Braces with epilepsy

Can I get braces if I have epilepsy, or will the seizures cause too much damage? I’m on both levetiracetam (keppra) and topiramate (topiragen), but still have seizures.

Luke S.- Boston


It is possible to have braces with epilespy. You just need to take some general precautions. First, make sure you tell your dentist ahead of time of both your condition as well as all medications you are on.

You are probably already aware that the medications you are on can cause your gums to bleed and become overgrown. This is also a problem with braces, so your dental hygiene will be extremely important. One of the problems with braces is plaque  collecting around the brackets and bands. You’ll have to clean those areas especially well to avoid getting gum disease.

Some precautions you’ll want to take is to ask your dentist to put smaller brackets on your teeth. There could still be some minor tissue damage if you have a seizure. If that happens, you can use a salt water rinse (with warm water) to help with healing. My one concern is if your dentist needs to place a removable appliance. That could become a chocking hazard in the event of a seizure.  This is something you’ll need to talk over with your dentist.

You might also be interested in learning about Root Canal Treatment.

This blog is brought to you by Lafayette, LA Dentist Dr. John Theriot.

Confused about what to do

I am pregnant (yay!), but now I need some advice. I went to my dentist to get a thorough cleaning so I could feel tip top about everything going into my pregnancy. He told me he found a small cavity. He said it was small enough to do without Novocaine. I didn’t mind that because I was pregnant. He filled it and said it was a little larger than he expected but he thinks he got all of it.  Right after that I started getting sensitive to cold. I went back and he said I need a root canal. I am leary of doing that so far into my pregnancy. What do you think I should do?

Carlee- San Antonio, TX


I’m not comfortable with how your treatment has gone. First, you almost always give a local anesthetic because there is no way of knowing how deep the infection has gone. Secondly, if you needed a root canal that soon after treatment then the cavity must have been large and he should have noticed that. I really recommend you get a second opinion.  There are other reasons for a for cold sensitivity, so you want to eliminate those as well.

This blog is brought to you by Lafayette Dentist Dr. John Theriot.