Dental Considerations of a 4-year-old Girl with Lennox-Gastaut Syndrome. Case Report and Literature Review
Joseph Katz *
Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, USA.
Matthew Bright
Division of Pediatric Dentistry, Post-Doctoral Program, University of Kentucky College of Dentistry, USA.
Enrique Bimstein
Division of Pediatric Dentistry, University of Kentucky College of Dentistry, USA.
*Author to whom correspondence should be addressed.
Abstract
We present the developmental, oral, clinical, radiographic findings and oral treatment of a 4-year-old girl presenting with Lennox-Gastaut syndrome (LGS), which is a severe disabling childhood epilepsy disease that is treated with one or multiple anti-epileptic drugs (AEDs). The child was wheel-chair bound, developmentally delayed, gastrostomy tube (G-tube) fed, and suffered from multiple seizures and infantile spasms. The child’s medical history included an under-developed pituitary gland, gastro esophageal reflux disease, vision and hearing impairment, history of chronic aspiration pneumonia, and allergies. Although the oral findings included no carious lesions, heavy calculus accumulation, spontaneous bleeding from the gingiva, generalized gingival hyperplasia (GH) and abnormal increased mobility in several deciduous teeth. This report describes the comprehensive radiographic and clinical examination and the treatment under general anesthesia.
Keywords: Calculus, gingival overgrowth, anti-seizure medication, Lennox-Gastaut syndrome.