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 utilised in dental practice. 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 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 can be utilised 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.

This article is protected by copyright. All rights reserved.

http://ift.tt/2jPWiqQ