1. Management of allergy reaction

2. Definition of anaphylaxis
Def: Anaphylaxis is a severe, life-threatening, generalized or systemic
hypersensitivity reaction.
This is characterized by rapidly developing life-threatening airway and/or breathing
and/or circulation problems usually associated with skin and mucosal changes.

3. causes The most common causes of an allergic emergency include:
•1/ Food. Peanuts, tree nuts (almonds,
cashews, walnuts), fish, cow’s milk and
eggs.
2/ insects such
as bees, wasps.

4. Other causes 3/ medication:
• Penicillin is the
most commonly drugs.
aspirin, sulfa drugs, tetracycline, anesthetics (benzocain)
and pain relievers like ibuprofen
•4/ Latex.
used in disposable gloves,
intravenous tubes, syringes.

5. Dental allergies
Types of dental materials associated with a allergic reaction :
1/(Base metal) alloy contaning nickle that used to make crown &bridge.
2/Gold alloy :used for crowns & bridge.
3/Dental amalgam.
4/Acrylics or denture reline materials.

6. 5/whitening\bleaching agent lead to (rash to gum and oral tissue).
6/Toothpaste and mouth rinses containing sodium laurel sulfate SLS.
7/Epinephrine (adrenalin) in local anesthesia (pt feel faster heart beats and anxiety).

7. Signs & Symptoms: Anaphylaxis/Allergy
Laryngeal edema
Weak pulse-syncope
Loss of consciousness
Cardiac arrest
Urticaria-(itching,flushing).
Rash
Rhinitis
Bronchospasm

9. Treatment of Immediate (Skin Reactions):
Epinephrine 0.3 mg IM or SC
(0.3ml of a 1:1000 Solution).
Antihistamine
Diphenhydramine (Benadryl) 50 mg IM.

10. Treatment OF Anaphylaxis/Allergy
Acute Reaction:
Basic Life Support
Epinephrine, injection IM
Oxygen
Diphenhydramine, injection IM
Airway management – intubation.

11. Anesthesia Reactions Reaction can be varied in extent and severity
Most are result of either local anesthetic agent itself or the vasoconstrictor within formulation
Toxicity can occur especially from rapid intravascular injection
Reaction can occur seconds to 1 hour after injection.

12. Treatment of Local Anesthesia Toxicity
Initially, begin basic cardiac life support
Airway opened, oxygen given
Severe reactions, patient transported to hospital emergency room as soon as possible.

13. Prevention of Allergic Reactions
HISTORY - a thorough, complete history of any previous allergic response or tendency before to starting treatment will avoid most emergencies.
Medical consultation.
Dental office skin testing.

14. Thank you