Dental anesthesia for patients with allergic reactions to lidocaine: two case reports
이지선, 이주영, 김현정, 서광석,
소속 상세정보
이지선 ( Lee Ji-Seon ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
이주영 ( Lee Ju-Young ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
김현정 ( Kim Hyun-Jeong ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
서광석 ( Seo Kwang-Suk ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
KMID : 0980320160160030209
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.
키워드
Allergy; Bupivacaine; Dental local anesthesia; Lidocaine
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