Dental anesthesia for patients with allergic reactions to lidocaine: two case reports.
10.17245/jdapm.2016.16.3.209
- Author:
Jiseon LEE
1
;
Ju Young LEE
;
Hyun Jeong KIM
;
Kwang Suk SEO
Author Information
1. Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Allergy;
Bupivacaine;
Dental local anesthesia;
Lidocaine
- MeSH:
Anesthesia, Dental*;
Anesthesia, General;
Anesthetics, Local;
Bupivacaine;
Humans;
Hypersensitivity*;
Lidocaine*;
Skin Tests
- From:Journal of Dental Anesthesia and Pain Medicine
2016;16(3):209-212
- CountryRepublic of Korea
- Language:English
-
Abstract:
Lidocaine, a local anesthetic commonly used in dental treatments, is capable of causing allergies or adverse effects similar to allergic reactions. However, the frequency of such occurrences in actual clinical settings is very rare, and even clinical tests on patients with known allergies to local anesthetics may often show negative results. When adverse effects, such as allergy to lidocaine, are involved, patients can be treated by testing other local anesthetics and choosing a local anesthetic without any adverse effects, or by performing dental treatment under general anesthesia in cases in which no local anesthetic without adverse effects is available. Along with a literature review, the authors of the present study report on two cases of patients who tested positive on allergy skin tests for lidocaine and bupivacaine and subsequently underwent successful dental treatments with either general anesthesia or a different local anesthetic.
