Diş hekimlinde lokal anesteziklere bağlı allerji

Esra Cagiran; Candan Efeoglu; Hüseyin Koca; Taner Balcıoğlu

doi:10.7126/cdj.2012.1030

EN TR

Diş hekimlinde lokal anesteziklere bağlı allerji

Abstract

Objectives: Dental treatment of many patients is delayed owing to a positive history of allergic reactions. The aim of this study is to retrospectively investigate the results of local anaesthetic allergy tests of the patients, who were sent for allergy consultation due to their history of allergic reactions, and the following dental treatments carried out under local anaesthesia in the Department of Oral Surgery, School of Dentistry, Ege University

Materials and Methods: In this study, case notes of 30 patients who were sent for allergy consultation due to their history of allergic reactions were retrospectively investigated. History of allergic reactions, tooth removal, test results, and allergic reactions following the administration of the suggested local anaesthetic were noted.

Results: The consultant doctor regarded testing unnecessary for 6 (20%) of the patients. Twelve (50%) of the 24 patients, had history of allergic reactions associated with tooth removal. Of the 24 patients tested, only 1 (4.1%) patient had a positive result.

Conclusions: A detailed medical history should be taken before commencing any dental treatment. If allergic reactions are expected, the appropriate consultation should be done, and patients at risk should be treated after taking the appropriate measures.

Keywords: Local anaesthetics, allergy, dentistry.

ÖZET

Amaç: Alerji öyküsü nedeniyle çok sayıda hastanın diş tedavisi gecikebilmektedir. Bu çalışmanın amacı, Ege Üniversitesi Diş hekimliği Fakültesi Ağız Diş ve Çene Cerrahisi Anabilim Dalı’na başvurup alerji öyküsü nedeniyle alerji konsultasyonu istenen hastaların alerji test sonuçlarını ve bu sonuca göre lokal anestezi altında yapılan tedavilerini retrospektif olarak araştırmaktır.

Gereç ve Yöntem: Bu çalışmada diş hekimliğinde alerji öyküsü bulunması nedeni ile alerji konsultasyonu istenen 30 hastanın arşiv notları retrospektif olarak incelendi. Kendilerinde ve/veya ailelerinde alerji öyküsü varlığı, daha önce diş çekimi yapılıp yapılmadığı, test sonuçları ve önerilen lokal anestezik ile yapılan diş çekimi sonrası alerji gelişip gelişmediği kaydedildi.

Bulgular: Alerji konsültasyonu istenen 30 olgunun 6’sında (%20), değerlendiren konsultan hekimin önerisiyle test yapılmamıştı. 24 olgunun 12’sinde (%50) önceki diş çekimi sonrası gelişen alerji öyküsü tesbit edildi. Test yapılan 24 hastadan sadece 1’inde (%4,1) pozitif sonuç saptandı.

Sonuç: Diş tedavilerinden önce tıbbi anamnez ayrıntılı olarak alınmalı, alerji şüphesi varlığında gerekli konsultasyon yapılmalı ve riskli hastalarda uygun tedbirler alınarak tedaviye başlanmalıdır.

Keywords

Lokal anestezikler, alerji, diş hekimliği.

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