Extracoronal precision attachments in a patient with generalized tonic-clonic seizures

Epilepsy is caused by a number of genetic, physiological and infectious disorders as well as by trauma. In 70% of patients the epilepsy is well controlled by antiepileptic drugs but the disease itself and the pharmaceutical management often have an impact on the oral cavity. Primary management considerations are the provision of good periodontal care and the restoration of the teeth with stable, strong restorations. Epileptic patients have differing needs when developing plans for prosthodontic treatment. Treatment should be individually tailored, considering the type and severity of the disease with special emphasis on the type and frequency of seizures. This case report describes the prosthodontic rehabilitation of a generalized tonic-clonic convulsive patient for missing mandibular anterior teeth with a precision attachment cast removable partial denture.