Multidisciplinary Dental Treatment in the Patient under Therapy with Phenytoin: Case Report
Felipe Matheus Gomes1, João Marcelo Ferreira de Medeiros2, Rabbith Ive Carolina Shitsuka Risemberg3, CaIeb Shitsuka4, Luiz Carlos Magno Filho5 and Irineu Gregnanin Pedron5*
1Undergraduate Student, Universidade Brasil, São Paulo, Brazil
2Professor, Department of Endodontics, Universidade Brasil, São Paulo, Brazil
3Postgraduate Student, Advanced Clinical Training in Restorative Dentistry, UCLA, USA
4Professor, Department of Pediatric Dentistry and Cariology, Universidade Brasil, São Paulo, Brazil
5Professor, Department of Periodontology, Implantology, Stomatology and Therapeutics, Universidade Brasil, São Paulo, Brazil
*Corresponding Author: Irineu Gregnanin Pedron, Professor, Department of Periodontology, Implantology, Stomatology and Therapeutics, Universidade Brasil, São Paulo, Brazil, Tel: +55 11 2944-4067
Received: March 03, 2022 Published: March 14, 2022
Abstract
Patients who suffer convulsive crisis may require special care during dental treatment and can become a challenge to the dental surgeon. Seizure control usually occurs by systemic administration of anticonvulsant drugs, such as phenytoin, phenobarbital, carbamazepine, sodium valproate or valproic acid. These drugs usually have numerous systemic and stomatological adverse effects. Gingival overgrowth is one of the main consequences of the administration of these drugs, varying in size and extension according to each drug. Additionally, other lesions may affect patients with seizures, making treatment more complex. The purpose of this article is to present the case of a patient who suffered convulsive crisis and has been controlled by phenytoin administration. The patient developed gingival overgrowth due to the administration of phenytoin, which favored the development of periodontal disease. Due to trauma caused by the convulsive crisis, the patient presented fractured teeth with pulp necrosis, which caused the evolution of a cystic lesion. Endodontic, periodontal, surgical, regenerative and rehabilitative treatments of these complications were performed. The patient has been followed for 20 years. The treatments used improved not only the oral conditions but also the patient's quality of life and self-esteem.
Keywords: Gingival Overgrowth; Phenytoin; Dental Assistance; Special Care in Dentistry.
Citation: Gomes FM, de Medeiros JMF, Risemberg RICS, Shitsuka C, Filho LCM, Pedron IG. “Multidisciplinary Dental Treatment in the Patient under Therapy with Phenytoin: Case Report”. SVOA Dentistry 3:2 (2022) Pages 101-105.
