Extraction of a wisdom tooth in patient with possible true lidocaine allergy: a case report

NAKAMURA Yusuke, SATO Jun, WADA Mayumi, KITAGAWA Yoshimasa

doi:10.11277/stomatology.71.173

True allergy to local anesthetics is rare. We experienced a case with possible true allergy to lidocaine, who underwent extraction of a maxillary wisdom tooth under local anesthesia. We report the summary with a consideration of the literature. A 27-year-old man visited our department with the chief complaint of uncomfortable feeling around the right maxillary wisdom tooth. His past medical history was significant for many drug allergies, including lidocaine products. Under a diagnosis of partial impacted and pericoronitis of the right maxillary wisdom tooth, we planned to extract the tooth. We requested a medical examination and skin test for local anesthetics to a dermatologist in our hospital. A prick test revealed positive reaction to a lidocaine product （1％ xylocaine®）, but negative reaction to a propitocaine product （3％ citanest-octapressin®）. We decided to use the propitocaine product as a local anesthetic, and to extract the tooth under intravenous （IV） sedation to remove his psychological stress. At the beginning of the extraction, we injected 0.2ml of the propitocaine product in the right maxillary gingiva as a challenge test for local anesthetic. After confirming no allergic reaction, we added the local anesthetic and removed the tooth easily. After the extraction, we carefully monitored his condition under hospitalization for one night. His postoperative course was uneventful.

Extraction of a wisdom tooth in patient with possible true lidocaine allergy: a case report

Bibliographic Information

Search this article

Description

Journal

Keywords

Details 詳細情報について

Export

Report a problem