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KMID : 0980220100100020203
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Journal of the Korean Dental Society of Anesthesiology
2010 Volume.10 No. 2 p.203 ~ p.208
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A Tremor Care after the Endodontic Treatment under Mandibular Block Anesthesia -A Case Report-
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Lee Chun-Ui
Yoo Jae-Ha
Kim Jong-Bae
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Abstract
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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.
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KEYWORD
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Mandibular block anesthesia, Dental fears, Epinephrine, Tremor
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