@article{oai:nagasaki-u.repo.nii.ac.jp:00000012,
 author = {Ayuse, Terumi and Kurata, Shinji and Ayuse, Takao},
 journal = {Local and Regional Anesthesia},
 month = {Aug},
 note = {Background: We report a case in which effective dental anesthetic management was achieved using procaine hydrochloride
 for a patient who had an unknown history of allergic reactions to lidocaine. Case Presentation: Because the patient refused 
to undergo screening tests using any of the amide-type local anesthetics because of her extreme fear against local anesthetics that she had been administered previously, procaine hydrochloride, which is an ester-form local anesthetic, was the only agent to be tested on this patient at the department of dermatology. Consequent to a negative allergy test, we performed complete dental treatment using procaine hydrochloride after additional chairside drug challenge tests using minimum test dose under vital sign monitoring. Conclusion: The success of dental treatment using procaine hydrochloride may have relieved the patient’s fear of local anesthesia. We discuss an important aspect of treatment planning for patients with a history of complications during local anesthesia., Local and Regional Anesthesia, 13, pp.99-103; 2020},
 pages = {99--103},
 title = {Successful Dental Treatments Using Procaine Hydrochloride in a Patient Afraid of Local Anesthesia but Consenting for Allergic Testing with Lidocaine: A Case Report},
 volume = {13},
 year = {2020}
}