1. COMPLICATIONS OF LOCAL
ANESTHESIA
Dr.V.RAMKUMAR
CONSULTANT DENTAL&FACIOMAXILLARY SURGEON
REG NO: 4118 TAMINADU- INDIA(ASIA)

2. CLASSIFICATION
 COMPLICATIONS ARISING FROM DRUGS
ARE CHEMICALS USED
 COMPLICATIONS ARISING FROM
INJECTIONS TECHNIQUES
 COMPLICATIONS ARISING FROM BOTH

3. COPMPLICATIONS ARISING FROM
DRUGS ARE CHEMICALS USED
 SOFT TISSUE INJURY
 SLOUGHING OF TISSUES

4. COMPLICATIONS ARISING FROM
INJECTION TECHNIQUES
 NEEDLE BREAKAGE
 HAEMATOMA

5. COMPLICATIONS ARISING FROM
BOTH
 PAIN ON INJECTION
 BURNING ON INJECTION
 TRISMUS
 BLANCHING OF SKIN
 EDEMA
 PARESTHESIA
 INFECTION
 FACIAL NERVE PARALYSIS
 VISUAL DISTURBANCES

6. MINIMAL TO MODERATE OVERDOSE
 SIGNS SYMPTOMS
 TALKATIVENESS RESTLESSNESS
 APPREHENSION NERVOUSNESS
 EXCITABILITY NUMBNESS
 SLURRED SPEECH METALLIC TASTE
 EUPHORIA VISUAL DISTURBANCE
 VOMITING AUDITORY DISTURBANCE
 DYSARTHRIA
 NYSTAGMUS

7. SYSTEMIC COMPLICATIONS OF LA
 CAUSES OF ADVERS DRUG REACTION
 TOXICITY CAUSED BY DIRECT EXPOSURE
OF THE USE OF PHARMACOLGICAL
EFFECTS OF DRUGS
 TOXICITY CAUSED BY ALTERATION IN
RECIPIENT OF THE DRUG
 TOXICITY CAUSED BY ALLERGIC
RESPONSE TO DRUGS

8. TOXICITY CAUSED BY DIRECT
EXPOSURE OF THE USE OF
PHARMACOLOGICAL 
EFFECTS OF
DRUGS
1. SIDE EFFECTS
2. OVER DOSE
3. LOCAL TOXIC EFFECTS

9. TOXICITY CAUSED BY
ALTERATION IN RECIPIENT
OF THE DRUG
1. DISEASE PROCESS( HEPATIC& RENAL
DYSFUNCTION)
2. EMOTIONAL DISTURBANCES
3. GENETIC ABBERATIONS(ATYPICAL
PLASMA PSEUDO CHOLINE ESTERASE,
MALIGNANT HYPER THERMAI)

10. ALLERGY
 ALLERGY IS A HYPERSENSITIVE STATE
ACQUIRED THROUGH EXPOSURE TO A
PARTICULAR ALLERGEN REEXPOSURE TO
WHICH PRODUCE HEIGHTENED CAPACITY
REACTION TO
 PREDISPOSING FACTORS
1. METHYL PARABEN
2. SODIUM BISULPHITE
3. EPINEPHRINE
4. LATEX ALLERGY
5. TOPICAL ANESTHETIC ALLERGY

11. INTRA ORAL CHALLENGE TEST
 0.9ml of LA SUPRA PERIOSTEAL
INFILTRATION ( W/O TOPICAL LA) ABOVE
THE RIGHT OR LEFT MAXILLARY
ANTERIOR OR PREMOLAR TOOTH

12. CLINICAL MANIFESTATION OF
ALLERGY
 DERMATOLOGICAL REACTION
 CARDIOVASCULAR REACTION
 RESPIRATORY REACTION
 GENERALIZED ANAPHYLAXIS

13. MEDICAL MANAGEMENT
 A-B-C-D
 ADMINISTER EPINEPHRINE 0.3 mg/ IM SC
OR HISTAMINE BLOCKER -50 mg
 DIPHENHDRAMINE 10 mg
 ORAL HISTAMINE BLOCKER 50 mg cap TDS
 FOR 3-4 DAYS

14. GENERALIZED ANAPHYLAXIS
 EPINEPHRINE(0.3ml OF 1: 1000) IM/IV
 HISTAMINE -50 mg
 CHLORPHENARAMINE-IO mg
 CORTICOSTEROID-100 mg
(HYDROCORTISONE -IV)
 CPR

15. DENTAL MANAGEMENT
 EMERGENCY UNDER GA
 GA NOT AVAILABLE – HISTAMINE BLOCKER
 DIPHEN HYDRAMINE HCL IN 1 % SOLUTION
EPINEPHRINE( 30 MIN OF PULPAL
ANESTHESIA)
 NITROUS OXIDE
 EDA