DANB General Chairside Practice Test

If a patient is having a tonic-clonic seizure in the dental chair, how should the dental assistant respond?

1. Have the patient in a supine position rolled to one side

2. Place the patient in a seated position

3. Hold the patient's head still

4. Give the patient water

The correct answer is: Have the patient in a supine position rolled to one side

The best response when a patient is having a tonic-clonic seizure in the dental chair is to have the patient in a supine position rolled to one side. This position helps to maintain an open airway and prevents aspiration, as it allows any fluids or secretions to drain from the mouth. Placing the patient on their side also minimizes the risk of injury, particularly to their head, by allowing for a more stable position during the seizure. Monitoring the patient in this way also allows the dental team to be more effective in providing immediate support. This approach aligns with emergency protocols often advocated in dental and healthcare settings for managing seizures, ensuring the safety of the patient during the event. Other options, like placing the patient in a seated position or holding their head still, could increase the risk of choking or injury. Giving the patient water is contraindicated because they might not be able to swallow properly due to the seizure activity.