Which condition is associated with hydantoin therapy?
a. Postictal state
b. Atonia
c. Seizure threshold reduction
d. Gingival hyperplasia
ANS: D
Encouraging good oral hygiene practices is indicated when a patient is on hydantoin therapy because its use contributes to gingival hyperplasia. Postictal state is a characteristic of generalized tonic-clonic seizures. Atonia is not associated with hydantoin therapy. Hydantoin raises the seizure threshold.
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