A Case of Tooth Extraction in a Patient with a History of Secondary Methemoglobinemia

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  • MORI MASAJI
    Department of Dentistry, Oral and Maxillofacial Surgery, Yaizu City Hospital
  • HIGUCHI YUUSUKE
    Department of Dentistry, Oral and Maxillofacial Surgery, Yaizu City Hospital Department of Oral and Maxillofacial Surgery, Division of Oral Health Sciences, Track of Medical and Dental Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • AIZAWA SATORU
    Department of Dentistry, Oral and Maxillofacial Surgery, Yaizu City Hospital Aizawa Dental Clinic

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  • 2次性メトヘモグロビン血症の既往を持つ患者の抜歯の1例

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We present a case of tooth extraction for a 25-year-old patient with a history of secondary methemoglobinemia at 6 months of age caused by Acetaminophen. <br>The tooth extraction was performed under local anesthesia using 2% lidocaine with 1：80,000 epinephrine in an operating room equipped with respiratory support. <br>As a result, the treatment was successfully completed and we found no significant signs of secondary methemoglobinemia such as cyanosis, dyspnea and rise in blood methemoglobin concentration.

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