Prevalence of Traumatic Dental Injuries in Epileptic Patients - A Systematic Review and Meta-Analysis
Introduction: An increase in dental trauma due to seizures in epileptic patients is a serious concern. Other serious injuries are treated immediately, but dental trauma goes ignored. We conducted a systematic review and meta-analysis to know the proportion of dental injuries and their subgroups. Met...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Indian Journal of Dental Research |
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| Online Access: | https://journals.lww.com/10.4103/ijdr.ijdr_37_24 |
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| author | Shivam Bhatnagar Sreeraj Rajappan Arushi Bhatnagar Shashank Tripathi |
| author_facet | Shivam Bhatnagar Sreeraj Rajappan Arushi Bhatnagar Shashank Tripathi |
| author_sort | Shivam Bhatnagar |
| collection | DOAJ |
| description | Introduction:
An increase in dental trauma due to seizures in epileptic patients is a serious concern. Other serious injuries are treated immediately, but dental trauma goes ignored. We conducted a systematic review and meta-analysis to know the proportion of dental injuries and their subgroups.
Methods:
We searched PubMed, EMBASE, Web of Science, and Google Scholar from January 1, 1990, to April 30, 2023, to identify articles reporting dental trauma due to epilepsy. We used two measures of heterogeneity (Q and I2-statistic) to select appropriate model (fixed or random effect model) for estimating pooled proportion. We used meta-regression to identify the significant predictors affecting the proportion of interest.
Results:
We included 28 articles in the final meta-analysis. The pooled proportion (prop) of dental trauma in epilepsy patients was 0.20 (95% CI 0.16 to 0.25). The categories for subgroup meta-analysis were hard tissue dental injury (prop: 0.14 (0.09, 0.20)), soft tissue dental injury (prop: 0.25 (0.18, 0.32)), both groups (prop: 0.48 (0.39, 0.57)), injury to teeth (prop: 0.14 (0.09, 0.20)), injury to tongue (prop: 0.28 (0.18, 0.37)), injury to lip (prop: 0.17 (0.10, 0.25)). gum injury (prop: 0.09 (0.05, 0.16)), injury to cheek (Prop: 0.12 (0.06, 0.18)), others (Prop: 0.61 (0.46, 0.75)), Negroid group (prop: 0.15 (0.08, 0.21)), Caucasian group (prop: 0.20 (0.12, 0.28)), and Asian group (prop: 0.24 (0.16, 0.32)).
Conclusion:
The proportion of traumatic dental injuries due in patients with epilepsy was 0.20. Oral soft tissues were more affected than hard tissues (prop: 0.25 vs 0.14), and among soft tissues, tongue was most affected (prop: 0.28). Early age of epilepsy onset and high frequency of seizures also contribute to dental trauma. |
| format | Article |
| id | doaj-art-c0b653e425b447b6a5e43aa350aa3823 |
| institution | OA Journals |
| issn | 0970-9290 1998-3603 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Dental Research |
| spelling | doaj-art-c0b653e425b447b6a5e43aa350aa38232025-08-20T02:02:10ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032025-01-0136110311110.4103/ijdr.ijdr_37_24Prevalence of Traumatic Dental Injuries in Epileptic Patients - A Systematic Review and Meta-AnalysisShivam BhatnagarSreeraj RajappanArushi BhatnagarShashank TripathiIntroduction: An increase in dental trauma due to seizures in epileptic patients is a serious concern. Other serious injuries are treated immediately, but dental trauma goes ignored. We conducted a systematic review and meta-analysis to know the proportion of dental injuries and their subgroups. Methods: We searched PubMed, EMBASE, Web of Science, and Google Scholar from January 1, 1990, to April 30, 2023, to identify articles reporting dental trauma due to epilepsy. We used two measures of heterogeneity (Q and I2-statistic) to select appropriate model (fixed or random effect model) for estimating pooled proportion. We used meta-regression to identify the significant predictors affecting the proportion of interest. Results: We included 28 articles in the final meta-analysis. The pooled proportion (prop) of dental trauma in epilepsy patients was 0.20 (95% CI 0.16 to 0.25). The categories for subgroup meta-analysis were hard tissue dental injury (prop: 0.14 (0.09, 0.20)), soft tissue dental injury (prop: 0.25 (0.18, 0.32)), both groups (prop: 0.48 (0.39, 0.57)), injury to teeth (prop: 0.14 (0.09, 0.20)), injury to tongue (prop: 0.28 (0.18, 0.37)), injury to lip (prop: 0.17 (0.10, 0.25)). gum injury (prop: 0.09 (0.05, 0.16)), injury to cheek (Prop: 0.12 (0.06, 0.18)), others (Prop: 0.61 (0.46, 0.75)), Negroid group (prop: 0.15 (0.08, 0.21)), Caucasian group (prop: 0.20 (0.12, 0.28)), and Asian group (prop: 0.24 (0.16, 0.32)). Conclusion: The proportion of traumatic dental injuries due in patients with epilepsy was 0.20. Oral soft tissues were more affected than hard tissues (prop: 0.25 vs 0.14), and among soft tissues, tongue was most affected (prop: 0.28). Early age of epilepsy onset and high frequency of seizures also contribute to dental trauma.https://journals.lww.com/10.4103/ijdr.ijdr_37_24epilepsymeta-analysismeta-regressionsystematic reviewtraumatic dental injuries |
| spellingShingle | Shivam Bhatnagar Sreeraj Rajappan Arushi Bhatnagar Shashank Tripathi Prevalence of Traumatic Dental Injuries in Epileptic Patients - A Systematic Review and Meta-Analysis Indian Journal of Dental Research epilepsy meta-analysis meta-regression systematic review traumatic dental injuries |
| title | Prevalence of Traumatic Dental Injuries in Epileptic Patients - A Systematic Review and Meta-Analysis |
| title_full | Prevalence of Traumatic Dental Injuries in Epileptic Patients - A Systematic Review and Meta-Analysis |
| title_fullStr | Prevalence of Traumatic Dental Injuries in Epileptic Patients - A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Prevalence of Traumatic Dental Injuries in Epileptic Patients - A Systematic Review and Meta-Analysis |
| title_short | Prevalence of Traumatic Dental Injuries in Epileptic Patients - A Systematic Review and Meta-Analysis |
| title_sort | prevalence of traumatic dental injuries in epileptic patients a systematic review and meta analysis |
| topic | epilepsy meta-analysis meta-regression systematic review traumatic dental injuries |
| url | https://journals.lww.com/10.4103/ijdr.ijdr_37_24 |
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