Abstract
In recent years, the number of pediatric patients with allergies is increasing, however, no predictive method or corresponding measurements of allergic reactions that occur in relation to dental treatments have been established. Our department performs allergy testing for pediatric patients with a severe allergy or multiple allergens by use of a questionnaire in cooperation with the Pediatric Department of Showa University of Medicine. Here, we report the current status of allergy testing for local anesthetics, which is routinely performed for pediatric patients with allergies at our university.1.The most common history was allergy to foods, which was noted by 34 patients. Many of those had an allergic reaction to eggs, milk, and peanuts. That was followed by bronchial asthma and atopic dermatitis.2.The most common reason to take the test was “having multiple allergens,” noted by 35 patients.3.Inallergytestingfor4commonlyusedlocalanesthetics, all patients reported an independent allergic reaction to at least 1 anesthetic agent, while only 1 had a reaction to all 4 anesthetics.It is difficult to precisely determine allergies to local anesthetics by a preparative medical interview. However, such an interview is important for effective treatment, and can provide benefits not only for dental therapy, but also subsequent medical care.
