In‐vivo compatibility between pacemakers and dental equipment
| Autor: | Isabel Conde‐Mir, José María Tolosana, Rebeca Domingo, Emilce Trucco, Lluís Mont, Jaume Miranda-Rius, Lluís Brunet-Llobet, Eduard Lahor-Soler |
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| Přispěvatelé: | Miranda-Rius, Jaume [0000-0001-8211-1561], Miranda-Rius, Jaume |
| Rok vydání: | 2018 |
| Předmět: |
Male
Cardiac implantable electrical devices Pacemaker Artificial Dental Scaler Dental Pulp Test 030204 cardiovascular system & hematology Arrhythmias Dental Equipment Electronic dental devices 03 medical and health sciences 0302 clinical medicine Electromagnetic Fields Tooth Apex stomatognathic system Medicine Humans Odontometry General Dentistry Intracardiac Electrogram Aged Electronic apex locator business.industry 030206 dentistry Equipment Design Dental instruments Electromagnetic interference Surface electrocardiogram Equipment Failure Analysis Pacemaker stomatognathic diseases Spain Dental Scaling Female business Biomedical engineering |
| Zdroj: | Digital.CSIC. Repositorio Institucional del CSIC instname |
| Popis: | In‐vitro studies suggest that electromagnetic interference can occur under specific conditions involving proximity between electronic dental equipment and pacemakers. At present, in‐vivo investigations to verify the effect of using electronic dental equipment in clinical conditions on patients with pacemakers are scarce. This study aimed to evaluate, in vivo, the effect of three commonly used electronic dental instruments – ultrasonic dental scaler, electric pulp tester, and electronic apex locator – on patients with different pacemaker brands and configurations. Sixty‐six consecutive non‐pacemaker‐dependent patients were enrolled during regular electrophysiology follow‐up visits. Electronic dental tools were operated while the pacemaker was interrogated, and the intracardiac electrogram and electrocardiogram were recorded. No interferences were detected in the intracardiac electrogram of any patient during the tests with dental equipment. No abnormalities in pacemaker pacing and sensing function were observed, and no differences were found with respect to the variables, pacemaker brands, pacemaker configuration, or mode of application of the dental equipment. Electromagnetic interferences affecting the surface electrocardiogram, but not the intracardiac electrogram, were found in 25 (37.9%) patients, especially while using the ultrasonic dental scaler; the intrinsic function of the pacemakers was not affected. Under real clinical conditions, none of the electronic dental instruments tested interfered with pacemaker function. |
| Databáze: | OpenAIRE |
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