Assessment Description This topic will focus on children and how

A patient of record comes in the dental office for nonsurgical periodontal therapy of the mandibular right quadrant. The patient’s medical history is reviewed, and it is determined that she is a healthy patient with no contraindications to the use of local anesthetics and vasoconstrictors. The dental hygienist decides to administer 2% lidocaine 1:100,000 epinephrine to anesthetize the quadrant. After the administration of the appropriate injections, the dental hygienist and patient notice that the right side of her face begins to droop, and the patient becomes extremely nervous about the situation. Critical Thinking Questions • According to the clinical symptoms described, what reaction is the patient experiencing? • What is the cause of the symptoms described? • Could the dental hygienist have avoided this reaction? • If so, how? • How should the dental hygienist respond?

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