<s>[INST] Dear Doctor,My mom (57) 156 cm, 115 pounds, had very recently gone for dental consultation to a reputed specialty. A couple of routine tests were asked to be taken which are OPG - Digital, CBC, RBS, BT, CT and PT. After examination they formulated a treatment plan which includes -Scaling and polishing- Lower arch - Dental implants under local anesthesia, with or without adrenaline 1 is to 80000- Upper complete dentureThe following medication would be givenCap Phexin 250 mgTab EnzoflamWe have also provided them a brief medical history of my mother which includes her medical condition known as Idiopathic Generalized Epilepsy, from what we understand from her symptoms for which is taking Tegretol, 200 to max 400 mg day. As per observation her seizure occurrence has been 2 seizures a day that occur every 15th or 16th day or at times an episode of seizure if highly stressed or unwell or traveling bound.We are satisfied with the treatment plan provided by this dental clinic. Now since she has this specific epilepsy condition that I mentioned above, we have been asked to get her family doctor or the doctor under whom she may be getting treatment for epilepsy to provide CONSENT letter about her general health so as to proceed with the dental treatment without any further complications.As such she does not have any specific doctor that has been treating for her for this condition and perhaps as suggested by some doctor in her late 20's she was recommended Dilantin, and then later on Mazetol and for last several years she is taking Tegretol which has pretty much kept her seizures in control. Although she has never been seizure free for a consistent period of time in spite of regular use of these medication, but to a large extent it is the only support system for her. I have read of anesthesia without adrenaline for epileptic patients and also that most epileptic patients can successfully get implants done.Could you please suggest what would be the correct course of action to be taken to avoid the least amount of risk or complication, before, during and after this treatment. [/INST] HIThank for asking to HCMI really appreciate your concern for your mother if your mother is epileptic patient and now she suppose to go for teeth extraction then no need to worry about this only matter is dentist should be inform for this and your mother would taken a great care, hope this information helps you, take care and have a nice day. </s>