Khabarov Alexey Stanislavovich (professor, d.m.s.
Federal State Budgetary Educational Institution of Higher Education
"Altai State Medical University" Barnaul, Russian Federation )
Komkina Natalya Gennadievna (Associate Professor, Ph.D.
Federal State Budgetary Educational Institution of Higher Education
"Altai State Medical University"
Barnaul, Russian Federation )
Shoikhet Yakov Nakhmanovich (Head of the Department, Doctor of Medical Sciences, Professor
Federal State Budgetary Educational Institution of Higher Education
"Altai State Medical University"
Barnaul, Russian Federation )
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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
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Citation link:
Khabarov A. S., Komkina N. G., Shoikhet Y. N. The role of an allergist in choosing a local anesthetic in pediatric dentistry // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2022. -№09. -С. 280-283 DOI 10.37882/2223-2966.2022.09.42 |
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