severe mood swings because topamax can at times accelerate mood swings which can result in suicidal thoughts too. • Alcohol consumption should be stopped once on medication otherwise it can cause an unexpected increase in seizures. • Diets with low fat and high carbohydrate should be taken to avoid the chances of having kidney stones. • The medicine should be kept away from the reach of children and pets and stored at a cool and dry place away from humidity and sunlight.
Teeth loss affects proper speech, mastication, chewing and may result in poor esthetics which affects the quality of life.[9,10] Trauma, tooth impaction, orthodontic reasons, hypoplasia, over eruption, supernumerary teeth, attrition, neoplastic and cystic lesions are also the other reasons for the tooth loss. The further more reasons for the tooth loss are lower intake of fruits and vegetables, fiber, and carotene and increased cholesterol and saturated fats, increased rates of chronic inflammatory changes