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Publication
Abordagem ao paciente epilético na medicina dentária
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| 1.03 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
A medicina dentária está em constante progresso e cada vez mais aborda uma variedade de fatores que se relacionam não só com as doenças orais, mas também com doenças sistémicas.
A epilepsia consiste numa doença crónica originada por uma atividade elétrica anormal do cérebro. Esta condição é caracterizada por episódios neurológicos paroxísticos e recorrentes, manifestando-se através de alterações motoras, sensitivas e cognitivas, frequentemente acompanhadas por perda de consciência.
O tratamento abrange uma abordagem multidisciplinar, incorporando a componente neurológica, mas também os diversos efeitos adversos associados tanto à terapêutica aplicada quanto à evolução da própria doença.
Ao lidar com pacientes epiléticos no contexto dentário, é crucial adquirir conhecimentos específicos para uma interpretação aprimorada e resolução de complicações frequentemente observadas, tais como: efeitos adversos de medicação, crises convulsivas, desenvolvimento de problemas orais e as potenciais consequências prejudiciais de certos procedimentos dentários como utilização de anestesia ou antibióticos.
A reabilitação dos problemas orais neste tipo de pacientes é desafiadora devido às complicações associadas à própria epilepsia, incluindo traumas causados por crises e dificuldades na higienização. Esta revisão narrativa tem como objetivo destacar a importância do diagnóstico e tratamento de pacientes com epilepsia, salientando-se a necessidade de um cuidado especial, dada à complexidade do atendimento no consultório
dentário.
Dental medicine is constantly progressing and increasingly addresses a variety of factors that relate not only to oral diseases, but also to systemic diseases. Epilepsy is a chronic disease caused by abnormal electrical activity in the brain. This condition is characterized by paroxysmal and recurrent neurological episodes, manifesting itself through motor, sensory and cognitive changes, often accompanied by loss of consciousness. Treatment encompasses a multidisciplinary approach, incorporating the neurological component, but also the various adverse effects associated with both the therapy applied and the evolution of the disease itself. When dealing with epileptic patients in the dental context, it is crucial to acquire specific knowledge for improved interpretation and resolution of frequently observed complications such as: adverse effects of medication, seizures, development of oral problems and the potential harmful consequences of certain dental procedures such as use of anesthesia or antibiotics. The rehabilitation of oral problems in this type of patient is challenging due to complications associated with epilepsy itself, including trauma caused by seizures and difficulties in hygiene. This narrative review aims to highlight the importance of diagnosing and treating patients with epilepsy, highlighting the need for special care, given the complexity of care in the dental office.
Dental medicine is constantly progressing and increasingly addresses a variety of factors that relate not only to oral diseases, but also to systemic diseases. Epilepsy is a chronic disease caused by abnormal electrical activity in the brain. This condition is characterized by paroxysmal and recurrent neurological episodes, manifesting itself through motor, sensory and cognitive changes, often accompanied by loss of consciousness. Treatment encompasses a multidisciplinary approach, incorporating the neurological component, but also the various adverse effects associated with both the therapy applied and the evolution of the disease itself. When dealing with epileptic patients in the dental context, it is crucial to acquire specific knowledge for improved interpretation and resolution of frequently observed complications such as: adverse effects of medication, seizures, development of oral problems and the potential harmful consequences of certain dental procedures such as use of anesthesia or antibiotics. The rehabilitation of oral problems in this type of patient is challenging due to complications associated with epilepsy itself, including trauma caused by seizures and difficulties in hygiene. This narrative review aims to highlight the importance of diagnosing and treating patients with epilepsy, highlighting the need for special care, given the complexity of care in the dental office.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Epilepsia Crise epilética Saúde oral Protocolo dentário