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Lennox gastaut syndrome, review of the literature and a case report.

Abu Saleh T, Stephen L - Head Face Med (2008)

Bottom Line: In South Africa, the incidence of secondary epilepsy is higher than what is found in developed countries resulting in higher incidence of the disease.Interdisciplinary treatment of these patients is fundamental and oral attention is of outstanding importance.Non-surgical periodontal therapy was effective in controlling periodontal disease in the reported case, but prevention of periodontal and dental diseases is preferable for this high-risk group of patients.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Oral Medicine and Periodontics, University of the Western Cape, Cape Town, South Africa. tareqaman1@yahoo.com

ABSTRACT

Background: Lennox-Gastaut syndrome (LGS) is a severe form of childhood epilepsy that is defined by generalized multiple type seizures, slowness of intellectual growth, and a specific EEG disturbance. Children affected might previously have infantile spasms or underlying brain disorder but etiology can be idiopathic. In South Africa, the incidence of secondary epilepsy is higher than what is found in developed countries resulting in higher incidence of the disease. LGS seizures are often treatment resistant and the long term prognosis is poor.

Report: A twenty six year old female, presented with anterior open bite, macroglossia, supragingival as well as subgingival calculus. The gingiva was red, swollen and friable and there was generalized bleeding and localized suppuration. The patient had gingival recession. After periodontal therapy a remarkable improvement in oral health status was noted.

Conclusion: The clinical findings in LGS included facial deformities, periodontitis and gingival swellings. Interdisciplinary treatment of these patients is fundamental and oral attention is of outstanding importance. Non-surgical periodontal therapy was effective in controlling periodontal disease in the reported case, but prevention of periodontal and dental diseases is preferable for this high-risk group of patients.

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Related in: MedlinePlus

Orthopantomograph showed severe horizontal alveolar bone loss anteriorly, and vertical bone loss around 31 and 36.
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Figure 4: Orthopantomograph showed severe horizontal alveolar bone loss anteriorly, and vertical bone loss around 31 and 36.

Mentions: An orthopantomograph showed severe horizontal alveolar bone loss, especially anteriorly, and vertical bone loss around 31 and 36. Spacing of teeth was evident anteriorly. Multiple proximal radiolucencies were present on posterior teeth (Figure 4).


Lennox gastaut syndrome, review of the literature and a case report.

Abu Saleh T, Stephen L - Head Face Med (2008)

Orthopantomograph showed severe horizontal alveolar bone loss anteriorly, and vertical bone loss around 31 and 36.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2483705&req=5

Figure 4: Orthopantomograph showed severe horizontal alveolar bone loss anteriorly, and vertical bone loss around 31 and 36.
Mentions: An orthopantomograph showed severe horizontal alveolar bone loss, especially anteriorly, and vertical bone loss around 31 and 36. Spacing of teeth was evident anteriorly. Multiple proximal radiolucencies were present on posterior teeth (Figure 4).

Bottom Line: In South Africa, the incidence of secondary epilepsy is higher than what is found in developed countries resulting in higher incidence of the disease.Interdisciplinary treatment of these patients is fundamental and oral attention is of outstanding importance.Non-surgical periodontal therapy was effective in controlling periodontal disease in the reported case, but prevention of periodontal and dental diseases is preferable for this high-risk group of patients.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Oral Medicine and Periodontics, University of the Western Cape, Cape Town, South Africa. tareqaman1@yahoo.com

ABSTRACT

Background: Lennox-Gastaut syndrome (LGS) is a severe form of childhood epilepsy that is defined by generalized multiple type seizures, slowness of intellectual growth, and a specific EEG disturbance. Children affected might previously have infantile spasms or underlying brain disorder but etiology can be idiopathic. In South Africa, the incidence of secondary epilepsy is higher than what is found in developed countries resulting in higher incidence of the disease. LGS seizures are often treatment resistant and the long term prognosis is poor.

Report: A twenty six year old female, presented with anterior open bite, macroglossia, supragingival as well as subgingival calculus. The gingiva was red, swollen and friable and there was generalized bleeding and localized suppuration. The patient had gingival recession. After periodontal therapy a remarkable improvement in oral health status was noted.

Conclusion: The clinical findings in LGS included facial deformities, periodontitis and gingival swellings. Interdisciplinary treatment of these patients is fundamental and oral attention is of outstanding importance. Non-surgical periodontal therapy was effective in controlling periodontal disease in the reported case, but prevention of periodontal and dental diseases is preferable for this high-risk group of patients.

Show MeSH
Related in: MedlinePlus