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Question:
Reactions to local anesthetics: I am a 36 yr old healthy female who weighs 105lb and is 5'2. I
have had alot of dental work in my life and have never been able to tolerate epi in the novocaine injections due to rapid heart rate, sob, and dizziness. I always tell them not to give epi to me.
Recently I had 2 crowns done and as soon as he gave me the non-epi injection. I experienced the same reactions. I also had severe bruising to that cheek for over 2 weeks. I informed the dentist but he seemed to think it was anxiety. About 3 weeks later I went in for a filling and this time he only gave me 1/2 of the non-epi novocaine and I had the same reactions. They occur immediately after the inj.
I still have exstensive dental work to be done and I am completely terrified. I know there are different types of locals that can be used but how do I know I wont react to those also? ...Visitor from FL
Answer:
I know you are afraid. And it seems you are concerned with good reason. I think it would be a good idea to have you go to an allergist with all of the local anesthetics that the dentist uses.
Have them inject you at differing times with the solution in an IV. That way you do not know when what is going in. Then you can tell if it is something that your mind is doing or if you have a problem with the medicine.
Then a plan can be developed that will allow you to be treated in an appropriate manner. Sometimes that may mean that you are treated with out any mumbing. Maybe with a laser which may not require any anesthetic. Or there may be other options to look at but the first step is to find out what is happening in a controlled environment where they can handle a problem if one arises.
James Sanderson, DMD
Alabama Teeth In An Hour
Alabama Sedation Dentist
1633 Montgomery Highway
Birmingham, AL 35216
(205) 979-6005
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