• Libyan J Med · Dec 2019

    Influence and safety of electronic apex locators in patients with cardiovascular implantable electronic devices: a systematic review.

    • Mothanna K AlRahabi and Hani M Ghabbani.
    • a College of Dentistry , Taibah University , Madinah Al Munawwarah , Saudi Arabia.
    • Libyan J Med. 2019 Dec 1; 14 (1): 15470711547071.

    UnlabelledThe widespread use of cardiovascular implantable electronic devices has increased concerns regarding using electronic apex locators in patients with these devices. This systematic review investigated the effects and safety of using electronic apex locators in patients with cardiovascular implantable electronic devices.MethodsAn electronic search in the Cochrane Library, PubMed (MEDLINE), ScienceDirect, and Scientific Electronic Library Online (Scielo) databases for relevant articles published between December 2000 and December 2018 was performed. The search strategy centered on terms related to electronic apex locators use during root canal treatment in patients with cardiovascular implantable electronic devices.ResultsSeven studies (five in vitro and two in vivo) fulfilled the inclusion criteria for this review. It was found that electronic apex locators can be used safely in patients with cardiovascular implantable electronic devices, when general precautions are followed.ConclusionsAlthough the present review suggests that electronic apex locators can be used safely in patients with implantable cardioverter defibrillators, consultation with patients' cardiologists remains advisable.

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