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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
A Rare Complication in the Oral Local Infiltration Anesthesia
Sisi Yang1, Hailing Zhou2, Yongbo Dai2
1Department of Stomatology, Zhongnan Hospital of Wuhan University, Wuhan.
Abstract:
The present report describes a rare complication named Kuhn anemia, which happened during local infiltration anesthesia of maxillary wisdom tooth. A 24-year-old male was referred for residual crown of left maxillary wisdom tooth and therefore required extraction. Oral examination revealed a buccal impacted left maxillary wisdom tooth (28), severe caries affecting the dental pulp, and pain with percussion. This case was diagnosed as impacted wisdom tooth 28 and pulpitis. Thus, the authors performed an extraction of the 28. After injection of articaine hydrochloride (68 mg:1.7 mL) containing epinephrine (1:100,000) as local anesthetic, the patient felt pain and heat in the left cheek, and an irregularly shaped pale area appeared on the left cheek. The authors stopped the surgery and comforted him. After a 30-minute break, the cheek turned normal, and abnormal sensation was no longer felt.
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