The role of an allergist in choosing a local anesthetic in pediatric dentistry

Khabarov Alexey Stanislavovich, Komkina Natalya Gennadievna, Shoikhet Yakov Nakhmanovich

The purpose of this study was to develop an algorithm of actions for an allergist associated with the use of local anesthetics in children in an outpatient clinical practice in pediatric dentistry. A non-randomized observation was carried out for 11 children, whose pharmacological and allergological history made it possible to establish the possibility of adverse reactions to local anesthetics during dental intervention and required an allergist consultation in Barnaul over the last calendar year. It was found that due to the high prevalence of allergic diseases in childhood, when planning interventions using local anesthetics, for children at risk of developing hypersensitivity reactions, both with atopic stigma and with clinical manifestations of allergic diseases, preliminary consultation with an allergist is recommended for selection of the preferred local anesthetic; and recommendations for medication. In this case, the risk group should include children who have one or more of the following factors: previous adverse reactions to the action of local anesthetics, children with allergic diseases, the introduction of a supposed large volume of local anesthetics, children with a strong fear reaction.

Keywords:local anesthetics, allergic reactions, pediatric dentistry, allergist, adverse reactions