Journal of Endodontics
Volume 22, Issue 4 , Pages 182-184, April 1996

Use of an electronic apex locator on a cardiac pacemaker patient*

  • Curt W. Beach, DDS, LCDR/DC

      Affiliations

    • Dr. Beach is a former resident (and is now a staff endodontist at the Naval Dental Center, Great Lakes, IL) Endodontics Department, Naval Dental School, Bethesda, MD
  • ,
  • J. Douglas Bramwell, DDS, CAPT/DC

      Affiliations

    • Dr. Bramwell is a staff member, Endodontics Department, Naval Dental School, Bethesda, MD.
  • ,
  • Jeffrey W. Hutter, DMD, CAPT/DC

      Affiliations

    • Dr. Hutter is chairman, Endodontics Department, Naval Dental School, Bethesda, MD.
    • Corresponding Author InformationAddress requests for reprints to Captain Jeffrey W. Hutter, DC, USN, Endodontics Department, Naval Dental School, National Naval Dental Center, 8901 Wisconsin Avenue, Bethesda, MD 20889-5602.

Modern cardiac pacemakers are complex and heterogenous devices. The potential effect of electrically powered instruments on a patient's pacemaker function must be carefully evaluated before treatment. Interference with the pacemaker's function by the instrument depends on the specific type of pacemaker placed and the patient's dependence on it. A case is presented in which an electronic apex locator was used on a patient with a pacemaker, despite the manufacturer's written warning to the contrary. The patient's cardiologist was consulted before treatment.

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* The assertions contained herein are those of the authors and are not to be construed as official or as reflecting the views of the Department of the Navy. Department of Defense, or the United States Government.

PII: S0099-2399(96)80097-5

doi:10.1016/S0099-2399(96)80097-5

Journal of Endodontics
Volume 22, Issue 4 , Pages 182-184, April 1996