Despite the recent increase of allergy in child patients, methods to predict allergy and respond to allergic symptoms during dental treatment have not yet been established. The purpose of the current study was twofold; first, to find the prevalence of allergies among children who come to our clinic, and second, to contribute to the guidelines established for safe dental treatment of children with allergies.
The subjects were 1745 child patients who visited our clinic between January 2003 and December 2005 for initial consultation, and who were up 0 to 12 years of age at the time of the first visit. The data were collected from interview sheets and medical records.
The results revealed the following.
(1) 683 patients (39.1%) had some type of allergic disease.
(2) No significant difference was observed regarding major complaints among children with and without a history of allergic diseases.
(3) In terms of types of allergic diseases, atopic dermatitis was the most prevalent, followed by food allergy, asthma, and drug allergy.
(4) More children with a history of allergy were administered with local anesthesia compared to those without allergy.
(5) Children with a history of allergic diseases underwent an intradermal or skin prick test for the local anesthetic agent, and patch test for dental metals, drugs, and materials.
The current study suggested the importance of inquiring into the existence of allergic reactions to drugs and food through sufficient medical interviews. When the results of the interviews suggest the risk of allergic reactions, it is important in child clinical dentistry to administer allergy tests before dental treatment in order to prevent adverse events.
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