A STRUCTURED CLINICAL APPROACH TO THE ORGANIZATION OF PROSTHODONTIC CARE IN PATIENTS WITH EPILEPSY

Abstract

Epilepsy is a chronic neurological disorder requiring special consideration during dental treatment due to seizure unpredictability and medication-related oral changes. The aim of this study was to develop and apply a structured clinical algorithm for the safe organization of prosthodontic care in patients with epilepsy and to evaluate its clinical outcomes over a 12-month follow-up period.

The study included 57 patients with epilepsy (25 men and 32 women; mean age 49.7 ± 4.5 years) and 32 somatically healthy controls (14 men and 18 women; mean age 48.0 ± 3.2 years). Clinical evaluations were performed every 3 months.

Baseline assessment revealed significantly lower acceptability of previously existing prosthetic constructions in the epilepsy group (33.3%) compared to controls (75.0%). During 12 months of follow-up, cement dislodgement occurred in 3.3% of constructions in the epilepsy group and 1.2% in the control group. No prosthetic fractures or seizure episodes during treatment were recorded.