A word about dental allergy

Susan is an eighteen-year-old student nurse. She was referred to the Allergy Clinic by her dentist because of a rather frightening reaction she had in the dental chair. She told me that one of her cheeks started to swell just as the dentist completed a filling. Her tongue was also swollen, so much so that her speech was slurred. The dentist packed her off to the hospital, where she was admitted for observation. Her blood pressure was low, her heart was racing and she felt a bit faint. She was put on a drip to support her blood pressure, and she was given an antihistamine injection to reduce the swelling. This treatment was quite successful, and she was discharged the following day with no ill effects. Susan had a reaction to dental material(s). We now had to find out what it was that caused her such grief, lest she suffer it again. There were several possibilities. She could have been allergic to the dentist's latex gloves, the local anaesthetic, the mouthwash, or indeed any other material used during her treatment. It was also possible that she had a non-allergic reaction to the local anaesthetic. Such reactions can cause swelling, low blood pressure, fast heartbeat and even fainting.



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