Management of the epileptic patient in the dental office: a clinical case report and brief literature review

Outpatient care of epileptic patients can be a significant challenge for dental professionals. Therefore, the present study aimed to report, through a clinical case report, the management of epileptic patients in the dental office. A 16-year-old male patient attended dental care due to tooth decay and periodontal disease. The patient routinely used 250 mg of sodium valproate once a day to control epilepsy. During the clinical and radiographic examination, it was observed the need for guidance regarding dental caries, periodontal disease, suitability of the environment, periodontal, endodontic, surgical, and restorative treatment. Care was taken regarding stress control and, the use of local anesthetics and antibiotics. Given this clinical case report, it was possible to review and act in an optimized manner in the management of epileptic patients in the dental office. The complexity of the disease, the prevalence of those affected, and compromised oral health are highlighted. Dental surgeons must be desensitized to this issue and significantly accommodate this demand from the population