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However, of these events, it is estimated that only 1% are confirmed allergies to the local anaesthetic. This case report presents the process of referral for investigation and testing to confirm an amide local anaesthetic allergy in a paediatric patient. Testing for a safe alternative was also completed to identify local anaesthetic agents also of the amide variety that could be utilized safely on this individual. Following skin testing of alternative agents, intraoral challenges were completed. Finally, restorative dental treatment was provided safely for the patient with the use of an alternative amide local anaesthetic on a number of occasions with no further adverse outcomes.<\/jats:p>","DOI":"10.1111\/adj.12501","type":"journal-article","created":{"date-parts":[[2017,2,5]],"date-time":"2017-02-05T00:52:44Z","timestamp":1486255964000},"page":"241-245","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Investigation and diagnosis of an immediate allergy to amide local anaesthetic in a paediatric dental patient"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2620-4322","authenticated-orcid":false,"given":"G","family":"Allen","sequence":"first","affiliation":[{"name":"Department of Paediatric Dentistry Women's and Children's Hospital North Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Allergy and Clinical Immunology Women's and Children's Hospital North Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Gue","sequence":"additional","affiliation":[{"name":"Department of Paediatric Dentistry Women's and Children's Hospital North Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,22]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_5_2_1","DOI":"10.1111\/j.1834-7819.2011.01317.x"},{"doi-asserted-by":"publisher","key":"e_1_2_5_3_1","DOI":"10.1111\/j.1834-7819.2011.01316.x"},{"key":"e_1_2_5_4_1","first-page":"546","article-title":"An update on local anaesthetics in dentistry","volume":"68","author":"Hass DA","year":"2002","journal-title":"Can Dent Assoc"},{"key":"e_1_2_5_5_1","first-page":"380","article-title":"Adverse reaction to dental local anaesthetic injection \u2013 \u201callergy\u201d is not the cause","volume":"189","author":"Rood JP","year":"2000","journal-title":"Br Dent J"},{"doi-asserted-by":"publisher","key":"e_1_2_5_6_1","DOI":"10.1016\/j.jaip.2013.12.001"},{"unstructured":"3M Australia Pty Limited 3M Espe Local Anaesthetics.Frequently asked Questions. page 8 Available at:http:\/\/www.gunz.com.au\/files\/documents\/Ubistesin%20FAQ%20Booklet%20AU_0.pdf Accessed 17 January 2017.","key":"e_1_2_5_7_1"},{"unstructured":"Septodont Health Care Categories and Products.Pain Management: Injectable Anaesthetics. 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