The Impact of Dental Devices on Neurostimulators

Steven Roberts, John R Vender, Mark S. Causey, Jefferson R. Roberts, Robert J. Loushine, Walter J. Morris, Stephen Warwick Looney

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Spinal cord stimulation has been a therapeutic option for chronic pain for over 40 years. The neurostimulator (NS) is a device consisting of three primary components: an electrode array configured either as a paddle or wire; an implantable pulse generator (IPG) consisting of a minicomputer, a transceiver/antenna, an electrical generator, and a battery; and insulated wiring connecting the electrode to the IPG. The electrode array can be implanted into the epidural space overlying the dorsal spinal cord or along a peripheral nerve. The device generates pulsed electrical signals that stimulate the underlying dorsal columns of the spinal cord resulting in the perception of paresthesia by the patient. When overlapped with painful areas, the paresthesia can help decrease the patient's level of pain. The increased applications and indications for this technology enhance the likelihood that the NS patient will be seen in the dental practice. Therefore, the purpose of this study was to investigate whether electromagnetic interference of the NS occurred during the operation of the apex locator, the electric pulp tester (EPT), or the electrocautery unit. An NS was implanted into the epidural space of a human cadaver. The dental devices were used intraorally, and the implant's circuitry was tested after each trial. Two apex locators, two EPTs, and one electrocautery unit were tested. Seventy trials were used by each dental device on each tissue. Using the exact binomial method of determining confidence intervals, the probability of damage to the NS by any of the devices was negligible.

Original languageEnglish (US)
Pages (from-to)422-425
Number of pages4
JournalJournal of Endodontics
Volume35
Issue number3
DOIs
StatePublished - Mar 1 2009

Fingerprint

Tooth
Equipment and Supplies
Epidural Space
Electrocoagulation
Paresthesia
Implantable Neurostimulators
Spinal Cord
Electrodes
Minicomputers
Spinal Cord Stimulation
Implanted Electrodes
Electromagnetic Phenomena
Peripheral Nerves
Cadaver
Chronic Pain
Confidence Intervals
Technology
Pain
Therapeutics

Keywords

  • Apex locator
  • electric pulp tester
  • electrocautery
  • neurostimulator

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Roberts, S., Vender, J. R., Causey, M. S., Roberts, J. R., Loushine, R. J., Morris, W. J., & Looney, S. W. (2009). The Impact of Dental Devices on Neurostimulators. Journal of Endodontics, 35(3), 422-425. https://doi.org/10.1016/j.joen.2008.12.005

The Impact of Dental Devices on Neurostimulators. / Roberts, Steven; Vender, John R; Causey, Mark S.; Roberts, Jefferson R.; Loushine, Robert J.; Morris, Walter J.; Looney, Stephen Warwick.

In: Journal of Endodontics, Vol. 35, No. 3, 01.03.2009, p. 422-425.

Research output: Contribution to journalArticle

Roberts, S, Vender, JR, Causey, MS, Roberts, JR, Loushine, RJ, Morris, WJ & Looney, SW 2009, 'The Impact of Dental Devices on Neurostimulators', Journal of Endodontics, vol. 35, no. 3, pp. 422-425. https://doi.org/10.1016/j.joen.2008.12.005
Roberts S, Vender JR, Causey MS, Roberts JR, Loushine RJ, Morris WJ et al. The Impact of Dental Devices on Neurostimulators. Journal of Endodontics. 2009 Mar 1;35(3):422-425. https://doi.org/10.1016/j.joen.2008.12.005
Roberts, Steven ; Vender, John R ; Causey, Mark S. ; Roberts, Jefferson R. ; Loushine, Robert J. ; Morris, Walter J. ; Looney, Stephen Warwick. / The Impact of Dental Devices on Neurostimulators. In: Journal of Endodontics. 2009 ; Vol. 35, No. 3. pp. 422-425.
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