Cardiac implanted electronic devices: dental considerations
Cardiac implanted electronic devices include implantable cardioverter defibrillators and permanent pacemakers. Patients with cardiac implanted electronic devices can undergo most general dental treatment.
Surgical diathermy can interfere with some cardiac implanted electronic devices. With modern cardiac implanted electronic devices, interference from most other dental electronic and ultrasonic devices is usually not clinically significant. However, if in doubt, consult the cardiologist responsible for the management of the cardiac implanted electronic device or seek expert advice before a dental procedure1.
The presence of a cardiac implanted electronic device is not a specific indication for surgical antibiotic prophylaxis (see Antibiotic prophylaxis for dental procedures).
Cardiac implanted electronic devices should not be confused with prosthetic cardiac valves. The presence of a cardiac implanted electronic device is not a specific indication for infective endocarditis prophylaxis (see Indications for endocarditis prophylaxis).