Swollen gums and epilepsy

These teeth are normal. The line formed between the two middle teeth does not shift when the mouth opens.

When you see teeth that do not fit properly:

• Warn the person not to open his mouth wide. Suggest, for example, that he take his food in small bites. • Tell the person what can be done to help. Often a dentist can grind the teeth in a special way and this can end the pain.

These teeth do not fit properly. Because the line shifts, this means the jaw is also shifting. This shift can cause pain in the joint.

Many persons who suffer from epilepsy (see Where There ls No Doctor, page 178) have a problem with swollen gums. In severe cases, the gums are so swollen they cover the teeth. This problem is caused not by epilepsy but by diphenylhydantoin or phenytoin (Dilantin), a drug used to control epilepsy. When you see swollen gums, find out what medicines the person is taking. If possible, change to a different drug. If the person must continue using diphenylhydantoin, explain how to prevent this swelling of the gums. Show the person this book, especially pages 69 to 72. Persons who take this drug may be able to prevent the swelling by brushing the teeth carefully after each meal, and taking special care to clean between the teeth (page 71).