Rare Cutaneous Ischaemia and Pain during Infiltrative Anaesthesia for Dental Surgery: Case Reports and Literature Review
Local Anaesthetics (LA) is commonly used for surgical and dental procedures. Complications related to local anaesthesia can be divided into local, systemic and immediate complications. Immediate complications include positive blood aspiration, blanching of the tissue, pain, facial paralysis and burn...
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2020-02-01
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doaj-2888e2ddb51f4a779d6c5e9bb38c49a72020-11-25T02:07:54ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2020-02-01142ZD01ZD0410.7860/JCDR/2020/43030.13519Rare Cutaneous Ischaemia and Pain during Infiltrative Anaesthesia for Dental Surgery: Case Reports and Literature ReviewHacer Ulutürk0Goktug Eberlikose1Gönen Özcan2Dervis Yilmaz3Resident, Department of Oral and Maxillofacial Surgery, Gazi University Faculty of Dentistry, Ankara, TurkeyResident, Department of Periodontology, Gazi University Faculty of Dentistry, Ankara, Turkey.Professor, Department of Periodontology, Gazi University Faculty of Dentistry, Ankara, Turkey.Professor, Department of Oral and Maxillofacial Surgery, Gazi University Faculty of Dentistry, Ankara, Turkey.Local Anaesthetics (LA) is commonly used for surgical and dental procedures. Complications related to local anaesthesia can be divided into local, systemic and immediate complications. Immediate complications include positive blood aspiration, blanching of the tissue, pain, facial paralysis and burning sensation on impingement of the nerve. Blanching develops from decreased blood flow to the tissues as a result of blood vessels narrowed by adrenaline. The precise cause of this complication is unknown; however, it may be derived because of intraarticular injection, anatomical variation, rapid injection of local anaesthetic solution, retrograde flow of the solution, misdirection of the needle and neuronal basis. This report of 2 cases describes patients with ischemic areas on their faces resulting from maxillary and mandibular buccal infiltrative anaesthesia techniques. After the skin ischemia associated with the severe and instant pain occurs, the patient should be calmed and informed about the reversibility of the situation. It also includes information about the diagnosis, management, literature review and proposes some mechanisms for cutaneous ischemia and pain.https://jcdr.net/articles/PDF/13519/43030_CE[Ra1]_F(SHU)_PF1(ShG_SHU)_GC(RV_SL)_PN(SL).pdfimmediate complicationlocal anaestheticsskin blanching |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hacer Ulutürk Goktug Eberlikose Gönen Özcan Dervis Yilmaz |
spellingShingle |
Hacer Ulutürk Goktug Eberlikose Gönen Özcan Dervis Yilmaz Rare Cutaneous Ischaemia and Pain during Infiltrative Anaesthesia for Dental Surgery: Case Reports and Literature Review Journal of Clinical and Diagnostic Research immediate complication local anaesthetics skin blanching |
author_facet |
Hacer Ulutürk Goktug Eberlikose Gönen Özcan Dervis Yilmaz |
author_sort |
Hacer Ulutürk |
title |
Rare Cutaneous Ischaemia and Pain during Infiltrative Anaesthesia for Dental Surgery: Case Reports and Literature Review |
title_short |
Rare Cutaneous Ischaemia and Pain during Infiltrative Anaesthesia for Dental Surgery: Case Reports and Literature Review |
title_full |
Rare Cutaneous Ischaemia and Pain during Infiltrative Anaesthesia for Dental Surgery: Case Reports and Literature Review |
title_fullStr |
Rare Cutaneous Ischaemia and Pain during Infiltrative Anaesthesia for Dental Surgery: Case Reports and Literature Review |
title_full_unstemmed |
Rare Cutaneous Ischaemia and Pain during Infiltrative Anaesthesia for Dental Surgery: Case Reports and Literature Review |
title_sort |
rare cutaneous ischaemia and pain during infiltrative anaesthesia for dental surgery: case reports and literature review |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2020-02-01 |
description |
Local Anaesthetics (LA) is commonly used for surgical and dental procedures. Complications related to local anaesthesia can be divided into local, systemic and immediate complications. Immediate complications include positive blood aspiration, blanching of the tissue, pain, facial paralysis and burning sensation on impingement of the nerve. Blanching develops from decreased blood flow to the tissues as a result of blood vessels narrowed by adrenaline. The precise cause of this complication is unknown; however, it may be derived because of intraarticular injection, anatomical variation, rapid injection of local anaesthetic solution, retrograde flow of the solution, misdirection of the needle and neuronal basis. This report of 2 cases describes patients with ischemic areas on their faces resulting from maxillary and mandibular buccal infiltrative anaesthesia techniques. After the skin ischemia associated with the severe and instant pain occurs, the patient should be calmed and informed about the reversibility of the situation. It also includes information about the diagnosis, management, literature review and proposes some mechanisms for cutaneous ischemia and pain. |
topic |
immediate complication local anaesthetics skin blanching |
url |
https://jcdr.net/articles/PDF/13519/43030_CE[Ra1]_F(SHU)_PF1(ShG_SHU)_GC(RV_SL)_PN(SL).pdf |
work_keys_str_mv |
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