COMPLICATIONS OF LOCAL ANESTHESIA

Dr.V.RAMKUMARCONSULTANT DENTAL&FACIOMAXILLARY SURGEONREG NO: 4118 TAMINADU- INDIA(ASIA)

CLASSIFICATION

COMPLICATIONS ARISING FROM DRUGS ARE CHEMICALS USED

COMPLICATIONS ARISING FROM INJECTIONS TECHNIQUES

COMPLICATIONS ARISING FROM BOTH

COPMPLICATIONS ARISING FROM DRUGS ARE CHEMICALS USED SOFT TISSUE INJURY SLOUGHING OF TISSUES

COMPLICATIONS ARISING FROM INJECTION TECHNIQUES NEEDLE BREAKAGE HAEMATOMA

COMPLICATIONS ARISING FROM BOTH PAIN ON INJECTION BURNING ON INJECTION TRISMUS BLANCHING OF SKIN EDEMA PARESTHESIA INFECTION FACIAL NERVE PARALYSIS VISUAL DISTURBANCES

MINIMAL TO MODERATE OVERDOSE SIGNS SYMPTOMS TALKATIVENESS RESTLESSNESS

APPREHENSION NERVOUSNESS EXCITABILITY NUMBNESS

SLURRED SPEECH METALLIC TASTE EUPHORIA VISUAL DISTURBANCE

VOMITING AUDITORY DISTURBANCE DYSARTHRIA NYSTAGMUS

SYSTEMIC COMPLICATIONS OF LA CAUSES OF ADVERS DRUG

REACTION TOXICITY CAUSED BY DIRECT

EXPOSURE OF THE USE OF PHARMACOLGICAL EFFECTS OF DRUGS

TOXICITY CAUSED BY ALTERATION IN RECIPIENT OF THE DRUG

TOXICITY CAUSED BY ALLERGIC RESPONSE TO DRUGS

TOXICITY CAUSED BY DIRECT EXPOSURE OF THE USE OF PHARMACOLOGICAL EFFECTS OF DRUGS

1. SIDE EFFECTS2. OVER DOSE3. LOCAL TOXIC EFFECTS

TOXICITY CAUSED BY ALTERATION IN RECIPIENT OF THE DRUG

1. DISEASE PROCESS( HEPATIC& RENAL DYSFUNCTION)

2. EMOTIONAL DISTURBANCES3. GENETIC ABBERATIONS(ATYPICAL

PLASMA PSEUDO CHOLINE ESTERASE, MALIGNANT HYPER THERMAI)

ALLERGY

ALLERGY IS A HYPERSENSITIVE STATE ACQUIRED THROUGH EXPOSURE TO A PARTICULAR ALLERGEN REEXPOSURE TO WHICH PRODUCE HEIGHTENED CAPACITY REACTION TO

PREDISPOSING FACTORS1. METHYL PARABEN2. SODIUM BISULPHITE3. EPINEPHRINE4. LATEX ALLERGY5. TOPICAL ANESTHETIC ALLERGY

INTRA ORAL CHALLENGE TEST

0.9ml of LA SUPRA PERIOSTEAL INFILTRATION ( W/O TOPICAL LA) ABOVE THE RIGHT OR LEFT MAXILLARY ANTERIOR OR PREMOLAR TOOTH

CLINICAL MANIFESTATION OF ALLERGY DERMATOLOGICAL REACTION CARDIOVASCULAR REACTION RESPIRATORY REACTION GENERALIZED ANAPHYLAXIS

MEDICAL MANAGEMENT

A-B-C-D ADMINISTER EPINEPHRINE 0.3 mg/ IM

SC OR HISTAMINE BLOCKER -50 mg DIPHENHDRAMINE 10 mg ORAL HISTAMINE BLOCKER 50 mg

cap TDS FOR 3-4 DAYS

GENERALIZED ANAPHYLAXIS

EPINEPHRINE(0.3ml OF 1: 1000) IM/IV

HISTAMINE -50 mg CHLORPHENARAMINE-IO mg CORTICOSTEROID-100 mg

(HYDROCORTISONE -IV) CPR

DENTAL MANAGEMENT

EMERGENCY UNDER GA GA NOT AVAILABLE – HISTAMINE

BLOCKER DIPHEN HYDRAMINE HCL IN 1 %

SOLUTION EPINEPHRINE( 30 MIN OF PULPAL

ANESTHESIA) NITROUS OXIDE EDA