Poisoning by dental drugs, topically applied, assault digital illustration

Poisoning by dental drugs, topically applied, assault Save


ICD-10 code: T49.7X3

Chapter: Injury, poisoning and certain other consequences of external causes

Poisoning by Dental Drugs: Topically Applied Assault

As the use of dental drugs continues to increase, so does the risk of poisoning. Poisoning by dental drugs can occur through accidental ingestion, inhalation, or absorption through the skin. While systemic poisoning is a well-known risk, the potential for local toxicity is often overlooked.

Topically applied dental drugs can cause a range of adverse reactions, from mild irritation to severe toxicity. These reactions can occur with both prescription and over-the-counter (OTC) products. Topical dental drugs that have been associated with toxicity include:

  1. Topical anesthetics: These drugs are used to numb the gums and oral tissues during dental procedures. Overuse or misuse can lead to systemic toxicity, including seizures and cardiac arrest.
  2. Fluoride: Excessive ingestion of fluoride can cause dental fluorosis, a condition characterized by discoloration and pitting of the teeth. Topical application can cause skin irritation, gastrointestinal upset, and even seizures.
  3. Desensitizing agents: These drugs are used to reduce tooth sensitivity. Overuse can lead to gum irritation, tooth discoloration, and even nerve damage.
  4. Oral rinses: Some mouthwashes and rinses contain high levels of alcohol, which can cause oral irritation and even chemical burns.

Patients who experience adverse reactions to dental drugs should seek medical attention immediately. In cases of suspected poisoning, it is important to identify the offending agent and provide appropriate treatment. Treatment may include supportive care, such as airway management and fluid resuscitation, as well as specific antidotes.

To prevent poisoning by dental drugs, patients should follow instructions carefully and avoid overuse. Patients should also inform their dentist of any allergies or previous adverse reactions to dental drugs.

In conclusion, poisoning by dental drugs is a serious and often overlooked risk. Topically applied dental drugs can cause a range of adverse reactions, from mild irritation to severe toxicity. Patients should be aware of the potential risks and take steps to prevent poisoning.