Lateral pharyngeal space abscess: a consequence of regional anesthesia
Article Abstract:
The case report is presented of a 48-year-old woman who visited an emergency room because she was virtually unable to open her mouth (trismus) and experienced a deep ache on the right side of her face. This occurred two weeks after the patient received local dental anesthesia prior to receiving two fillings on the right upper and lower jaws, respectively. Three days after the dental procedure, jaw stiffness and pain had started, and the patient's dentist prescribed ibuprofen (an anti-inflammatory, analgesic drug) and moist heat. A few days later, with intensification of symptoms, the patient consulted a physician, who eventually referred her to the emergency ward. Signs of bacterial infection were noted, and tests revealed the presence of an infection and abscess in the right lateral pharyngeal space (an area behind the mucosa at the back of the throat). The abscess was surgically drained and the material removed evaluated. Several bacterial agents were identified, which dictated the choice of antibiotic therapy for the patient. After 10 days, the patient was discharged with instructions to continue taking antibiotics. Mouth-opening exercises were also suggested. It is likely that the abscess and trismus developed as a consequence of the injection of local anesthesia prior to filling the patient's teeth. The important diagnostic signs for identifying such complications are reviewed. One cause of such infections is contamination of the injection needle with bacteria. These infections are potentially serious. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 1991
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Anesthesia: who regulates what?
Article Abstract:
Regulation of the use of general anesthesia, sedation, or nitrous oxide by dentists is usually done by permit, and is common practice in most states (in 23 states, for nitrous oxide). The permit is granted, contingent on the dentist's completing certain educational requirements, and is not identical to the dental license. These educational requirements are briefly outlined. In addition to fulfilling this criterion, dentists are often required to have certain equipment on hand, such as a system to remove gases from the environment. In addition, the office must usually have a back-up electrical supply, oxygen, suction, and equipment to monitor patients' vital signs. Training requirements for office staff are included. In cases where a licensed physician anesthesiologist administers the anesthetic and remains in the dental office until the patient is discharged, the dentist does not need a permit. Upon application for anesthesia or sedation permits, an inspection of the office may be required. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 1991
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Intraosseous anesthesia: implications, instrumentation and techniques
Article Abstract:
Intraosseous anesthesia can be used to numb a tooth before working on it. This anesthesia is given by drilling a small hole in the jaw close to the tooth and delivering the anesthesia directly to the tooth. This is more comfortable for the patient, since it does not numb their mouth and tongue.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 2003
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