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COMPLICATIONS OF LOCAL ANESTHESIA
Dr.V.RAMKUMARCONSULTANT DENTAL&FACIOMAXILLARY SURGEONREG NO: 4118 TAMINADU- INDIA(ASIA)
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CLASSIFICATION
COMPLICATIONS ARISING FROM DRUGS ARE CHEMICALS USED
COMPLICATIONS ARISING FROM INJECTIONS TECHNIQUES
COMPLICATIONS ARISING FROM BOTH
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COPMPLICATIONS ARISING FROM DRUGS ARE CHEMICALS USED SOFT TISSUE INJURY SLOUGHING OF TISSUES
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COMPLICATIONS ARISING FROM INJECTION TECHNIQUES NEEDLE BREAKAGE HAEMATOMA
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COMPLICATIONS ARISING FROM BOTH PAIN ON INJECTION BURNING ON INJECTION TRISMUS BLANCHING OF SKIN EDEMA PARESTHESIA INFECTION FACIAL NERVE PARALYSIS VISUAL DISTURBANCES
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MINIMAL TO MODERATE OVERDOSE SIGNS SYMPTOMS TALKATIVENESS RESTLESSNESS
APPREHENSION NERVOUSNESS EXCITABILITY NUMBNESS
SLURRED SPEECH METALLIC TASTE EUPHORIA VISUAL DISTURBANCE
VOMITING AUDITORY DISTURBANCE DYSARTHRIA NYSTAGMUS
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SYSTEMIC COMPLICATIONS OF LA CAUSES OF ADVERS DRUG
REACTION TOXICITY CAUSED BY DIRECT
EXPOSURE OF THE USE OF PHARMACOLGICAL EFFECTS OF DRUGS
TOXICITY CAUSED BY ALTERATION IN RECIPIENT OF THE DRUG
TOXICITY CAUSED BY ALLERGIC RESPONSE TO DRUGS
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TOXICITY CAUSED BY DIRECT EXPOSURE OF THE USE OF PHARMACOLOGICAL EFFECTS OF DRUGS
1. SIDE EFFECTS2. OVER DOSE3. LOCAL TOXIC EFFECTS
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TOXICITY CAUSED BY ALTERATION IN RECIPIENT OF THE DRUG
1. DISEASE PROCESS( HEPATIC& RENAL DYSFUNCTION)
2. EMOTIONAL DISTURBANCES3. GENETIC ABBERATIONS(ATYPICAL
PLASMA PSEUDO CHOLINE ESTERASE, MALIGNANT HYPER THERMAI)
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ALLERGY
ALLERGY IS A HYPERSENSITIVE STATE ACQUIRED THROUGH EXPOSURE TO A PARTICULAR ALLERGEN REEXPOSURE TO WHICH PRODUCE HEIGHTENED CAPACITY REACTION TO
PREDISPOSING FACTORS1. METHYL PARABEN2. SODIUM BISULPHITE3. EPINEPHRINE4. LATEX ALLERGY5. TOPICAL ANESTHETIC ALLERGY
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INTRA ORAL CHALLENGE TEST
0.9ml of LA SUPRA PERIOSTEAL INFILTRATION ( W/O TOPICAL LA) ABOVE THE RIGHT OR LEFT MAXILLARY ANTERIOR OR PREMOLAR TOOTH
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CLINICAL MANIFESTATION OF ALLERGY DERMATOLOGICAL REACTION CARDIOVASCULAR REACTION RESPIRATORY REACTION GENERALIZED ANAPHYLAXIS
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MEDICAL MANAGEMENT
A-B-C-D ADMINISTER EPINEPHRINE 0.3 mg/ IM
SC OR HISTAMINE BLOCKER -50 mg DIPHENHDRAMINE 10 mg ORAL HISTAMINE BLOCKER 50 mg
cap TDS FOR 3-4 DAYS
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GENERALIZED ANAPHYLAXIS
EPINEPHRINE(0.3ml OF 1: 1000) IM/IV
HISTAMINE -50 mg CHLORPHENARAMINE-IO mg CORTICOSTEROID-100 mg
(HYDROCORTISONE -IV) CPR
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DENTAL MANAGEMENT
EMERGENCY UNDER GA GA NOT AVAILABLE – HISTAMINE
BLOCKER DIPHEN HYDRAMINE HCL IN 1 %
SOLUTION EPINEPHRINE( 30 MIN OF PULPAL
ANESTHESIA) NITROUS OXIDE EDA