Department of Paediatric Dentistry, Poznan University of Medical Sciences, Poznan, Poland.
Department of Maxillofacial Surgery, Poznan University of Medical Sciences, Poznan, Poland.
Eur J Paediatr Dent. 2014 Mar;15(1):13-6.
People with reduced efficiency, as well as those who experience seizures, are prone to traumatic injuries within the facial skeleton. This study aimed to evaluate the incidence of traumatic injuries of the oral cavity in epileptic children and youths from special-care schools.
The study was carried out in children and youths with intellectual disability attending special-care schools in the city of Poznan (Poland). The study group comprised 63 epileptic students (31 female and 32 male), aged 6-20 years. Information on disease prevalence was obtained from medical records. The control group consisted of 63 students (23 female and 40 male), aged 7-20 years, not suffering from epilepsy, randomly selected from individuals in the same schools. The examination included assessment of dental traumatic injuries (crown fracture or traumatic tooth loss).
For statistical analysis relating to differences in the occurrence of injuries of teeth between epileptic subjects and control group, the chi- square test was used, but in case of a low number of observations, chi-square with Yates's correction.
Crown's fracture of permanent teeth was reported in 10 subjects (15.9% of all patients), which involved 13 permanent incisors. Tooth loss as a result of the injury was seen only in one 14-year-old subject. However, in the control group, symptoms of crown's fracture were found in six permanent teeth in 4 patients (6.4% of all subjects).
It is necessary to provide appropriate dental care to epileptic patients because of the risk of injuries and the need for a special prosthodontic rehabilitation.
效率降低以及出现癫痫发作的人，易发生面颅骨创伤性损伤。本研究旨在评估特殊护理学校中癫痫儿童和青少年口腔创伤性损伤的发生率。
该研究在波兰波兹南市的特殊护理学校中进行，纳入患有智力障碍的癫痫儿童和青少年。研究组包括 63 名癫痫学生（女 31 名，男 32 名），年龄 6-20 岁。从病历中获得疾病流行率的信息。对照组由 63 名（女 23 名，男 40 名）、年龄 7-20 岁、未患有癫痫的学生组成，从同校的学生中随机选择。检查包括评估牙创伤性损伤（冠折或外伤性牙缺失）。
为了分析癫痫患者与对照组之间牙齿损伤发生率的差异，使用了卡方检验，但在观察数量较少的情况下，使用了带有 Yates 校正的卡方检验。
10 名（所有患者的 15.9%）患者报告了恒牙的冠折，涉及 13 颗恒牙。仅 1 名 14 岁的患者发生了因受伤导致的牙齿缺失。然而，在对照组中，4 名患者的 6 颗恒牙出现了冠折症状（所有患者的 6.4%）。
由于癫痫患者受伤的风险以及特殊修复体修复的需要，有必要为他们提供适当的牙科护理。
