J Korean Dent Soc Anesthesiol.  2010 Dec;10(2):203-208. 10.17245/jkdsa.2010.10.2.203.

A Tremor Care after the Endodontic Treatment under Mandibular Block Anesthesia: A Case Report

• Lee CU
• Yoo JH
• Kim JB

• KMID: 2345088
• DOI: http://doi.org/10.17245/jkdsa.2010.10.2.203

Abstract

Tremors are trembling movements and are seen in association with alcoholic intoxication, certain drugs, thyrotoxicosis, multiple sclerosis, hysteria, and nervous tension. Dental fears, such as, pain, drill, unknown, dependency, helplessness, mutilation and oral change, induce the neuroendocrine response (release of epinephrine and norepinephrine, etc). The clinical manifestations of epinephrine or other vasopressor overdose include : anxiety, tenseness, restlessness, throbbing headache, tremor, perspiration, weakness, dizziness, pallor, palpitation and respiratory difficulty. Signs of local anesthetic overdose appear clinically whenever the anesthetic level in the blood rises to an appropriate level in an individual. The clinical signs of moderate overdose levels include : talkativeness, apprehension, excitability, slurred speech, tremor and muscular twitching. This is a case report about the severe tremor care after the endodontic treatment under right mandibular block anesthesia in a 56-years old female patient.

Keyword

Mandibular block anesthesia; Dental fears; Epinephrine; Tremor

MeSH Terms

Alcoholic Intoxication
Anesthesia*
Anxiety
Dental Anxiety
Dizziness
Epinephrine
Female
Headache
Humans
Hysteria
Multiple Sclerosis
Norepinephrine
Pallor
Psychomotor Agitation
Thyrotoxicosis
Transcutaneous Electric Nerve Stimulation
Tremor*
Epinephrine
Norepinephrine