Dental Implant Motor: Is a Pacemaker a Contraindication?

Dr. Tim asks:
I was looking through the Operation and maintenance instruction manual for the Aseptico AEU-6000 and on the page #3 of the safety precautions in bold lettering it states, “WARNING: Do not use this device in conjunction with an electric scalpel or on patients with pacemakers.” My question is: Is the use of a dental implant motor contraindicated in patients using a pacemaker or other similar devices? What are the risks?

3 Comments on Dental Implant Motor: Is a Pacemaker a Contraindication?

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matthew s
11/8/2011
the short answer: http://www.ada.org/5565.aspx?currentTab=1 (sorry I'm in a bit of a hurry now, but I hope to be back soon with the long one :-))
Richard Hughes, DDS, FAAI
11/8/2011
Matthew s is correct. I remember this from dental school.
Stefan Gefter
1/11/2012
Dear Dr. Tim: Thank you for your very good question. Here is a reply from our QA director to a clinician who posed a similar question to us last year. Keep in mind that this response pertains only to Aseptico motors, as we cannot speak for other manufacturers: "Our products meet FDA recognized standards for meeting requirements for electro-magnetic compatibility. There is really no doubt in my mind that almost any pacemaker should be safe to use with our devices under normal use. Pacemaker standards concerning immunity to various types of industrial electromagnetic interference is more problematic. Arc welders, Magnetic Resonance Imaging devices, could present a reasonable risk along with some other types of devices. In those cases, the pacemaker owner should consult with the pacemaker manufacturer for more information on what their pacemaker can or cannot handle. We took the safe route and put in a cautionary statement to cover the very remote chance our that devices could interfere with someone’s pacemaker. Although pacemakers are life-supporting devices that deserve to be carefully considered, we have already done a great deal of design work to assess the level of interference our products produce. I suggest that the pacemaker wearer has nothing to worry about, if they are wearing pacemaker that can endure the challenges of power-drills, cell phones and personal computers. We meet tougher standards than these." Please contact us with any additional questions. Best regards, Stefan A. Gefter Director of I-OEM Sales Aseptico, Inc.

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