261 - Dental Treatment Following Trauma in Patient with Dravet Syndrome

Trauma to primary and permanent dentition is very common among children and youth with epilepsy and other seizure disorders. One systematic review and meta-analysis by Moreira Falci SG et al. estimates that patients with epileptic seizures have five times greater likelihood to sustain oral and maxillofacial injuries. As with all dental traumas, attention must be given to the follow-up and treatment needed to preserve dental health and prevent infection and the loss of tooth structure. This care becomes more complicated when patients have developmental delays or special healthcare needs that require sedation or general anesthesia to accomplish that treatment. This case report describes a 14-year-old patient with Dravet Syndrome, a neurological condition that includes epilepsy and developmental delay, who injured her central incisors during a seizure event. It discusses the triage, diagnosis, and treatment performed—as well as an incidental finding of an abnormally-shaped canal on the tooth being treated.

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