Abstract:
Objective: This study aimed to explore the experiences and challenges faced by orthodontists in treating patients with
epilepsy.
Study Design and Setting: This was a qualitative study conducted in the Orthodontic Department at Rawal Institute of
Health Sciences, Islamabad.
Methodology: The study period was almost three months from 4th August 2023 to 30th October 2023. Purposive sampling
was done and 11 orthodontists with a minimum of 10 years of clinical experience, who had treated at least one patient with
epilepsy in the past 5 years, were selected for an interview. Interviews were conducted in person or virtually, and a topic
guide was used. Verbatim transcripts were analyzed using framework methodology, with triangulation techniques to
minimize bias.
Results: All orthodontists were aware of their patients' epilepsy diagnoses, but none knew the specific type. The
implementation of the orthodontic treatment strategy was less than optimal. Ceramic brackets were not used in any case.
Limited single-arch treatments were preferred by orthodontists in some cases. Seizure and medicine intake history were
not taken at every appointment. The emergency anti-epileptic drug was not available in the dental office. The primary
challenges reported were patient motivation, poor oral hygiene, gingival hyperplasia, and bracket breakage.
Conclusion: Orthodontic treatment of epileptic patients is highly challenging. Modified treatment strategies should be
adopted to ensure optimal care for such patients
