Quintessence Int 47 (2016), No. 2 (25.01.2016)
Page 151-160, doi:10.3290/j.qi.a34699
Objective: Implantable cardiac pacemakers and cardiac defibrillators
(ICDs) have been introduced in the care of patients with cardiac
dysrhythmias. Most dental practitioners demonstrate extreme caution when
treating patients with ICDs. This paper presents a review of the
available literature on these devices and how they interact with dental
electrosurgery and ultrasonic device use.
Results: Based on the
analysis of the literature, this view is not corroborated by the current
clinical data, and appears to be misguided. While further in-vivo
studies are needed to truly determine the true level of risk, the
evidence suggests that there is no contraindication for electrosurgery
or ultrasonics use in patients with ICDs.
Conclusion: Using the precautions stated in this analysis, the risk of any deleterious effect on ICD function is minimal.