Öz
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.
Anahtar Kelimeler
Kaynakça
- Beckley RH. Allergy. In: Rudoplph AM, editor. Rudolph’s pediatrics. 19th Ed., New York, Appletonand Lange 1991;497-519.
- Morgan GE, Mikhail MS, Murray MJ. Lange Klinik Anesteziyoloji. Baskı, Günes Tıp Kitabevleri 2008;970-974.
- Brown S, Jenkins JR. A primigravida allegedly allergic to local anaesthetics. International Journal of Obstetric Anesthesia 2003;12(2):113-115.
- Eggleston ST, Lush LW. Understanding allergic reactions to local anesthetics. Ann Pharmacother 1996;30(7):851-857.
- Little JW, Falace DA, Miller CS, Rhodus NL. Dental management of the medically compromised patient. 7th Ed., Mosby Elsevier, Missouri, ABD 2008;302-317.
- Nettis E, Napoli G, Ferrannini A et al. The incremental challenge test in the diagnosis of adverse reactions to local anesthetics. Oral Surg Oral Med Oral Pathol Ortal Radiol Endod 2001;91:402-405.
- Shatz GS. Anaphylaxis. In: Korenblaz PE, Wedner HJ. Allergy Theory and Practice. 2nd Ed., WB Saunders Company, Philadelphia 1992;229-241.
- Schecter WP, Swisher JL. Local anesthesia in surgical practise. Curr Probl Surg 2000;37(1):23.
- Baluga JC. Allergy to local anesthetics in dentistry. Myth or reality? Rev Alerg Mex. 2003;50(5):176-181.
- Dewachter P, Mouton-Faivre C, Emala CW. Anaphylaxis and anesthesia: controversies and new insights. Anesthesiology 2009;111(5):1141-1150.
- Kroigaard M, Garvey LH, Gillberg L et al. Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. Acta Anaesthesiol Scand 2007;51:655– 6
- Harper NJ, Dixon T, Dugue P et al. Suspected anaphylactic reactions associated with anaesthesia. Anaesthesia 2009;64:199–211.
- Mertes PM, Laxenaire MC. Anaphylactic and anaphylactoid reactions occurring during anaesthesia in France. Seventh epidemiologic survey (January 2001December 2002)]. Ann Fr Anesth Reanim 2004;23(12):1133-1143.
- Ebo DG, Fisher MM, Hagendorens MM et al. Anaphylaxis during anaesthesia: Diagnostic approach. Allergy 2007;62:471–477.
- Gülbahar O, Mete N, Sin A et al. Lokal Anesteziklere Bağlı Allerjik Reaksiyonlar Tahmin Edildiği Kadar Sık Mı? Allerji Astım Dergisi 2002;4(3):109-115.
- Chiu C, Bhalla M, Thami GP, et all. Systemic anaphylaxis following local lidocaine administration during a dental procedure. Pediatr Emerg Care. 2004;20(3):178-80.
- Harboe T, Guttormsen AB, Irgens A,et all. Anaphylaxis during anesthesia in Norway: a 6-year single-center follow-up study. Anesthesiology 2005;102(5):89790 Association Report. Office emergencies and emergency kits. JADA 2002;133(3):364-365.
- Sicherer SH, Leung DY. Advances in allergic skin disease, anaphylaxis, and hypersensitivity reactions to foods, drugs, and insect stings. J Allergy Clin Immunol 2004;114:118-124.
- Simons FE, Gu X, Simons KJ. Epinephrine absorption in adults: intramuscular versus subcutaneous injection. J Allergy Clin Immunol 2001;108:871-873.
- Lin RY, Curry A, Pesola GR, et al. Improved outcomes in patients with acute allergic syndromes who are treated with combined H1 and H2 antagonists. Ann Emerg Med 2000;36:462-468.
- Haas DA. Management of Medical Emergencies in the Dental Office: Conditions In Each Country, the Extent of Treatment by the Dentist. Anesth Prog 2006;53(1):20-24.
Öz
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.
Anahtar Kelimeler
Kaynakça
- Beckley RH. Allergy. In: Rudoplph AM, editor. Rudolph’s pediatrics. 19th Ed., New York, Appletonand Lange 1991;497-519.
