Peculiarities of emotional status in patients with epilepsy during dental operations

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Abstract

BACKGROUND: Epilepsy is one of the most common neurological diseases. At the dental appointment of patients with epilepsy, there are always concerns about the occurrence of sudden unpredictable conditions, in particular, epileptic seizures.

AIM: The aim of the study was to study the emotional status of patients with epilepsy during dental surgical interventions.

MATERIALS AND METHODS: The study involved 164 patients, of which 105 patients with epilepsy (study group) and 59 patients constituted the control group without somatic and mental illnesses. The study group included 14 pharmacoresistant patients and 91 patients in the phase of drug remission. The tests were used to reveal the psychoemotional state of the patients before the surgical dental intervention.

RESULTS: In the group of drug-resistant patients, there was an increased level of anxiety and in two cases even a depressive state that required the appointment of psychoactive drugs. The group in medication remission did not differ significantly from the control group in terms of psychoemotional state.

CONCLUSIONS: Based on the data obtained, patients with epilepsy from the pharmacoresistant group are recommended to provide anesthesia during dental surgical interventions.

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About the authors

Ernest A. Bazikyan

A.I. Evdokimov Moscow State Medical and Dental University

Author for correspondence.
Email: prof.bazikian@gmail.com
ORCID iD: 0000-0002-9156-7883

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Alexander A. Matsepuro

A.I. Evdokimov Moscow State Medical and Dental University

Email: macepuroalex@gmail.com

MD

Russian Federation, Moscow

Pavel N. Vlasov

A.I. Evdokimov Moscow State Medical and Dental University

Email: vpn_neuro@mail.ru
ORCID iD: 0000-0001-8321-5864

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Andrey A. Chunikhin

A.I. Evdokimov Moscow State Medical and Dental University

Email: docca74@yandex.ru
ORCID iD: 0000-0002-9054-9464

MD, Dr. Sci. (Med.), Associate Professor

Russian Federation, Moscow

References

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  2. Labis VV, Bazikyan EA, Kozlov IG, et al. Nanosized particles as participants in osseointegration. Bulletin of the Orenburg Scientific Center of the Ural Branch of the Russian Academy of Sciences. 2016;(1):5. (In Russ).
  3. Bazikyan EA, Labis VV. Immunological aspects of the mechanism of osseointegration of dental implants. Meditsina Kriticheskikh Sostoyaniy. 2013;(2):59–63. (In Russ).
  4. Kirsanova SV, Bazikyan EA, Gurevich KG, Fabrikant EG. Clinical and social characteristics of patients with partial absence of teeth and the introduction of quality of life criteria to assess the effectiveness of their treatment. Institut Stomatologii. 2007;(4):24–25. (In Russ).
  5. Popova TG, Bazikyan EA, Pashinyan GA, et al. On the criteria for expert evaluation of adverse outcomes in the provision of dental care. Sudebno-Meditsinskaya Ekspertisa. 2008;51(2):21–23. (In Russ).
  6. Bazikyan EA, Ignatovich VV. Evaluation of the effectiveness of Ketorol and Nise in the clinical practice of surgical dentistry. Stomatologiya. 2005;84(3):49–50. (In Russ).
  7. Vlasov PN. Algorithms for the diagnosis and treatment of epilepsy in adults in outpatient settings. Farmateka. 2006;(7): 96–104. (In Russ).
  8. Vlasov PN. Some practical aspects of the treatment of epilepsy in adults. Consilium Medicum. 2004;6(2):116–124. (In Russ).

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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