Di hekimlinde lokal anesteziklere ba l allerji

Objectives: Dental treatment of many patients is delayed owing to a positive history of allergic reactions. The aim of this study is to retrospectively investigate the results of local anaesthetic allergy tests of the patients, who were sent for allergy consultation due to their history of allergic reactions, and the following dental treatments carried out under local anaesthesia in the Department of Oral Surgery, School of Dentistry, Ege University Materials and Methods: In this study, case notes of 30 patients who were sent for allergy consultation due to their history of allergic reactions were retrospectively investigated. History of allergic reactions, tooth removal, test results, and allergic reactions following the administration of the suggested local anaesthetic were noted. Results: The consultant doctor regarded testing unnecessary for 6 (20%) of the patients. Twelve (50%) of the 24 patients, had history of allergic reactions associated with tooth removal. Of the 24 patients tested, only 1 (4.1%) patient had a positive result. Conclusions: A detailed medical history should be taken before commencing any dental treatment. If allergic reactions are expected, the appropriate consultation should be done, and patients at risk should be treated after taking the appropriate measures. Keywords: Local anaesthetics, allergy, dentistry. ZET Ama : Alerji yküsü nedeniyle ok say da hastan n di tedavisi gecikebilmektedir. Bu al man n amac , Ege üniversitesi Di hekimli i Fakültesi A z Di ve ene Cerrahisi Anabilim Dal ’na ba vurup alerji yküsü nedeniyle alerji konsultasyonu istenen hastalar n alerji test sonu lar n ve bu sonuca g re lokal anestezi alt nda yap lan tedavilerini retrospektif olarak ara t rmakt r. Gere ve Y ntem: Bu al mada di hekimli inde alerji yküsü bulunmas nedeni ile alerji konsultasyonu istenen 30 hastan n ar iv notlar retrospektif olarak incelendi. Kendilerinde ve/veya ailelerinde alerji yküsü varl , daha nce di ekimi yap l p yap lmad , test sonu lar ve nerilen lokal anestezik ile yap lan di ekimi sonras alerji geli ip geli medi i kaydedildi. Bulgular: Alerji konsültasyonu istenen 30 olgunun 6’s nda (%20), de erlendiren konsultan hekimin nerisiyle test yap lmam t . 24 olgunun 12’sinde (%50) nceki di ekimi sonras geli en alerji yküsü tesbit edildi. Test yap lan 24 hastadan sadece 1’inde (%4,1) pozitif sonu saptand . Sonu : Di tedavilerinden nce t bbi anamnez ayr nt l olarak al nmal , alerji üphesi varl nda gerekli konsultasyon yap lmal ve riskli hastalarda uygun tedbirler al narak tedaviye ba