Diş hekimlinde lokal anesteziklere bağlı allerji

Çağiran, Esra; Efeoğlu, Candan; Koca, Hüseyin; Balcioglu, Taner

doi:10.7126/cdj.2012.1030

Cited by 2 publications

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“…None of the 5 patients with a history of local anesthetic allergy had a positive ID test. Similar to the litera-ture, none of the 10 patients with a history of allergies to local anesthetics were found to be positive (12). In a retrospective study of 5018 patients treated with local anesthesia, the incidence of adverse effects was found as 0.5%.…”

Section: Discussionsupporting

confidence: 58%

“…Although allergic reactions due to local anesthetics are more frequent in the ester group, its use in dentistry is reduced. As a result, complications due to local anesthetics are rare (11,12). In our study, 86.5% patients did not have any allergies according to prick test and subsequent intradermal test results.…”

Section: Discussionmentioning

confidence: 44%

“…In another study, 30 patients who were referred to an allergy specialist due to having a history of allergy were evaluated. Six patients were not tested due to the recommendation of the consultant allergy specialist, and tests with local anesthetics were positive in only 4.1% patients (12).…”

Section: Discussionmentioning

confidence: 99%

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Local Anesthetics Allergies in Children

Ayçin

2020

Iran J Pediatr

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Background: Local anesthetics are used to provide effective analgesia for many dental, surgical, and dermatologic procedures. Local anesthetics constitute the most commonly used drug group in dentistry. Objectives: The aim of this study was to evaluate the results of skin tests with local anesthetics and to investigate the factors associated with these results in patients in the Faculty of Dentistry who were referred to allergy specialists due to a history of allergy. We aimed to evaluate the results of the test with local anesthetics in patients with a history of atopy. Methods: The results of prick and intradermal tests with local anesthetics of patients in whom surgery could not be performed due to their or their relatives' allergic disease and who were sent to allergy outpatient clinic for testing with the local anesthetics that were planned for use in the Faculty of Dentistry between December 2017 and December 2018 were analyzed. Results: Eighty-two patients were tested with local anesthetics. In 71 (86.5%) of these patients, no allergy was detected as a result of prick test and subsequent intradermal test. In the study group, prick test was positive in 1 patient (intradermal test was also found positive in this patient), and the intradermal test was found positive with 1:100 concentrations in 11 (13.4%) patients. Conclusions: Test positivity with local anesthetics was not significant in patients with history of drug allergy, and history of allergy with local anesthetics. Intradermal test positivity was found to be statistically significant in asthma patients. Treatment should be initiated before dental intervention in atopic patients after having the necessary consultations, and treatment should be initiated with local anesthetic agents associated with fewer reactions in emergency situations in risky patients.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 44%

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Local Anesthetics Allergies in Children

Ayçin

2020

Iran J Pediatr

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“…Cağıran et al [19] reported that only one of 30 patients in whom allergy consultation was requested before intervention because of a history of atopic disease or drug allergy had a positive test result. Although rare in the literature, allergic reactions following LA injections may develop due to preservatives (methylparaben)…”

Section: Figure 1 Local Anesthetics Preference According To the Titlesmentioning

confidence: 99%

Evaluating Dentists' Knowledge and Practices in the Use of Local Anesthetics and Unintended Effects in Pediatric Patients

Öz,

Arun,

Aşar

2024

Eur J Ther

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Objective: This cross-sectional study aimed to evaluate a group of Turkish dentists' awareness, preparedness, and competence regarding the unintended effects of LAs in pediatric patients. Methods: In this study, the questionnaire form titled ' Evaluation of the Knowledge Level of Dentists Regarding the Use of Local Anesthesia and its Unintended Effects in Pediatric Patients' prepared in a digital environment was sent to dentists via Google survey application. The study investigated dentists' awareness and knowledge of the maximum dose of local anesthetic (LA) drugs. The most commonly used LA drugs and the most common complications related to these anesthetics were also determined. Results: According to the results obtained, the dentists' most frequently preferred LA substances were Articaine+Adrenaline (A+A) and Lidocaine+Adrenaline (L+A). It was found that 91% of the participants performed aspiration before LA applications. It was found that 74% of the dentists participating in the study did not calculate the maximum dose per kilogram when performing local anesthesia in pediatric patients. The three complications encountered by the participating dentists during local anesthesia were found to be anesthetic failure (73%), facial paralysis (26%), and syncope (19%), respectively. In addition, 90% of the dentists who were asked about the first drug they would prefer in anaphylaxis answered adrenaline. When asked about the route of adrenaline injection, the majority of the dentists (64%) responded intramuscularly. Conclusion: Although the occurrence of anaphylaxis during dental procedures is rare, when it does occur, it can lead to severe complications that may result in death. Dentists should be familiar with the signs of systemic complications that may arise from using LAs. When these findings are encountered after anesthesia, it should be considered that a systemic complication may have occurred, and urgent intervention should be performed. Any delay may cause consequences that may threaten the patient's life. This subject, which is of critical importance in dentistry, should be considered more in undergraduate and postgraduate education, and the level of knowledge should be increased by providing further training courses to update the information.

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Diş hekimlinde lokal anesteziklere bağlı allerji

Cited by 2 publications

References 0 publications

Local Anesthetics Allergies in Children

Local Anesthetics Allergies in Children

Evaluating Dentists' Knowledge and Practices in the Use of Local Anesthetics and Unintended Effects in Pediatric Patients

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