Evaluation of using an intraoral mouthguard by a patient with systemic disease epilepsy – clinical case
Journal Title: Journal of Stomatology (Czasopismo Stomatologiczne) - Year 2017, Vol 70, Issue 3
Abstract
Introduction. Epilepsy is one of neurological chronic diseases characterized by sudden changes in behavior, losses of consciousness, seizures or tonic skeletal muscles tone of different intensity which may be caused by uncontrollable discharges of grey matter cells which furthermore result in temporary brain dysfunction which happens either without a reason or result from stress, temperature, sleep deprivation and alcohol consumption. Patients with such a disease are often injured in the stomatognathic area. However, no standard proceeding regarding protecting its structure during seizures have been fixed yet. The purpose of the paper. The paper aims to assess intraoral mouthguards by a patient with epilepsy who is often affected by damages in oral cavity area during seizures. Material and methods. Three intraoral mouthguards made of various polymeric materials by the same token as utilized by sportsmen doing traumatic sports were assessed in a questionnaire. On the basis of the questionnaire the usage of the ethyl polymetacrylan mouthguard during epileptic seizures and its impact on injuries in the oral cavity area was reviewed and assessed. Results. A mouthguard of Impak material made at a split ratio of powder to liquid of 1,25:1 and traditionally polymerized got the best opinions. Its basic flaws include high rigidity and hardness. Conclusions. Individual intraoral mouthguards should be recommended and prepared for patients with epilepsy in order to protect their oral cavities against injuries. The case at hand points to the need of further tests on patients with epilepsy concerning the proportion of powder to liquid in the Impak material in order to render it more flexible and softer.
Authors and Affiliations
Dominika Gawlak , Magdalena Świderska, Karolina Skalska, Robert Łojszczyk, Katarzyna Mańka-Malara
Keywords
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