Dental care for patients at risk of adverse reaction to local anesthetics

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Kuzin A.V.

State Budgetary Educational Institution of Higher Professional Education «Russian Medical Academy of Post-Graduate Education»

Shafransky A.P.

Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia

Izmaĭlova Z.M.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut stomatologii i cheliustno-litsevoĭ khirurgii Minzdrava RF, Moskva

Remizov G.V.

Khinmky Central Municipal Clinical Hospital, Khinmky, Russia

Dental care for patients at risk of adverse reaction to local anesthetics

Authors:

Kuzin A.V., Shafransky A.P., Izmaĭlova Z.M., Remizov G.V.

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Journal: Stomatology. 2018;97(6): 63‑66

DOI: 10.17116/stomat20189706163

Read: 7844 times

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To cite this article:

Kuzin AV, Shafransky AP, Izmaĭlova ZM, Remizov GV. Dental care for patients at risk of adverse reaction to local anesthetics. Stomatology. 2018;97(6):63‑66. (In Russ.)
https://doi.org/10.17116/stomat20189706163

Подписка 2026 Стоматология (Stomatology)

Использование инфографики авторами научных работ

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Abstract:

The study comprised 53 patients with side effect history to local anesthetics. The reasons for the occurrence of adverse reactions to local anesthetics was analyzed, and the frequency of their occurrence in dental practice was studied. It was found that in most patients (85%) with «allergic reactions» to local anesthetics the diagnosis was unreasonable and incompetent. In most cases psychosomatic reactions were mistaken for an immediate allergic reaction. The prevalence of adverse reactions to local anesthetics was 1 case per 448 injections (1:448), true allergic reactions was documented in 0.1% cases.

Keywords:

local anesthesia

articaine

local anesthetic side effect

drug allergy

allergic anamnesis

psychosomatic reactions

Authors:

Kuzin A.V.

State Budgetary Educational Institution of Higher Professional Education «Russian Medical Academy of Post-Graduate Education»

Shafransky A.P.

Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia

Izmaĭlova Z.M.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut stomatologii i cheliustno-litsevoĭ khirurgii Minzdrava RF, Moskva

Remizov G.V.

Khinmky Central Municipal Clinical Hospital, Khinmky, Russia

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References:

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