Allergic manifestations to local anaesthetic agents for dental anaesthesia in children: a review and proposal of a new algorithm

Authors

  • D Peroni University of Pisa, Department of Clinical and Experimental Medicine, Paediatric Unit, Pisa
  • M Pasini University of Pisa, Department of Surgical, Medical and Molecular Pathology and Critical Care, Dental Clinic, Pisa
  • C Iurato University of Pisa, Department of Clinical and Experimental Medicine, Paediatric Unit, Pisa
  • S Cappelli University of Pisa, Department of Clinical and Experimental Medicine, Paediatric Unit, Pisa
  • G Giuca University of Pisa, Department of Surgical, Medical and Molecular Pathology and Critical Care, Dental Clinic, Pisa
  • MR Giuca University of Pisa, Department of Surgical, Medical and Molecular Pathology and Critical Care, Dental Clinic, Pisa

DOI:

https://doi.org/10.23804/ejpd.2019.20.01.10

Keywords:

Allergy, Diagnosis, Local Anesthetic

Abstract

AIM: The purpose of this review was to evaluate allergic manifestations to dental local anaesthetic (LA) in children and to propose an algorithm for the diagnosis of LA allergy, in order to minimise the number of children who are wrongly categorised as allergic. MATERIALS: A comprehensive literature survey was performed on LA allergy in children before a dental treatment. In proposing a diagnostic algorithm, evidences from literature have been integrated with personal experience. CONCLUSION: Allergy to LA is a rare condition. A complete diagnostic algorithm will allow to identify paediatric patients correctly.