Literature DB >> 3926831

The effects of phenytoin and sodium valproate on the periodontal health of adult epileptic patients.

R A Seymour, D G Smith, D N Turnbull.   

Abstract

The periodontal health of 30 adult epileptic patients treated with either sodium valproate or phenytoin was compared with a control group (n = 15) of otherwise healthy patients. The 3 groups were matched for age and sex. Patients on phenytoin therapy showed significantly higher plaque scores (P less than 0.05), gingival index (P less than 0.05) and pocketing (P less than 0.05) than patients in the control group. The % of gingival hyperplasia was significantly higher (P less than 0.05) in the phenytoin-treated patients than those on sodium valproate or in the control group. However, patients on phenytoin therapy had significantly less bone loss than those on sodium valproate (P less than 0.05) or in the control group (P less than 0.01). No significant differences were observed between the sodium valproate group and the control group on any of the parameters assessed. The results from this study would suggest that sodium valproate has no unwanted effects on periodontal health and may be considered a safe alternative, regarding the periodontal aspects, to phenytoin for the treatment of adult onset epilepsy.

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Year:  1985        PMID: 3926831     DOI: 10.1111/j.1600-051x.1985.tb01377.x

Source DB:  PubMed          Journal:  J Clin Periodontol        ISSN: 0303-6979            Impact factor:   8.728


  17 in total

1.  Gingival hyperplasia due to sodium valproate.

Authors:  M Behari
Journal:  J Neurol Neurosurg Psychiatry       Date:  1991-03       Impact factor: 10.154

Review 2.  Gingival enlargement induced by drugs.

Authors:  L Brunet; J Miranda; M Farré; L Berini; C Mendieta
Journal:  Drug Saf       Date:  1996-09       Impact factor: 5.606

3.  A Clinical Evaluation of Gingival Overgrowth in Children on Antiepileptic Drug Therapy.

Authors:  Bharat Suneja; Saroj Chopra; Abi M Thomas; Jeyraj Pandian
Journal:  J Clin Diagn Res       Date:  2016-01-01

4.  Low dose phenytoin is an osteogenic agent in the rat.

Authors:  T Ohta; J E Wergedal; H E Gruber; D J Baylink; K H Lau
Journal:  Calcif Tissue Int       Date:  1995-01       Impact factor: 4.333

5.  Oral health of children with intractable epilepsy attending the UK National Centre for Young People with Epilepsy.

Authors:  T Percival; S E Aylett; F Pool; A Bloch-Zupan; G J Roberts; V S Lucas
Journal:  Eur Arch Paediatr Dent       Date:  2009-01

6.  Comparison of Osteogenic Potential of Phenytoin with Dexamethasone in Cultured Dental Pulp Stem Cells.

Authors:  Mitra Asgharian-Rezaee; Raheleh Alipour-Farmad; Zahra Tayarani-Najaran
Journal:  Rep Biochem Mol Biol       Date:  2020-10

7.  Sodium valproate induced gingival enlargement with pre-existing chronic periodontitis.

Authors:  Vaibhavi Joshipura
Journal:  J Indian Soc Periodontol       Date:  2012-04

8.  Gingival inflammation assessment: Image analysis.

Authors:  Hema Seshan; M Shwetha
Journal:  J Indian Soc Periodontol       Date:  2012-04

9.  Association between gingival bleeding and gingival enlargement and oral health-related quality of life (OHRQoL) of subjects under fixed orthodontic treatment: a cross-sectional study.

Authors:  Fabricio Batistin Zanatta; Thiago Machado Ardenghi; Raquel Pippi Antoniazzi; Tatiana Militz Perrone Pinto; Cassiano Kuchenbecker Rösing
Journal:  BMC Oral Health       Date:  2012-11-27       Impact factor: 2.757

10.  Idiopathic gingival hyperplasia: a case report with a 17-year followup.

Authors:  Bien Lai; Joseph Muenzer; Michael W Roberts
Journal:  Case Rep Dent       Date:  2011-07-03
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