RERR Dental Clinic

04/08/2026

ANNOUNCEMENT

August 5 & 6, 2026 clinic closed
August 7, 2026 clinic will be open @10:30am

06/05/2026

Management of Seizure in Dental Chair

🚨 “Patient Started Seizing on the Dental Chair… What Would YOU Do?” 😳💀

You’re in the middle of a routine procedure…
Suddenly the patient stiffens… starts jerking… loses consciousness…

👉 This is NOT the time to panic. This is where YOU become the emergency leader.

⚡ SEIZURE IN DENTAL CHAIR — STEP-BY-STEP MANAGEMENT

🛑 1. STOP EVERYTHING

Remove instruments, cotton rolls, dentures

Clear the mouth only if safe before jaw clenching

🛡️ 2. PROTECT THE PATIENT

Lower the chair

Clear surrounding area

Support the head

Loosen tight clothing

👉 Do NOT restrain the patient

🚫 3. WHAT YOU MUST NEVER DO

❌ Do NOT put anything in the mouth

❌ Do NOT give water or meds during seizure

❌ Do NOT try to stop the movements

💡 Exam Trap: “Swallowing tongue” is a myth

⏱️ 4. TIME THE SEIZURE

< 2 min → usually self-limiting

> 5 min → 🚨 MEDICAL EMERGENCY (Status Epilepticus)

🔄 5. AFTER SEIZURE STOPS

Turn patient to recovery position

Suction if needed

Give oxygen

Monitor vitals

Allow postictal recovery (confusion is normal)

🚨 6. CALL EMS IF:

Seizure > 5 minutes

Repeated seizures

First episode

Injury or breathing difficulty

Known systemic risk (diabetes/pregnancy)

💊 7. DRUG PEARL (INBDE FAVORITE)

Benzodiazepines = FIRST LINE
(Midazolam / Diazepam)

🦷 8. DENTAL GOLD POINTS

Do NOT continue treatment same day

Ask history: triggers, meds, last seizure

Phenytoin → Gingival enlargement 🔥

💀 MCQ 1

A patient develops generalized tonic-clonic seizure during extraction. What is the MOST appropriate immediate step?

A. Insert mouth gag
B. Restrain patient firmly
C. Give oral glucose
D. Remove instruments and protect from injury

🧠 MCQ 2

Which is CONTRAINDICATED during an active seizure?

A. Oxygen after seizure
B. Recovery position
C. Placing object in mouth
D. Monitoring vitals

Post your answers in comment 👇

05/04/2026

Happy Easter🐇🥚🙏

20/03/2026

World Oral Health Day....🦷💉🪥

Happy World Oral Health day!!!

04/06/2025

1st Dentist Hour

04/06/2025

17/05/2025

PDA 116th Convention & Scientific Meeting w/ Dr. Steve Mark Gan🫰

11/05/2025

Happy Mothers Day💐❤️

06/03/2025

Come and Visit