AIBU to be concerned over DD's reaction to dental local anaethetic?

[themiddlebit]

Hi.
My daughter had two teeth extracted last Tuesday. She was not worried at all – she's so desperate for her brace that she would gladly do anything.
She had 4 injections top and bottom.
The next morning she was very dizzy, and complained of nausea. when I picked her up from school she looked flushed and said she had felt very unwell and felt flushed. She seemed to perk up a bit at home that evening. but still felt nauseous. These exact symptoms continued into Thursday. Very flushed... until about 8.00 pm in the evening when she vomited a lot.
She was a bit quiet and weak the next day but felt better.
I approached my dental surgery as I am very concerned for tomorrow which is her appt for the next two to be removed.
I am concerned that this reaction could become a more serious allergic reaction?
She does have allergies to animals and dust, and can get swollen lips etc.
My dentist has told me (through his dental nurse) that he doesnt think this is the local, and they will only know if it if it happens again...
I have read up on this a bit... and it seems that serous allergic reactions are rare, but there does seem to be some 'toxic' reactions too...
Basically – AIBU to be very worried, I have really got my knickers in a twist now, and I just 'know' that her reaction was due to the injections... as she never vomits or feels like this usually.
Sorry this post is quite long...
Has anyone had a similar experience?
Or are there any dentists out there?
Any info will be helpful.
Many thanks in advance.

That doesn't sound like an allergic reaction to the anaesthetic, more like a bug.

Allergic reaction would have been near enough instant and not the next day.

Mention it to the dentist but I don't think they would agree that it's an allergic reaction.

Thank you!! I’m starting to feel reassured.

Not all allergic reactions are instant.

I dont know wheyher that was an allergic reaction or not (sounds like a bug) but "if it was an allergic reaction it would have been instantaneous" simply isnt true.

You can ask the dentist for a different anaesthetic, I don’t have lignocaine as it gives me side effects I don’t like. I’m ok on another type with no adrenaline in it. I equally don’t tolerate the topical stuff.

It's perhaps more injections than she has had at once before. I only had one at a time until I had four veneers done at the front, when I had several injections and felt a bit weird after. The numbness took a good while to go away fully. I think if you have any concerns, ring the dentist first.

I react to locals like that, OP, and it was taken seriously enough that any form of epidural was totally taken off the table when I had DD.

The upside is, its never gotten worse over the years; the downside is that i've never had a general or a heavier exposure and noone seems keen to risk it.

It might be more from the extractions - I have swallowed blood in the dentist before when getting stuff done and it generally makes me feel terrible a couple days after - like a sickness bug, very under the weather. Last time I was fine after three days and didn't get it when I had a repeat treatment a few weeks later. Mostly just bacteria and the body reacting like a minor infection. Of course keep an eye out to watch for a more serious infection.

It’s more likely to be a reaction to the dental treatment or a coincidental illness.

Lignocaine is metabolised pretty rapidly by the body so it’s extremely unlikely to cause an allergic reaction 12 hours later.

Try a different anaesthetic. But if it was a reaction to anaesthetic it would be near enough instant. I can’t have local anaesthetic with adrenaline (causes almost immediate dramatic drop in blood pressure and shaking) once had the dentist hovering with the defribulator all over a filing! The epidural I had nearly killled me within minutes. It might be her body flushing out the adrenaline but far more likely a bug.

Ginny it’s interesting they wouldn’t give you an epidural, I’m ok with pure local anesthetiser but not ones with adrenaline in them. The hospital where I had DS well aware but gave epidural wherevy I immediately crashed and often wonder if I should have had it. Interestingly enough generals are absolutely fine

obviously nobody can say for sure OP but it doesn't sound like an allergic reaction necessarily. The dentist would presumably be being over cautious if they even slightly suspected it was.
Has she had any surgery or procedures done before? If it's all a bit new to her she could just be experiencing a bit of shock which could contribute to feeling a bit off.
Was she given antibiotics or analgesics during or after the extraction? if so these can very often cause vomiting and what you describe, especially on empty stomachs. If she wasn't she could even have a small infection at the extraction sight, though if the dentist will be checking this they can rule that out. Bodies respond in funny ways to 'interventions' sometimes unfortunately. Healing can result in being run down. I suspect there is no real way of knowing the cause here.

I'm someone that reacts badly to almost any medication in this way, some people are just sensitive to things like this, if it has passed within a few days and she is ok in herself and not continuing to be sick or run a fever or experience any swelling it isn't really cause for immediate concern, though obviously i can see why you would be.

Perhaps discuss with the dentist again beforehand, or as others have suggested enquire about an alternate medicine be used on this occasion. Bless her for being so keen for her brace though, i remember that well- until i got it and it absolutely killed! Totally worth it though!

I have adrenaline free local anaesthetic at the dentist too as I always felt dreadful, shaky and sick, then crashed out for hours after procedures. Didn’t even think about it in relation to epidurals when I had DD, glad I was adamant I didn’t want one.

Thank you all for your experiences and knowledge - I do feel less anxious about allergic reaction side of it...
I will ensure she eats well and be vigilant afterwards.
Being a parent is tricky in these situations... if it was for me I would probably more blasé but deciding for your child...
Thank you

I had a doctor explain the differences between intollerances and allergies once and basically allergies are instant and severe, as in need medical attention. Sounds like she will be okay, just feeling rough bless her x

I have cytonest as I cant have anything else without an allergic reaction that is not completely instantaneous.

it might be other factors but please mention to your dentist as if it is an allergy it could increase as exposure to it increases. even with cytonest it wipes me out for the whole day and I have really restless sleep for several days afterwards.

My understanding with many allergies is the reaction would be the second time you had it. The first you may not react that much but the second time your body will have a stronger reaction.
That said it doesn’t sound like an allergic reaction. I’d ring the dentist before (so as not to discuss it in front of your child)