Local and general complications of local anesthesia in dentistry

Bogaevskaya Oxana, Sokhov Sergey, Evdoshenko Olga

Local anesthesia is frequently used in dentistry; however, it sometimes implies grave local and general complications. Thus, it is vital to understand the root causes of each complication and treat them accordingly. Each case of complications should be thoroughly described in the patient’s medical record. Research aim. To study local and general complications of local anesthesia in dentistry. The study included patients who had local anesthesia during tooth extraction. 765 teeth of different types were extracted from 408 patients. The study was conducted as a part of a control process aimed at monitoring the performance of local anesthesia by a dental practitioner during an appointment and checking the entries on complications in medical record form No. 43. Risks stem not only from local anesthesia itself, but also from surgical interventions, e.g. tooth extractions. Indications for anesthesia and surgery should be discussed with the patient, with all the necessary information being properly communicated to them. Prevention of local and general complications entails proper risk management in local injection anesthesia.

Keywords:local and general complications, local anesthesia, risks, trismus, diplopia.