Journal of Disability and Oral Health

cover art

Cover Date:
June 2017
Print ISSN:
1470-8558
Vol:
18
Issue:
2

Deep Brain Stimulation: literature review of the unseen challenges to optimal dentistry

Abstract
Deep brain stimulation is an implantable electrical generator increasingly used nowadays for movement or
neuropsychological conditions. It was reported to cause significant morbidity and mortality when used with various
dental devices. Aims: This literature review seeks to unveil hazards, analyse current guidelines and practices, and high-light the controversies practitioners face when caring for individuals with deep brain stimulation. .
Methodology: Cochrane database, Ovid MEDLINE and PubMed searches were executed using MeSH terms “deep brain stimulation” AND “dentist*”. An open (basic) search for the databases was also done. Information from
practice recommendations of the Parkinson’s Society UK, American Parkinson’s Disease Association, National
Parkinson Foundation US, European Parkinson’s Disease Society, Parkinson’s Australia, FDA (US), and MEDSCAPE were also analysed for insights regarding deep brain stimulation and dentistry. Results: A total of 1,778 articles were found and screened, of which 15 were reviewed in full text and 10 were deemed relevant for qualitative synthesis.
Conclusions: Previous literature suggested diathermy use and post-treatment infections are the main concerns
with deep brain stimulation. A deeper understanding of the safety concerns involving other dental procedures
(including electrocautery, lasers, lithotripsy, magnetic resonance imaging, radiation therapy, and ultrasound) with deep brain stimulation use is required. In addition, antibiotic prophylaxis recommendations differ internationally. There are also concerns regarding the timing of dental interventions after deep brain stimulation and various considerations during general anaesthesia. This article arranges and summarises these concerns for the perusal of all dental practitioners.

Key words: Deep brain stimulation, implantable medical electrical device, electrical stimulation, Parkinson’s disease, dentistry

Article Price
£15.00
Institution Article Price
£
Page Start
31
Page End
42
Authors
G X D Lim

Articles from this issue

  • Title
  • Pg. Start
  • Pg. End

  1. Editorial
  2. 26
  3. 26

  1. Obituary Professor Crispian Scully
  2. 28
  3. 30

  1. Deep Brain Stimulation: literature review of the unseen challenges to optimal dentistry
  2. 31
  3. 42

  1. Dental students’ attitudes towards understanding of health, disability and disease in dental patients in Wales, UK: a foundation for special care dentistry
  2. 43
  3. 52

  1. Oral health status and treatment needs of school children undergoing special education integrated programme in Malaysia – a pilot study
  2. 53
  3. 60

  1. Special Care Dentistry in Saudi Arabia: development as a dental specialty – an opinion paper
  2. 61
  3. 67

  1. Continuing Professional Development Programme
  2. 68
  3. 69

  1. Research grants advisory
  2. 70
  3. 70

  1. Diary Dates 2017-2018
  2. 71
  3. 71

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