Self-inflicted trauma secondary to local anaesthesia in chil
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Long-acting local anaesthetics and inferior alveolar nerve block in children can cause loss of sensation and proprioception in a large area supplied by that particular nerve.

Case Report:
This article describes case of an eight-year-old girl who underwent extraction of a permanent mandibular first molar tooth on the left side under local anaesthesia and sedation in general dental practice. The following day, the child developed swelling of the lower lip and attended an out-of-hours health service with her parents. Allergic reaction to local anaesthesia or latex was suspected. The child was admitted for observation with suspected angioedema and oral antihistamines were prescribed. The girl was then observed and discharged following a period of active monitoring. The swelling increased over the next 2 days and the child presented back to out-of-hours health service with a large sloughing ulcer measuring two centimetres in dimension...

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