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Cleveland, OH
A 37-year-old female asked:

Severe neuro reactions to local anesthesia half of a small vial carbocaine separately also epinephrine tia under gen anesth what is safe at dentist

3 doctor answers4 doctors weighed in
Dr. Craig Carter
Thoracic Surgery 40 years experience
Discuss options : Topical Cocaine was used initially (halstead), and was eventually replace by lidocaine. The other options include sedation or anesthesia. If you have had reactions before, your dentist should consult an anesthesiologist for other options.
Dr. Simon Rosenberg
Dentistry 46 years experience
Two Ideas: You may want to try to find a dentist with experience using the biolase iplus hard and soft tissue dental laser. With most patients, using this laser cavities can be cleaned and prepared for a dental restoration painlessly. If any drugs are to be used, with your history, then treatment in a hospital with a dental service is advisable, so appropriate medical assistance is available.
Dr. Richard Pollard
Anesthesiology 30 years experience
Talk to MD: There are alternatives to Carbocaine that can be used in its stead. Talk to dentist and choose treatment that is right for you. The dentist can also talk to an anesthetiologist and choose a local anesthetic that is more suited to your needs. A general anesthetic is of course another alternative. Good luck.

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Last updated Jul 4, 2015

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