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Oral health and dental status in people with epilepsy in rural China

Wang, M; Ding, D; Zhang, Q; Zhu, G; Ge, Y; Yang, B; Wang, T; ... Sander, JW; + view all (2019) Oral health and dental status in people with epilepsy in rural China. Seizure , 65 pp. 42-47. 10.1016/j.seizure.2018.12.022.

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Abstract

Purpose: We evaluated the oral health and dental status of people with epilepsy, and their relationship to seizure frequency, in a community cohort in rural China. Methods: A cross-sectional study of people with epilepsy was carried out in areas in Henan, Shanxi and Ningxia provinces of China. All participants underwent a specially designed “Oral health and Dental status Questionnaire”. Univariate and multivariate analyses were used to explore the relationships between seizure frequency and oral health and dental status. Results: A total of 875 people participated. Almost two thirds (65.8%) reported brushing their teeth at least once a day but 634 (73.0%) brushed their teeth for less than 3 min each time. Only 80 (9.1%) had visited a dental clinic in the previous year. Multivariate logistic regression analysis showed that having 1–4 seizures/month (OR 0.60, 95%CI 0.40-0.90) or >4 seizures/month (OR 0.38, 95%CI 0.22-0.66) was associated with decreased odds of brushing teeth at least once a day, and higher seizure frequency was associated with increased odds of dental injury due to seizures (OR 2.07, 95%CI 1.22–3.50 for <1 seizure/month; OR 2.12, 95%CI 1.25–3.58 for 1–4 seizures/month; OR 3.09, 95%CI 1.57–6.07 for >4 seizures/month). Conclusion: Seizure frequency was significantly associated with seizure-related dental injury, and with the lack of good oral health practice. Improvement in the oral health of people with epilepsy in resource-poor areas should be encouraged.

Type: Article
Title: Oral health and dental status in people with epilepsy in rural China
Location: England
DOI: 10.1016/j.seizure.2018.12.022
Publisher version: https://doi.org/10.1016/j.seizure.2018.12.022
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Seizure frequency, Dentistry, Buccal hygiene, Oral sampling, Dental caries, Tooth loss
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Experimental Epilepsy
URI: http://discovery.ucl.ac.uk/id/eprint/10065706
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