Back to Journals » Local and Regional Anesthesia » Volume 13

Successful Dental Treatments Using Procaine Hydrochloride in a Patient Afraid of Local Anesthesia but Consenting for Allergic Testing with Lidocaine: A Case Report

Authors Ayuse T, Kurata S, Ayuse T

Received 19 June 2020

Accepted for publication 6 August 2020

Published 20 August 2020 Volume 2020:13 Pages 99—103

DOI https://doi.org/10.2147/LRA.S268498

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Stefan Wirz


Terumi Ayuse,1 Shinji Kurata,2 Takao Ayuse1,2

1Nagasaki University Hospital, Department of Special Care Dentistry, Nagasaki, Japan; 2Nagasaki University Hospital, Department of Dental Anesthesiology, Nagasaki, Japan

Correspondence: Takao Ayuse
Nagasaki University Graduate School of Biomedical Science, Department of Translational Medical Sciences, Division of Clinical Physiology, Nagasaki, Japan
Tel +81-95-849-7714
Fax +81-95-849-7715
Email ayuse@nagasaki-u.ac.jp

Background: We report a case in which effective dental anesthetic management was achieved using procaine hydrochloride for a patient who had an unknown history of allergic reactions to lidocaine.
Case Presentation: Because the patient refused to undergo screening tests using any of the amide-type local anesthetics because of her extreme fear against local anesthetics that she had been administered previously, procaine hydrochloride, which is an ester-form local anesthetic, was the only agent to be tested on this patient at the department of dermatology. Consequent to a negative allergy test, we performed complete dental treatment using procaine hydrochloride after additional chairside drug challenge tests using minimum test dose under vital sign monitoring.
Conclusion: The success of dental treatment using procaine hydrochloride may have relieved the patient’s fear of local anesthesia. We discuss an important aspect of treatment planning for patients with a history of complications during local anesthesia.

Keywords: allergic reaction, amide-type local anesthesia, procaine hydrochloride, dental fear, dental anxiety, local anesthesia, complication

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]