Allergy to local anaesthetic agents used in dentistry--what are the signs, symptoms, alternative diagnoses and management options?

Dent Update. 2011 Jul-Aug;38(6):410-2. doi: 10.12968/denu.2011.38.6.410.

Abstract

This paper addresses the signs and symptoms of local anaesthetic hypersensitivity, differential diagnoses and the management of a patient with suspected allergy to local anaesthetics.

Clinical relevance: While allergy to anaesthetic is rare, knowledge of other causes of similar symptoms is important.

MeSH terms

  • Anesthesia, Dental / adverse effects*
  • Anesthetics, Local / adverse effects*
  • Anesthetics, Local / toxicity
  • Dermatitis, Contact / etiology
  • Diagnosis, Differential
  • Drug Hypersensitivity / diagnosis*
  • Drug Hypersensitivity / therapy
  • Humans
  • Hypersensitivity, Immediate / diagnosis
  • Psychophysiologic Disorders / diagnosis

Substances

  • Anesthetics, Local