Fortunately, there are very few serious Novocaine side effects and this drug is very safe. The most common problem is related to the epinephrine (adrenaline). Adrenaline is the fight or flight hormone and when it gets into the blood stream it forces the heart to beat hard and fast. This can be very scary. Some patients think that they are having a heart attack and some patients will faint in the dental chair. This novocaine side effect can be avoided if the dentist withdraws some fluid before injecting to see if the end of the needle is in an artery or vein. If it is, blood will enter the carpule and the dentist will not inject into this spot. The procedure is called aspiration.

         Slowing of the heart is one of the most serious Novocaine side effects and it can kill a child when too much is used. A 150 pound adult can easily handle ten carpules with no consequences, however, children have smaller bodies. Allergy can be a problem but is rare. When it occurs, it's most often to the preservative and not lidocaine. Allergy may cause temporary breathing problems and in rare cases, seizures or arrhythmias after dental injections.

         Nerve damage and dental infection are a potential Novocaine side effects. However, this is most often caused by direct needle trauma and poor wound healing.

          If you are interested in Dr. Padolsky and Dr. Smith helping you with your dental care, please make an appointment by calling, 404-874-7428.