Dişhekimliği pratiğinde kullanılan mekanik aletlerin kalp pili ve takılabilir kardiyoverter/defibrilatör taşıyan hastalarda güvenilirliği
Abstract
ÖZET
Kalp pilleri ve takılabilir kardiyoverter-defibrilatörler (TKD) elektrik sinyalleri dağıtan ve çevresindeki elektronik sinyallere hassas olan elektronik aletlerdir. Tüm dünyada olduğu gibi ülkemizde de bu cihazları kullanan hastaların sayısı gün geçtikçe artmaktadır. Bu hastaların çoğu aynı zamanda dental ofisleri de ziyaret eden yaşlı bireylerden oluşmaktadır. Diş hekimliği tedavilerinde kullanılmakta olan diş ve kök yüzeyi temizleme aletleri, kemik kesme amaçlı cerrahide kullanılan ultrasonik aletler, kanal boyu tespitinde kullanılan apeks bulucular, elektrikle pulpa canlılığı ölçücü cihazlar (vitalometre), pille çalışan ışın cihazları, elektrokoterler gibi aletler, kalp pilleri ve TKD’ler ile etkileşimlere girebilecek potansiyel cihazlar olarak düşünülebilir. Bu makalede, diş hekimliği pratiğinde sıkça kullanılan bu mekanik aletlerin, kalp pili ve TKD taşıyan hastalar üzerindeki etkilerini inceleyen çalışmalar derlenmiştir.
Anahtar Kelimeler: Kalp pili, defibrilatör, elektromanyetik etkileşim, dental ekipman.
ABSTRACT
Pacemakers and implantable cardioverter-defibrillators (ICD) are electronic devices that emit electrical signals. These devices are sensitive to the electronic signals around their enviroment. The number of patients carrying these devices is increasing day after day globally and in our country Most of these patients consist of old individuals, who also visit dental offices. Tooth and root surface cleaning devices, ultrasonic instruments used for bone cutting, apex locators used for root length measurement, vitalometres evaluating pulp vitality by electricity, battery operated curing ligth devices and electrocauteries may potentially interfere with pacemakers and ICDs. This article reviews the studies evaluating the effects of commonly used dental devices on patients carrying pacemakers and ICDs.
Keywords: Cardiac pacemaker, defibrilaltor, electromagnetic interference, dental equipment.
Keywords
References
- 1. Simon AB. Perioperative management of the pacemaker patient. Anesthesiology 1977; 46: 127-31.
- 2. Brand HS, Entjes ML, Nieuw Amerongen AV, van der Hoeff EV, Schrama TA. Interference of electrical dental equipment with implantable cardioverterdefibrillators. Br Dent J 2000; 24 : 577-9.
- 3. Glikson M, Hayes DL. Cardiac pacing: a review. Med Clin North Am 2001; 5: 369- 421.
- 4. Mond HG, Sloman JG. Artificial cardiac pacemakers. In: Hurst JW, ed. The Hearth, Arteries and Veins. 7th ed. New York: McGrawHill; 1990:561-580.
- 5. Sweesy M W, Holland J L, Smith K W. Electromagnetic interference in cardiac rhythm management devices. AACN Clin Issues 2004; 15: 391-403.
- 6. Roedig JJ, Shah J, Elayi CS, Miller CS. Interference of cardiac pacemaker and implantable cardioverter-defibrillator activity during electronic dental device use. J Am Dent Assoc 2010; 141: 521-6.
- 7. Miller CS, Leonelli FM, Latham E. Selective interference with pacemaker activity by electrical dental devices. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 85: 33-36.
- 8. Patel D, Glick M, Lessard E, Zaim S. Absence of in vivo effects of dental instruments on pacemaker function. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99: 430-4.
- 9. Adams D, Fulfor N, Beechy J, MacCarthy J, Stephens M. The cardiac pacemaker and ultrasonic scalers. Br Dent J 1982; 152: 171-3.
- 10. Yildirim I, Coban H, Komesli G, Erdemir F, Tahmaz L, Peker A. F. Kalp Pili Olan Hastalarda Elektrokoter Seçimi. Türk Üroloji Dergisi 2005; 31: 580-4.
- 11. Am Association of Endodontists 2004; Web sayfası: www.aae.org
- 12. Analytic. Endo Analyzer Model 8005; Operation manual
- 13. Morita J, Root ZX Operation manual; 2001
- 14. Wilson BL, Broberg C, Baumgartner JC, Harris C, Kron J. Safety of electronic apex locators and pulp testers in patients with implanted cardiac pacemakers or cardioverter/defibrillators. J Endod 2006; 32:847-52.
- 15. Beach CW, Bramwell JD, Hutter JW. Use of an electronic apex locator on a cardiac pacemaker patient. J Endod 1996; 22: 182– 4.
- 16. Garofalo RR. The effect of electronic apex locators on cardiac pacemaker function. J Endod 2002; 28: 831–3.
- 17. Hiller H, Weissberg N, Horowitz G,Ilan M. The safety of dental mini-magnets in patients with permanent cardiac pacemakers. J Prosthet Dent 1995; 74: 420- 1.
- 18. Pinski SL, Trohman RG. Interference in implanted cardiac devices, Part I. Pacing Clin Electrophysiol. 2002 Sep;25(9):1367- 81.
