Investigation and diagnosis of an immediate allergy to amide local anaesthetic in a paediatric dental patient

Abstract

Local anaesthetics remain the most common prescription medication utilized in dental practise. Adverse reactions following administration of local anaesthetic are somewhat common and are frequently reported as 'allergies'. However, of these events, it is estimated that only 1% are confirmed allergies to the local anaesthetic. This case report presents the process of referral for investigation and testing to confirm an amide local anaesthetic allergy in a paediatric patient. Testing for a safe alternative was also completed to identify local anaesthetic agents also of the amide variety that could be utilized safely on this individual. Following skin testing of alternative agents, intraoral challenges were completed. Finally, restorative dental treatment was provided safely for the patient with the use of an alternative amide local anaesthetic on a number of occasions with no further adverse outcomes.

Death from the introduction of Ceftriaxone in the presence of Lidocaine (case report)

“…[10][11][12]. Случаи анафилаксии и смерти детей разных возрастных периодов от введении анастетика представлены незначительным и несистематизированным рядом работ, в которых нередко указывается реакция на введение антибиотика в сочетании с лидокаином [13][14][15][16].…”

A utilização dos anestésicos locais em odontologia: revisão de literatura

“…Centro Universitário do Norte (UNINORTE), Manaus -AM. *E-mail: Ketulen.nascimento@gmail.com2 Universidade Federal do Amazonas (UFAM), Manaus -AM.…”