues of the teeth was evaluated using the indices DFT, DFS, DMFT, DMFS and their components. Oral hygiene was assessed using Silness-Loe and Stallard indices, and parodontal tissues using Parma indices, bleeding and Schiller-Pisarev test. The results of a study of the dental status of children with epilepsy indicate a negative effect of this neurological pathology on the state of hard tooth tissues and parodontal tissues.