- 19. Dawes JC, Mahabir RC, Hillier K, Cassidy M, de Haas W, Gillis AM. Electrosurgery in patients with pacemakers/implanted cardioverter defibrillators. Ann Plast Surg 2006 ; 57: 33-6
Dişhekimliği pratiğinde kullanılan mekanik aletlerin kalp pili ve takılabilir kardiyoverter/defibrilatör taşıyan hastalarda güvenilirliği
Abstract
Kalp pilleri ve takılabilir kardiyoverterdefibrilatörler (TKD) elektrik sinyalleri dağıtan ve çevresindeki elektronik sinyallere hassas olan elektronik aletlerdir. Tüm dünyada olduğu gibi ülkemizde de bu cihazları kullanan hastaların sayısı gün geçtikçe artmaktadır. Bu hastaların çoğu aynı zamanda dental ofisleri de ziyaret eden yaşlı bireylerden oluşmaktadır. Diş hekimliği tedavilerinde kullanılmakta olan diş ve kök yüzeyi temizleme aletleri, kemik kesme amaçlı cerrahide kullanılan ultrasonik aletler, kanal boyu tespitinde kullanılan apeks bulucular, elektrikle pulpa canlılığı ölçücü cihazlar (vitalometre), pille çalışan ışın cihazları, elektrokoterler gibi aletler, kalp pilleri ve TKD’ler ile etkileşimlere girebilecek potansiyel cihazlar olarak düşünülebilir. Bu makalede, diş hekimliği pratiğinde sıkça kullanılan bu mekanik aletlerin, kalp pili ve TKD taşıyan hastalar üzerindeki etkilerini inceleyen çalışmalar derlenmiştir
References
- 1. Simon AB. Perioperative management of the pacemaker patient. Anesthesiology 1977; 46: 127-31.
- 2. Brand HS, Entjes ML, Nieuw Amerongen AV, van der Hoeff EV, Schrama TA. Interference of electrical dental equipment with implantable cardioverterdefibrillators. Br Dent J 2000; 24 : 577-9.
- 3. Glikson M, Hayes DL. Cardiac pacing: a review. Med Clin North Am 2001; 5: 369- 421.
- 4. Mond HG, Sloman JG. Artificial cardiac pacemakers. In: Hurst JW, ed. The Hearth, Arteries and Veins. 7th ed. New York: McGrawHill; 1990:561-580.
- 5. Sweesy M W, Holland J L, Smith K W. Electromagnetic interference in cardiac rhythm management devices. AACN Clin Issues 2004; 15: 391-403.
- 6. Roedig JJ, Shah J, Elayi CS, Miller CS. Interference of cardiac pacemaker and implantable cardioverter-defibrillator activity during electronic dental device use. J Am Dent Assoc 2010; 141: 521-6.
- 7. Miller CS, Leonelli FM, Latham E. Selective interference with pacemaker activity by electrical dental devices. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 85: 33-36.
- 8. Patel D, Glick M, Lessard E, Zaim S. Absence of in vivo effects of dental instruments on pacemaker function. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99: 430-4.
- 9. Adams D, Fulfor N, Beechy J, MacCarthy J, Stephens M. The cardiac pacemaker and ultrasonic scalers. Br Dent J 1982; 152: 171-3.
- 10. Yildirim I, Coban H, Komesli G, Erdemir F, Tahmaz L, Peker A. F. Kalp Pili Olan Hastalarda Elektrokoter Seçimi. Türk Üroloji Dergisi 2005; 31: 580-4.
- 11. Am Association of Endodontists 2004; Web sayfası: www.aae.org
- 12. Analytic. Endo Analyzer Model 8005; Operation manual
- 13. Morita J, Root ZX Operation manual; 2001
- 14. Wilson BL, Broberg C, Baumgartner JC, Harris C, Kron J. Safety of electronic apex locators and pulp testers in patients with implanted cardiac pacemakers or cardioverter/defibrillators. J Endod 2006; 32:847-52.
- 15. Beach CW, Bramwell JD, Hutter JW. Use of an electronic apex locator on a cardiac pacemaker patient. J Endod 1996; 22: 182– 4.
- 16. Garofalo RR. The effect of electronic apex locators on cardiac pacemaker function. J Endod 2002; 28: 831–3.
- 17. Hiller H, Weissberg N, Horowitz G,Ilan M. The safety of dental mini-magnets in patients with permanent cardiac pacemakers. J Prosthet Dent 1995; 74: 420- 1.
- 18. Pinski SL, Trohman RG. Interference in implanted cardiac devices, Part I. Pacing Clin Electrophysiol. 2002 Sep;25(9):1367- 81.
- 19. Dawes JC, Mahabir RC, Hillier K, Cassidy M, de Haas W, Gillis AM. Electrosurgery in patients with pacemakers/implanted cardioverter defibrillators. Ann Plast Surg 2006 ; 57: 33-6
Details
| Primary Language | English |
|---|---|
| Journal Section | Review |
| Authors | |
| Publication Date | January 22, 2011 |
| Submission Date | January 22, 2011 |
| Published in Issue | Year 2011Volume: 14 Issue: 1 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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