A member asked:

What problems can occur when using local anaesthetics in mouth care?

9 doctors weighed in across 6 answers
Dr. Rishi Kumar answered

Specializes in Anesthesiology

Numbness: Local anesthetics are used to temporarily block pain at the injection site, but they can spread to nearby structures as well. Dental anesthetics can cause difficulty with speech, eating, and occasionally eyelid drooping. Furthermore, numbness of the mouth can make one more prone to tongue, lip, or cheek biting, so it's important to remain aware of that possibility. Rarely infection from injection.

Answered 9/3/2017

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Numbness: When novacaine is used with Epinephrine isms is injected directly into nerve instead of next to it , numbness can develop. It can resolve over time.

Answered 8/12/2015

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Varies: Oral anesthetics are generally very safe in oral care. They may burn initially, and if numb, it may be easier to cause trauma (e g bite your tongue and not feel it). Similarly, if the throat is numb and liquids are swallowed, aspiration (fluid going down the windpipe) is possible. High doses may cause systemic side effects (dizziness, nausea, ringing in the ears, or more serious effects).

Answered 9/3/2017

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Dr. Mark Sacher answered

Specializes in Pain Management

Rare side effects: Depends on the anesthetic. Cetacaine, benzocaine, and prilocaine can cause methemoglobin where your red blood cells cannot bind oxygen. This can cause chest pains, shortness of breath, heart attack, cardiac arrest. If local anesthetic has a high absorption in your blood vessels, this can lead to excitability, extreme anxiety, elevated heart rate or decreased heart rate, seizures, coma, and death.

Answered 9/3/2017

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Dr. Rishi Kumar answered

Specializes in Anesthesiology

Numbness: Local anesthetics are used to temporarily block pain at the injection site, but they can spread to nearby structures as well. Dental anesthetics can cause difficulty with speech, eating, and occasionally eyelid drooping. Furthermore, numbness of the mouth can make one more prone to tongue, lip, or cheek biting, so it's important to remain aware of that possibility.

Answered 9/28/2016

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Injected Local Anes: Allergic reaction to local; reaction to Epinephrine with injected local anesthetic causing heart rate acceleration and sudden feelings of stress; ineffective numbing despite drug infiltration; infection from flawed injection sterile technique or poor patient pre-existing immune system or poor post procedure oral care; post injection nerve damage causing persistent oral numbness or pain are a few.

Answered 6/25/2014

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Related Questions

A member asked:

Is it possible for wisdom teeth to be removed using just a local anesthetic ?

10 doctors weighed in across 4 answers