Elizabeth Amilia, Venkateswaran Rathina, Baghkomeh Parisa N, Gopan Navami, K S Sreni
Department of Pedodontics and Preventive Dentistry, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research, Chennai, IND.
Cureus. 2025 Jun 11;17(6):e85748. doi: 10.7759/cureus.85748. eCollection 2025 Jun.
Local anesthesia (LA) plays a crucial role in managing pain during dental procedures, but its administration must be handled with care, particularly in children, where complications are not uncommon. This report presents a case involving a six-year-old girl who had a broken upper right first molar due to decay for the past three months. An extraction was planned under LA. Following the infiltration technique of LA administration using 2% lignocaine solution with 1:80,000 adrenaline, swelling appeared in the right infraorbital region almost immediately. The swelling resulted from inadvertent deposition of the anesthetic in the infraorbital area due to excessive needle penetration, which occurred as the child became uncooperative during the injection. The patient was prescribed analgesic eye drops and a topical ophthalmic ointment by the ophthalmologist, and the symptoms started subsiding within four hours. This report also explores prevention and management strategies for such complications in pediatric dental care.
局部麻醉在牙科手术中对疼痛管理起着关键作用，但在给药时必须谨慎操作，尤其是在儿童中，并发症并不罕见。本报告介绍了一个病例，一名六岁女孩因龋齿导致右上第一磨牙破损已有三个月。计划在局部麻醉下进行拔牙。在使用含1:80,000肾上腺素的2%利多卡因溶液采用浸润技术进行局部麻醉给药后，右眶下区域几乎立即出现肿胀。肿胀是由于注射过程中患儿不配合，导致针头过度刺入，无意中将麻醉剂注入眶下区域所致。眼科医生为患者开了止痛眼药水和局部眼膏，症状在四小时内开始消退。本报告还探讨了儿童牙科护理中此类并发症的预防和管理策略。