- Morgan GE, Mikhail MS, Murray MJ. Lange Klinik Anesteziyoloji. Baskı, Günes Tıp Kitabevleri 2008;970-974.
- Brown S, Jenkins JR. A primigravida allegedly allergic to local anaesthetics. International Journal of Obstetric Anesthesia 2003;12(2):113-115.
- Eggleston ST, Lush LW. Understanding allergic reactions to local anesthetics. Ann Pharmacother 1996;30(7):851-857.
- Little JW, Falace DA, Miller CS, Rhodus NL. Dental management of the medically compromised patient. 7th Ed., Mosby Elsevier, Missouri, ABD 2008;302-317.
- Nettis E, Napoli G, Ferrannini A et al. The incremental challenge test in the diagnosis of adverse reactions to local anesthetics. Oral Surg Oral Med Oral Pathol Ortal Radiol Endod 2001;91:402-405.
- Shatz GS. Anaphylaxis. In: Korenblaz PE, Wedner HJ. Allergy Theory and Practice. 2nd Ed., WB Saunders Company, Philadelphia 1992;229-241.
- Schecter WP, Swisher JL. Local anesthesia in surgical practise. Curr Probl Surg 2000;37(1):23.
- Baluga JC. Allergy to local anesthetics in dentistry. Myth or reality? Rev Alerg Mex. 2003;50(5):176-181.
- Dewachter P, Mouton-Faivre C, Emala CW. Anaphylaxis and anesthesia: controversies and new insights. Anesthesiology 2009;111(5):1141-1150.
- Kroigaard M, Garvey LH, Gillberg L et al. Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. Acta Anaesthesiol Scand 2007;51:655– 6
- Harper NJ, Dixon T, Dugue P et al. Suspected anaphylactic reactions associated with anaesthesia. Anaesthesia 2009;64:199–211.
- Mertes PM, Laxenaire MC. Anaphylactic and anaphylactoid reactions occurring during anaesthesia in France. Seventh epidemiologic survey (January 2001December 2002)]. Ann Fr Anesth Reanim 2004;23(12):1133-1143.
- Ebo DG, Fisher MM, Hagendorens MM et al. Anaphylaxis during anaesthesia: Diagnostic approach. Allergy 2007;62:471–477.
- Gülbahar O, Mete N, Sin A et al. Lokal Anesteziklere Bağlı Allerjik Reaksiyonlar Tahmin Edildiği Kadar Sık Mı? Allerji Astım Dergisi 2002;4(3):109-115.
- Chiu C, Bhalla M, Thami GP, et all. Systemic anaphylaxis following local lidocaine administration during a dental procedure. Pediatr Emerg Care. 2004;20(3):178-80.
- Harboe T, Guttormsen AB, Irgens A,et all. Anaphylaxis during anesthesia in Norway: a 6-year single-center follow-up study. Anesthesiology 2005;102(5):89790 Association Report. Office emergencies and emergency kits. JADA 2002;133(3):364-365.
- Sicherer SH, Leung DY. Advances in allergic skin disease, anaphylaxis, and hypersensitivity reactions to foods, drugs, and insect stings. J Allergy Clin Immunol 2004;114:118-124.
- Simons FE, Gu X, Simons KJ. Epinephrine absorption in adults: intramuscular versus subcutaneous injection. J Allergy Clin Immunol 2001;108:871-873.
- Lin RY, Curry A, Pesola GR, et al. Improved outcomes in patients with acute allergic syndromes who are treated with combined H1 and H2 antagonists. Ann Emerg Med 2000;36:462-468.
- Haas DA. Management of Medical Emergencies in the Dental Office: Conditions In Each Country, the Extent of Treatment by the Dentist. Anesth Prog 2006;53(1):20-24.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Original Research Articles |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Ocak 2013 |
| Gönderilme Tarihi | 15 Eylül 2011 |
| Yayımlandığı Sayı | Yıl 2013Cilt: 16 Sayı: 1 |
Cited By
Local Anesthetics Allergies in Children
Iranian Journal of Pediatrics
Gülşah Duyuler Ayçin
https://doi.org/10.5812/ijp.98213
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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